COVID-19 Vulnerability of Transgender Women With and Without HIV Infection in the Eastern and Southern U.S.
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: COVID-19 is a new global pandemic and people with HIV may be particularly vulnerable. Gender identity is not reported, therefore data are absent on the impact of COVID-19 on transgender people, including transgender people with HIV. Baseline data from the American Cohort to Study HIV Acquisition Among Transgender Women in High Risk Areas (LITE) Study provide an opportunity to examine pre-COVID vulnerability among transgender women. SETTING: Atlanta, Baltimore, Boston, Miami, New York City, Washington, DC. METHODS: Baseline data from LITE were analysed for demographic, psychosocial, and material factors that may affect risk for COVID-related harms. RESULTS: The 1020 participants had high rates of poverty, unemployment, food insecurity, homelessness, and sex work. Transgender women with HIV (n=273) were older, more likely to be Black, had lower educational attainment, and were more likely to experience material hardship. Mental and behavioural health symptoms were common and did not differ by HIV status. Barriers to healthcare included being mistreated mistreatment, uncomfortable providers, and past negative experiences; as well as material hardships, such as cost and transportation. However, most reported access to material and social support - demonstrating resilience. CONCLUSIONS: Transgender women with HIV may be particularly vulnerable to pandemic harms. Mitigating this harm would have positive effects for everyone, given the highly infectious nature of this coronavirus. Collecting gender identity in COVID-19 data is crucial to inform an effective public health response. Transgender-led organizations' response to this crisis serve as an important model for effective community-led interventions.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- COVID-19 Vulnerability of Transgender Women With and Without HIV Infection in the Eastern and Southern U.S.
- Date Crossref
- 24/07/2020
- Éditeur
- openRxiv
- Type
- posted-content
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
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University of North Carolina at Chapel Hill pays non établi dans la noticeUniversité ou école supérieure
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Harvard University pays non établi dans la noticeUniversité ou école supérieure
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Johns Hopkins University pays non établi dans la noticeUniversité ou école supérieure
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University of North Carolina Chapel Hill Department of Social Medicine pays non établi dans la noticeUniversité ou école supérieure
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Harvard T.H. Chan School of Public Health Department of Epidemiology pays non établi dans la noticeUniversité ou école supérieure
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Department of Medicine pays non établi dans la noticeInstitution
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TransSolutions LLC pays non établi dans la noticeInstitution
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Johns Hopkins Bloomberg School of Public Health Department of Epidemiology pays non établi dans la noticeUniversité ou école supérieure
University of North Carolina at Chapel Hill, Harvard University et Johns Hopkins University, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.