‘I'm not interested in research; i'm interested in services': How to better health and social services for transgender women living with and affected by HIV

Avery R. Everhart, Hayden Boska, Hagit Sinai-Glazer, Jia Qing Wilson-Yang, Nora Butler Burke, Gabrielle LeBlanc, Yasmeen Persad, Evana Ortigoza, Ayden I. Scheim, Zack Marshall

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

This paper presents results of a research priority setting process focused on trans women living with and affected by HIV across Canada. It features data from semi-structured interviews and focus groups conducted with a diverse group of 76 trans women in five urban centers across the country on how they have navigated health and social service programming within their geographic context. The results focus on the structure and types of services. Respondents offered simple, yet creative ways to address barriers to vital services based on their individual and collective experiences. Notably, participants stressed the need for 1) trans-friendly and trans-specific services, 2) integrated health services, and aid in navigating complex, overlapping systems, and 3) comprehensive community-based services. They also suggest employing trans women as care coordinators or case managers in order to foster more trans-friendly environments and empower community members. We identify concrete ways to improve health and social services at the level of service delivery and program design, as well as recommendations for future participatory research. We close with an interrogation of trans people, and trans women living with and affected by HIV in particular, as ‘hard to reach’ populations.

Original languageEnglish
Article number114610
JournalSocial Science and Medicine
Volume292
DOIs
StatePublished - 1 Jan 2022
Externally publishedYes

Keywords

  • Canada
  • Community-based participatory research
  • HIV
  • Hard to reach populations
  • Health services
  • Qualitative
  • Transgender health
  • Transgender women

ASJC Scopus subject areas

  • Health(social science)
  • History and Philosophy of Science

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