Both/And: Mixed methods analysis of network composition, communication patterns, and socio-economic support within social networks of transgender women involved in sex work in Lima, Peru.
Both/And: Mixed methods analysis of network composition, communication patterns, and socio-economic support within social networks of transgender women involved in sex work in Lima, Peru.
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DOI：
10.1186/s12889-023-17278-z
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发表时间：
2023-12-01
影响因子：
4.5
通讯作者：
Blair, Cherie S.
中科院分区：
文献类型：
--
作者：
Temelkovska, Tijana;Moriarty, Kathleen;Huerta, Leyla;Perez-Brumer, Amaya G.;Segura, Eddy R.;Passaro, Ryan Colby;Lake, Jordan E.;Clark, Jesse L.;Blair, Cherie S.
社会网络有助于加强艾滋病毒预防战略、知识共享和社会资本的规范性，但拉丁美洲变性人妇女的社会网络几乎没有研究的特点。我们对秘鲁利马的TW的三个网络集群进行了混合方法分析，以评估网络组成、交换的支持类型和通信模式。2018年4月至5月期间，我们招募了居住在利马三个“Casas Trans”(TW合住的房屋)或附属于三个“Casas Trans”的TW。符合条件的参与者为18岁或以上，自我报告艾滋病毒阴性，并报告最近与顺式男性伴侣发生性关系。参与者完成了人口统计问卷、社交网络访谈和半结构化访谈，以评估以自我为中心的网络结构、交换的支持和沟通模式。定量和定性数据分别使用Stata v14.1和Atlas.ti进行分析。在20TW中，中位年龄为26岁，100%报告参与了商业性工作。受访者确定了他们在过去一个月中与161人互动(更改)，其中33%是TW，52%是家庭成员。70%的受访者表示获得了来自家庭的情感支持，30%的受访者得到了来自家庭的经济支持和工具性支持。在提名某人作为艾滋病毒预防支持(HPS)来源的13名受访者(65%)中，大多数(69%)提名了其他TW。在调整了被调查者教育程度和出生地区的GEE回归分析中，家庭成员与提供经济支持(AOR 0.21，CI 0.08-0.54)、工具支持(AOR 0.16，CI 0.06-0.39)和HPS(AOR 0.18，CI 0.05-0.64)的可能性较低相关。在定性访谈中，大多数受访者认为顺位女性家庭成员是他们最信任和最亲密的网络成员，但其他TW更多地被认为是日常支持的来源，包括HPS。TW拥有多样化的社会网络，其他TW是知识共享和支持的关键来源，家庭成员也可能是重要和有影响力的组成部分。在这些复杂的网络中，TW可以根据特定的上下文和需求选择性地向不同的网络更改请求和提供支持。艾滋病毒预防宣传可以考虑将基于网络的干预措施与TW社区的投入和支持家庭成员的外联工作结合起来。
Social networks contribute to normative reinforcement of HIV prevention strategies, knowledge sharing, and social capital, but little research has characterized the social networks of transgender women (TW) in Latin America. We conducted a mixed methods analysis of three network clusters of TW in Lima, Peru, to evaluate network composition, types of support exchanged, and patterns of communication. We recruited TW residing in or affiliated with three “casas trans” (houses shared among TW) in Lima between April-May 2018. Eligible participants were 18 or older, self-reported HIV-negative, and reported recent intercourse with a cis-male partner. Participants completed demographic questionnaires, social network interviews, and semi-structured interviews to assess egocentric network structures, support exchanged, and communication patterns. Quantitative and qualitative data were analyzed using Stata v14.1 and Atlas.ti, respectively. Of 20 TW, median age was 26 years and 100% reported involvement in commercial sex work. Respondents identified 161 individuals they interacted with in the past month (alters), of whom 33% were TW and 52% family members. 70% of respondents reported receiving emotional support from family, while 30% received financial support and instrumental support from family. Of the 13 (65%) respondents who nominated someone as a source of HIV prevention support (HPS), the majority (69%) nominated other TW. In a GEE regression analysis adjusted for respondent education and region of birth, being a family member was associated with lower likelihood of providing financial support (aOR 0.21, CI 0.08–0.54), instrumental support (aOR 0.16, CI 0.06–0.39), and HPS (aOR 0.18, CI 0.05–0.64). In qualitative interviews, most respondents identified a cis-female family member as their most trusted and closest network member, but other TW were more often considered sources of day-to-day support, including HPS. TW have diverse social networks where other TW are key sources of knowledge sharing and support, and family members may also represent important and influential components. Within these complex networks, TW may selectively solicit and provide support from different network alters according to specific contexts and needs. HIV prevention messaging could consider incorporating network-based interventions with TW community input and outreach efforts for supportive family members.
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影响因子：
1.7
作者：
Maman S;van Rooyen H;Groves AK
通讯作者：
Groves AK
影响因子：
3.8
作者：
Long JE;Montaño M;Sanchez H;Huerta L;Calderón Garcia D;Lama JR;Andrasik M;Duerr A
通讯作者：
Duerr A
利用社交网络和技术来预防艾滋病毒和跨性别妇女。
DOI：
10.1521/aeap.2020.32.2.83
发表时间：
2020-04
期刊：
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子：
--
作者：
Holloway IW;Jordan SP;Dunlap SL;Ritterbusch A;Reback CJ
通讯作者：
Reback CJ
影响因子：
5.9
作者：
Hill, Miranda;Sevelius, Jae;Sherman, Athena D. F.;Balthazar, Monique;Klepper, Meredith;Radix, Asa;Rebchook, Greg;Hansen, Nathan
通讯作者：
Hansen, Nathan
影响因子：
4.4
作者：
Ayer A;Perez-Brumer A;Segura ER;Chavez-Gomez S;Fernandez R;Arroyo C;Barrantes A;Lake JE;Cabello R;Clark JL
通讯作者：
Clark JL