Longitudinal cohort of HIV-negative transgender women of colour in New York City: protocol for the TURNNT ('Trying to Understand Relationships, Networks and Neighbourhoods among Transgender women of colour') study

Autor: Dustin T. Duncan, Robert Garofalo, Cristina Herrera, Roberta Scheinmann, Kiara St James, Kim Watson, Nala Toussaint, Yusuf Ransome, Seann D. Regan, Jordyn Smith, Jae Sevelius, Gia Love, Tonia Poteat, Asa Radix, Basile Chaix, Ceyenne Doroshow, Ichiro Kawachi, John A. Schneider, Sari L. Reisner, Rachel Bluebond-Langner, Denton Callander
Rok vydání: 2020
Předmět:
Gerontology
Adult
Male
Multivariate analysis
Native Hawaiian or Other Pacific Islander
Adolescent
Clinical Sciences
Population
Psychological intervention
HIV & AIDS
HIV Infections
Transgender Persons
Social Networking
Young Adult
Acquired immunodeficiency syndrome (AIDS)
Asian People
Residence Characteristics
Sexual medicine
HIV Seronegativity
Medicine
Humans
Interpersonal Relations
Prospective Studies
education
Neighbourhood (mathematics)
education.field_of_study
Other Medical and Health Sciences
Asian
business.industry
sexual medicine
General Medicine
Hispanic or Latino
Middle Aged
medicine.disease
Black or African American
Cross-Sectional Studies
Sexual Partners
Multivariate Analysis
Public Health and Health Services
Pacific islanders
Female
New York City
epidemiology
Public Health
business
Social capital
Zdroj: BMJ Open
BMJ open, vol 10, iss 4
ISSN: 2044-6055
Popis: IntroductionIn the USA, transgender women are among the most vulnerable to HIV. In particular, transgender women of colour face high rates of infection and low uptake of important HIV prevention tools, including pre-exposure prophylaxis (PrEP). This paper describes the design, sampling methods, data collection and analyses of the TURNNT (‘Trying to Understand Relationships, Networks and Neighbourhoods among Transgender women of colour’) study. In collaboration with communities of transgender women of colour, TURNNT aims to explore the complex social and environmental (ie, neighbourhood) structures that affect HIV prevention and other aspects of health in order to identify avenues for intervention.Methods and analysesTURNNT is a prospective cohort study, which will recruit 300 transgender women of colour (150 Black/African American, 100 Latina and 50 Asian/Pacific Islander participants) in New York City. There will be three waves of data collection separated by 6 months. At each wave, participants will provide information on their relationships, social and sexual networks, and neighbourhoods. Global position system technology will be used to generate individual daily path areas in order to estimate neighbourhood-level exposures. Multivariate analyses will be conducted to assess cross-sectional and longitudinal, independent and synergistic associations of personal relationships (notably individual social capital), social and sexual networks, and neighbourhood factors (notably neighbourhood-level social cohesion) with PrEP uptake and discontinuation.Ethics and disseminationThe TURNNT protocol was approved by the Columbia University Institutional Review Board (reference no. AAAS8164). This study will provide novel insights into the relationship, network and neighbourhood factors that influence HIV prevention behaviours among transgender women of colour and facilitate exploration of this population’s health and well-being more broadly. Through community-based dissemination events and consultation with policy makers, this foundational work will be used to guide the development and implementation of future interventions with and for transgender women of colour.
Databáze: OpenAIRE
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