Addressing Health Disparities among Transgender Women

解决跨性别女性的健康差异

• 批准号: 9327063
• 负责人: Rachel L. Kaplan
• 金额: $ 18.3万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9327063
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Affect; Area; California; Centers for Disease Control and Prevention (U.S.); Communities; Conflict (Psychology); Contracts; Data; Development; Discrimination; Doctor of Philosophy; Education; Epidemic; Epidemiology; Evidence based intervention; Funding Mechanisms; Future; Gender; Goals; HIV; HIV risk; Health; Health Promotion; Incidence; Income; International; Intervention; K-Series Research Career Programs; Knowledge; Lebanon; Low Prevalence; Mental Depression; Mental Health; Mentorship; Middle East; Northern Africa; Population; Populations at Risk; Prevalence; Prevention; Preventive Intervention; Psychosocial Factor; Public Health; Research; Research Personnel; Resources; Risk; Risk Behaviors; Risk Reduction; Sampling; San Francisco; Sexual Health; Sexuality; Social Sciences; Social support; Stigmatization; Testing; Training; Transact; United States; Universities; Violence; Work; base; career; contextual factors; efficacy testing; experience; health disparity; high risk; housing instability; programs; psychosocial; public health relevance; resilience; response; sex; sexual minority; skills; social; social stigma; successful intervention; therapy development; transgender women; transmission process

DESCRIPTION (provided by applicant): Rachel L. Kaplan, PhD, MPH is a public health researcher at the Center for Research and Education on Gender and Sexuality at San Francisco State University and a postdoctoral scholar at University of California, Berkeley's Mack Center on Mental Health and Social Conflict. Dr. Kaplan's long-term career objective is to become an independent researcher specializing in the development and implementation of sexual and mental health promoting interventions among sexual minority populations in international settings. The proposed training, mentorship, and research plan support this goal and will provide her with the theoretical and practical skills necessary to become an independent intervention researcher. Although transgender women are among the most-at-risk populations for contracting HIV, few studies have been conducted to determine the most feasible and acceptable ways to impact risk. Further, knowledge of sexual and mental health among transgender women has been derived mostly from the United States. There is an urgent need for culturally relevant interventions for this marginalized population in poorly-resourced, high-stigma settings. The proposed study will address these gaps by: (1) exploring the psycho-social and cultural factors that form the context in which transgender women's sexual and mental health are situated; (2) determining how to impact transgender women's sexual and mental health through adaptation of a prevention intervention; and (3) assessing the feasibility and accessibility of the prevention intervention through pilot testing among transgender women in Lebanon. It is expected that this research will reveal prevention needs and strategies specific to transgender women in the Middle East and provide unique and powerful results to inform efficacy testing in future larger- scale trials in international settings.

描述(申请人提供)：雷切尔·L·卡普兰，博士，公共卫生硕士，旧金山州立大学性别和性行为研究和教育中心公共卫生研究员，加州大学伯克利分校麦克心理健康和社会冲突中心博士后学者。卡普兰博士的长期职业目标是成为一名独立研究人员，专门从事在国际环境中促进性少数群体的性健康和心理健康干预措施的制定和实施。拟议的培训、指导和研究计划支持这一目标，并将为她提供成为一名独立干预研究人员所需的理论和实践技能。尽管变性人妇女是感染艾滋病毒风险最高的人群之一，但很少进行研究来确定最可行和最可接受的影响风险的方式。此外，变性女性的性健康和心理健康知识主要来自美国。在资源匮乏、污名化严重的环境中，迫切需要对这些边缘化人口采取与文化相关的干预措施。拟议的研究将通过以下方式解决这些差距：(1)探索构成变性人妇女性健康和精神健康背景的心理-社会和文化因素；(2)确定如何通过调整预防干预措施来影响变性人妇女的性健康和精神健康；(3)通过在黎巴嫩变性人妇女中进行试点测试，评估预防干预措施的可行性和可及性。预计这项研究将揭示中东变性人妇女特有的预防需求和战略，并提供独特和强大的结果，为今后在国际环境中进行更大规模的试验提供有效性测试信息。

项目成果

Feasibility and Acceptability of a Behavioral Group Support Intervention Among Transgender Women: A Sexual and Mental Health Mixed-Methods Pilot Study in Beirut, Lebanon.

行为群体支持跨性别女性干预的可行性和可接受性：黎巴嫩贝鲁特的性健康和心理健康混合方法试点研究。

• DOI: 10.1521/aeap.2019.31.3.246
• 发表时间: 2019
• 期刊: AIDS education and prevention : official publication of the International Society for AIDS Education
• 作者: Kaplan,RachelL;ElKhoury,Cynthia;Lize,Norma;Wehbe,Sara;Mokhbat,Jacques
• 通讯作者: Mokhbat,Jacques