Social Network Organization, Structure, and Patterns of Influence Within a Community of Transgender Women in Lima, Peru: Implications for Biomedical HIV Prevention.

Clark, J L; Perez-Brumer, A G; Reisner, S L; Salazar, X; McLean, S; Huerta, L; Silva-Santisteban, A; Moriarty, K M; Mimiaga, M J; Sanchez, J; Mayer, K H; Lama, J R

Clark, J L; Perez-Brumer, A G; Reisner, S L; Salazar, X; McLean, S; Huerta, L; Silva-Santisteban, A; Moriarty, K M; Mimiaga, M J; Sanchez, J; Mayer, K H; Lama, J R.

Afiliação

Clark JL; Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, 10833 Leconte Avenue, CHS 37-121, Los Angeles, CA, 90095, USA. jlclark@mednet.ucla.edu.
Perez-Brumer AG; Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Reisner SL; Department of Pediatrics, Harvard Medical School and Boston Children's Hospital, Boston, MA, USA.
Salazar X; Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
McLean S; The Fenway Institute, Fenway Health, Boston, MA, USA.
Huerta L; Instituto de Estudios de Sexualidad y Derechos Humanos, Universidad Peruana Cayetano Heredia, Lima, Peru.
Silva-Santisteban A; The Fenway Institute, Fenway Health, Boston, MA, USA.
Moriarty KM; Asociacion Civil Impacta Salud y Educacion, Lima, Peru.
Mimiaga MJ; Instituto de Estudios de Sexualidad y Derechos Humanos, Universidad Peruana Cayetano Heredia, Lima, Peru.
Sanchez J; Division of Infectious Diseases, Department of Medicine, David Geffen School of Medicine at UCLA, 10833 Leconte Avenue, CHS 37-121, Los Angeles, CA, 90095, USA.
Mayer KH; Brown University Alpert School of Medicine, Providence, RI, USA.
Lama JR; Center for Health Equity Research, Brown University, Providence, RI, USA.

AIDS Behav ; 24(1): 233-245, 2020 Jan.

Article em En | MEDLINE | ID: mdl-30989553

RESUMO

Understanding social network structures can contribute to the introduction of new HIV prevention strategies with socially marginalized populations like transgender women (TW). We conducted 20 semi-structured interviews and four focus groups (n = 32) with TW from selected social networks in Lima, Peru between May and July, 2015. Participants described layers of social influence from diverse actors in their social networks. The majority identified a close relative as their primary social support, with whom they confided secrets but avoided issues of transgender identity, sexuality, and sex work. Participants described close circles of TW friends with whom they shared information about gender identity, body modification, and sexual partners, but avoided issues like HIV. Community leadership included political leaders (who advocated for transgender rights) as well as social leaders (who introduced TW to hormone therapy, body modification, and commercial sex). Detailed analysis of TW social networks can contribute to implementation and acceptability of new HIV prevention technologies.

Assuntos

Infecções por HIV/prevenção & controle; Rede Social; Apoio Social; Pessoas Transgênero/psicologia; Adulto; Feminino; Grupos Focais; Humanos; Entrevistas como Assunto; Masculino; Peru; Pesquisa Qualitativa; Adulto Jovem

Palavras-chave

HIV Prevention; Peru; Social Network; Transgender

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apoio Social / Infecções por HIV / Rede Social / Pessoas Transgênero Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

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