In the last decade, increased attention has been paid to the physical and mental health needs of transgender and gender non-conforming individuals. However, despite this surge of research, scant literature addresses factors associated with wellbeing among members of this population. Using data from the US Social Justice Sexuality Survey, this study examines predictors of wellbeing in a sample of transgender and gender non-conforming individuals. Results indicate that higher levels of wellbeing are predicted by education, older age and a greater sense of connectedness to the lesbian, gay, bisexual and transgender community. Additionally, although health insurance did not have a significant impact on wellbeing, increased general health was associated with greater wellbeing, as was perceived comfort of the healthcare provider regarding the respondent's sexual identity. These findings can inform multi-level intervention with transgender and gender non-conforming persons to promote their wellbeing, as well as guide policies and practices around healthcare provider training. Future research should further examine the interconnected predictors of wellbeing among members of this population.

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Introduction While scholarship on community-led structural interventions has focused on contextual modifiers of HIV risk, few studies have examined other aspects of sex workers' lives. The effects of community-led structural interventions are often isolated to individuals' behaviors, such as condom use and number of sexual partners. However, comprehensive approaches toward modifying individuals behavior can also influence aspects of their family life. Evaluating such farreaching effects is essential to better understand the success and sustainability of intervention efforts. In this study, we explore the impact of a sex workers' community-led structural intervention, Durbar Mahila Samanwaya Committee (Durbar), on sex workers and their children. Initiated in 1992, Durbar has been hailed by the World Health Organization as a model community-led structural intervention for sex workers around the world. Methods In partnership with Durbar, we conducted in-depth, semi-structured qualitative interviews with 35 sex worker mothers. In addition, we engaged in participant observation and documented processes through extensive field notes. Results This study found that the Durbar collective has made various resources available both in the material and symbolic realms that improved the quality of life of sex worker mothers and their children. Conclusion It is important to evaluate primary intervention outcomes along with other meaningful outcomes that have the potential to secure community buy in and sustain effects over time. Keywords Sex work. Sex worker mothers. Children of sex workers. Community-led structural intervention. Mothering In the wake of the HIV/AIDS epidemic, the social sciences have focused unrelentingly on communities that are thought to be high risk due to their sexual practices. Sex workers comprise one such group and have come under heavy scrutiny from researchers and policymakers who try to combat the "HIV problem" (Patton 2002). Such depictions and treatment of sex workers is problematic in that our understanding of sex workers is limited to their "risky" bodies. They have been targeted with a variety of individual interventions that are often driven by assumptions that women engaged in sex work lack agency and that their sexual behaviors should be modified (Campbell 2003; Patton 2002). While scholarship on community-led structural interventions has focused on contextual modifiers of HIV risk, such as housing, legal environment, and stigma, (

3099(20)30243-7. 2 WHO. WHO emergencies press conference on coronavirus disease. March 13, 2020. World Health Organization. https://tinyurl. com/y7wubt4c (accessed May 6, 2020).

The aim of this study is to explore the ways in which community-led structural interventions (CLSI) shape the mothering experiences of sex workers. In-depth semistructured interviews were conducted with 40 sex worker mothers from Kolkata, India. Participants were recruited from Durbar Mahila Samanwaya Committee (DMSC), a CLSI. Elements of constructivist grounded theory were employed. Results revealed DMSC mobilization (re)shaped mothering for female sex workers through (a) the subjective reorientation about establishing sex work as legitimate labor and disclosing sex worker identity and (b) access to material resources such as safe spaces, childcare networks, and educational opportunities. CLSI have the potential to influence the self-perception of communities that are marginalized and provide them with material resources that ultimately promote family well-being. While working with sex workers, it is imperative to understand their multiple, intersecting roles and co-develop community-based interventions not only with sex workers but their families as well.

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BACKGROUND: Financial incentives have been shown to improve antiretroviral (ARV) adherence for people living with HIV, but scholars have argued that this commodifies treatment and have debated the ethics of doing so. This article summarizes research on ethical processes and factors involved in an intervention that successfully improved ARV adherence among socially vulnerable people living with HIV. METHODS: Thirty qualitative interviews were conducted with intervention participants and field notes documenting organizational processes were analyzed. The protocol utilized a preexisting framework to assess the ethics of using financial incentives to motivate adherence. RESULTS: Financial incentives supported an ethical service provision framework by (1) establishing and strengthening client agency, (2) revising organizational protocols to prioritize adherence, and (3) promoting resource redistribution. CONCLUSIONS: Financial incentives, when embedded in wrap-around services, innovative client-centered organizational processes, and a justice orientation, constitute an ethical intervention requiring ethical investigation.