Connecting the Dots: HIV, COVID-19, and Structural Racism in Gender Minority Women

项目总结/摘要 变性妇女，特别是感染艾滋病毒的黑人和拉丁裔变性妇女， 特别容易受到COVID-19的社会经济和心理社会影响 流行病然而，缺乏关于艾滋病毒、COVID-19和结构性疾病如何相互交叉的数据。 种族主义影响到变性妇女的身体健康和心理结果。 理解这些关系并确定可能改变它们的因素是很重要的 推进卫生公平的措施。这项研究结合并补充了来自 现有NIH资助的跨性别女性（有和没有艾滋病毒）前瞻性研究， 评估艾滋病毒和COVID-19疾病经历之间的纵向关系， 研究结构性种族主义、艾滋病毒和与流行病有关的卫生不平等之间的联系 在变性女性中。这项创新的研究将分析450名变性人的数据 妇女根据种族/民族、艾滋病毒状况和技术评估健康结果的沿着 access.这项创新的研究将提供新的信息，可用于指导公众 努力缩小健康差距。

Project Summary/Abstract Transgender women, particularly Black and Latina transgender women living with HIV, are particularly vulnerable to the socioeconomic and psychosocial impacts of the COVID-19 pandemic. However, data are lacking on how the intersection of HIV, COVID-19, and structural racism affect the physical health and psychosocial outcomes among transgender women. Understanding these relationships and identifying factors that may modify them are important steps towards advancing health equity. This study combines and supplements data from existing NIH-funded prospective studies with transgender women (with and without HIV) to assess longitudinal relationships between HIV and COVID-19 disease experiences and to examine associations between structural racism, HIV, and pandemic-related health inequities among transgender women. This innovative study will analyze data from 450 transgender women to assess health outcomes along lines of race/ethnicity, HIV status, and technology access. This innovative research will provide novel information that can be used to guide public health efforts to reduce health disparities.