Interpersonal Relationships and Social Support in Transitioning Narratives of Black Transgender Women in Detroit

Graham, Louis F.; Crissman, Halley P.; Tocco, Jack Ume; Hughes, Lesley; Snow, Rachel; Padilla, Mark

doi:10.1080/15532739.2014.937042

Cited by 62 publications

(64 citation statements)

References 42 publications

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“…Our findings coincide with prior research suggesting that the negative socioeconomic shifts experienced in the DMA are associated with increases in an array of negative social risk factors ( e.g., unemployment, poverty, homelessness), increasing the propensity of marginalized communities to live in socioeconomically disadvantaged neighborhoods and working in high-risk, low-paying jobs and/or participating in informal (e.g., sex work) economies 4,11,27 . Our multilevel analyses support this argument and provide tentative evidence for mediational pathways; once individual-level indicators of socioeconomic disadvantage and risk behaviors were included in the model, we observed an attenuation of the direct association between neighborhood disadvantage and transactional sex through the individual-level characteristics of our participants.…”

Section: Discussionsupporting

confidence: 89%

A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit

Bauermeister

Eaton

Stephenson

2016

Behavioral Medicine

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The role of structural factors when evaluating the vulnerability of HIV/STI risks among young gay, bisexual, and other men who have sex with men is an important area of focus for HIV prevention. Using cross-sectional data from young men living in Metro Detroit. (N=319; ages 18–29; 50% Black, 25% White, 15% Latino, 9% Other Race/Ethnicity; 9% HIV-positive), we examined whether transactional sex with casual partners was associated with neighborhood-level socioeconomic disadvantage and individual-level factors (race/ethnicity and sexual identity, socioeconomic status, HIV/STI diagnoses, and substance use). Youth living in greater socioeconomic disadvantage reported more transactional sex (b=.11; SE=.04; p≤.01). This relationship was mitigated once individual-level correlates were entered into the model. Multi-level efforts to counteract socioeconomic deficits through community and individual level strategies may alleviate youth’s exposure to transactional sex and reduce their vulnerability to HIV/STI risks.

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Section: Discussionsupporting

confidence: 89%

A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit

Bauermeister

Eaton

Stephenson

2016

Behavioral Medicine

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“…This work centers a Latino‐majority city—San Antonio, Texas—in which non‐Hispanic White (or Anglo) people make up a minority of the city population. This research joins other scholars in examining race, sexuality, and gender in majority–minority cities like Detroit and Washington DC (Bailey ; Graham et al ; Greene ). In San Antonio, Latinx TNB people can more easily connect with a Latino‐majority LGBTQ+ community than in other cities.…”

Section: Multiplicity Place and Communitysupporting

confidence: 61%

“Multiplicity, Race, and Resilience: Transgender and Non‐Binary People Building Community”

Stone

Nimmons

Salcido³

et al. 2019

Sociological Inquiry

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Scholars theorize that the development of community is an important part of resilience. In this mixed-methods study, we argue that race informs the experiences that transgender and non-binary (TNB) people have in seeking community. Using the Strengthening Colors of Pride Phase I and Phase II research, we argue that in a Latinomajority city, Latinx and Anglo TNB people connected with the transgender and broader lesbian, gay, bisexual, transgender, and queer (LGBTQ+) community, although Anglo TNB people reported more transphobia in the LGBTQ+ community. Black and American Indian TNB people connected with LGBTQ+ communities of color specifically and struggled more to find in-person community. Anglo TNB people used their own White racial networks to connect with supportive hobby and interest groups. In general, TNB people connected more with communities that resonated with the multiplicities of their own lives, such as commonalities of economic precarity and immigration status. This research is an important contribution to understanding the development of community for resilience, and the way race and gender identity inform community experiences for TNB people.

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“…Barriers to HIV testing among Black MSM and transgender women include fear, stigma, disclosure of sexual/gender identity, lack of anonymity, concerns about confidentiality, discomfort talking to a counselor and concerns about the accuracy of rapid tests [ 30 – 34 ]. Facilitators of testing include visits to health providers, perceived risk (a partner has HIV), sexually transmitted infections (STIs), experiencing STI or acute HIV infection symptoms, condom slips, being told by a partner to get tested, and social support [ 35 – 36 ]. One of the few studies focused exclusively on young Black MSM found that the factors most strongly associated with a lifetime history of HIV testing were knowing a comfortable place to test and social support to discuss HIV and sexuality issues [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM) and transgender women: Implications for consistent HIV testing

et al. 2018

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BackgroundPromoting consistent HIV testing is critical among young, Black Men Who Have Sex With Men (MSM) and transgender women who are overrepresented among new HIV cases in the United States. New HIV test options are available, including mobile unit testing, one-minute testing, at home or self-testing and couples HIV testing and counseling (CHTC). In the context of these newer options, the objective of this study was to explore whether and how preferences for specific characteristics of the tests acted as barriers to and/or facilitators of testing in general and consistent testing specifically among young Black MSM and transgender women aged 16 to 29.MethodsWe conducted 30 qualitative, semi-structured, in-depth interviews with young, Black, gay, bisexual or MSM and transgender women in the New York City metropolitan area to identify preferences for specific HIV tests and aspects of HIV testing options. Participants were primarily recruited from online and mobile sites, followed by community-based, face-to-face recruitment strategies to specifically reach younger participants. Thematic coding was utilized to analyze the qualitative data based on a grounded theoretical approach.ResultsWe identified how past experiences, perceived test characteristics (e.g., accuracy, cost, etc.) and beliefs about the “fit” between the individual, and the test relate to preferred testing methods and consistent testing. Three major themes emerged as important to preferences for HIV testing methods: the perceived accuracy of the test method, venue characteristics, and lack of knowledge or experience with the newer testing options, including self-testing and CHTC.ConclusionsThese findings suggest that increasing awareness of and access to newer HIV testing options (e.g., free or reduced price on home or self-tests or CHTC available at all testing venues) is critical if these new options are to facilitate increased levels of consistent testing among young, Black MSM and transgender women. Addressing perceptions of test accuracy and supporting front line staff in creating welcoming and safe testing environments may be key intervention targets. Connecting young Black MSM and transgender women to the best test option, given preferences for specific characteristics, may support more and more consistent HIV testing.

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Interpersonal Relationships and Social Support in Transitioning Narratives of Black Transgender Women in Detroit

Cited by 62 publications

References 42 publications

A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit

A Multilevel Analysis of Neighborhood Socioeconomic Disadvantage and Transactional Sex with Casual Partners Among Young Men Who Have Sex with Men Living in Metro Detroit

“Multiplicity, Race, and Resilience: Transgender and Non‐Binary People Building Community”

Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM) and transgender women: Implications for consistent HIV testing

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