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Understanding Factors Related to PrEP Use Among Black and Latine Trans and Gender-Expansive Young People: The Impact of Gender Minority Stress, Substance Use, and Gender Affirmation
Understanding Factors Related to PrEP Use Among Black and Latine Trans and Gender-Expansive Young People: The Impact of Gender Minority Stress, Substance Use, and Gender Affirmation
Detailed Information
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152802
- ISBN
- 9798383685143
- DDC
- 361
- 서명/저자
- Understanding Factors Related to PrEP Use Among Black and Latine Trans and Gender-Expansive Young People: The Impact of Gender Minority Stress, Substance Use, and Gender Affirmation
- 발행사항
- [Sl] : New York University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 342 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-02, Section: B.
- 주기사항
- Advisor: Gwadz, Marya.
- 학위논문주기
- Thesis (Ph.D.)--New York University, 2024.
- 초록/해제
- 요약Understanding the factors that influence engagement along the preexposure prophylaxis (PrEP) care continuum for transgender and gender expansive young people ages 13-24 years is urgent. Transgender and gender expansive young people experience a disproportionate risk for HIV, yet their rates of PrEP uptake to prevent HIV are among the lowest of key risk groups in the United States (10%). Alarmingly, Black and Latine transgender and gender expansive youth experience elevated risk for HIV yet are estimated to have the lowest PrEP uptake in the United States (8%). However, factors that promote or impede PrEP outcomes for these populations are poorly understood. The present study uses a quantitative and a qualitative design to contribute to advancing the literature on engagement along the PrEP care continuum among transgender and gender expansive youth, including those who identify as Black and Latine. Phase #1 used quantitative methods in both Paper #1 and Paper #2 which investigates PrEP intentions among a national sample of racially diverse transgender and gender expansive youth. Phase #2 involved a qualitative exploration to explore the perspectives of Black and Latine transgender and gender youth on factors that impact their intentions to use PrEP. Findings from Paper #1 and Paper #2 underscored heavy substance use among these populations as a potential barrier to PrEP uptake. Importantly, both studies indicated the role gender affirmation has in mitigating the impact of gender minority stressors on heavy substance use behaviors and PrEP intentions. Importantly, findings from Paper #2 provided specific insights for the Black and Latine sample, including elevated substance use behaviors, and a need for intersectional approaches to understanding their specific barriers along the PrEP care continuum. Findings from Paper #3 were consistent and revealed that experiences with both intersectional discrimination and systemic inequities significantly impact the health behaviors of Black and Latine transgender and gender expansive youth. Overall, this research has important implications for public health, social work, and clinical settings. Importantly, gender affirmation plays a critical role in the well-being of transgender and gender expansive youth and impacts their willingness to engage along the PrEP care continuum.
- 일반주제명
- Social work
- 일반주제명
- LGBTQ studies
- 일반주제명
- Gender studies
- 일반주제명
- Virology
- 키워드
- Black and Latine
- 키워드
- Substance use
- 키워드
- Transgender
- 기타저자
- New York University PhD Program
- 기본자료저록
- Dissertations Abstracts International. 86-02B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520250211152802
■006m o d
■007cr#unu||||||||
■020 ▼a9798383685143
■035 ▼a(MiAaPQ)AAI31556709
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a361
■1001 ▼aCluesman, Sabrina Renee.
■24510▼aUnderstanding Factors Related to PrEP Use Among Black and Latine Trans and Gender-Expansive Young People: The Impact of Gender Minority Stress, Substance Use, and Gender Affirmation
■260 ▼a[Sl]▼bNew York University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a342 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-02, Section: B.
■500 ▼aAdvisor: Gwadz, Marya.
■5021 ▼aThesis (Ph.D.)--New York University, 2024.
■520 ▼aUnderstanding the factors that influence engagement along the preexposure prophylaxis (PrEP) care continuum for transgender and gender expansive young people ages 13-24 years is urgent. Transgender and gender expansive young people experience a disproportionate risk for HIV, yet their rates of PrEP uptake to prevent HIV are among the lowest of key risk groups in the United States (10%). Alarmingly, Black and Latine transgender and gender expansive youth experience elevated risk for HIV yet are estimated to have the lowest PrEP uptake in the United States (8%). However, factors that promote or impede PrEP outcomes for these populations are poorly understood. The present study uses a quantitative and a qualitative design to contribute to advancing the literature on engagement along the PrEP care continuum among transgender and gender expansive youth, including those who identify as Black and Latine. Phase #1 used quantitative methods in both Paper #1 and Paper #2 which investigates PrEP intentions among a national sample of racially diverse transgender and gender expansive youth. Phase #2 involved a qualitative exploration to explore the perspectives of Black and Latine transgender and gender youth on factors that impact their intentions to use PrEP. Findings from Paper #1 and Paper #2 underscored heavy substance use among these populations as a potential barrier to PrEP uptake. Importantly, both studies indicated the role gender affirmation has in mitigating the impact of gender minority stressors on heavy substance use behaviors and PrEP intentions. Importantly, findings from Paper #2 provided specific insights for the Black and Latine sample, including elevated substance use behaviors, and a need for intersectional approaches to understanding their specific barriers along the PrEP care continuum. Findings from Paper #3 were consistent and revealed that experiences with both intersectional discrimination and systemic inequities significantly impact the health behaviors of Black and Latine transgender and gender expansive youth. Overall, this research has important implications for public health, social work, and clinical settings. Importantly, gender affirmation plays a critical role in the well-being of transgender and gender expansive youth and impacts their willingness to engage along the PrEP care continuum.
■590 ▼aSchool code: 0146.
■650 4▼aSocial work
■650 4▼aLGBTQ studies
■650 4▼aGender studies
■650 4▼aVirology
■653 ▼aBlack and Latine
■653 ▼aGender minority stress
■653 ▼aPreexposure prophylaxis
■653 ▼aSubstance use
■653 ▼aTransgender
■653 ▼aYouth and emerging adults
■653 ▼aGender affirmation
■690 ▼a0452
■690 ▼a0720
■690 ▼a0733
■690 ▼a0492
■71020▼aNew York University▼bPh.D. Program.
■7730 ▼tDissertations Abstracts International▼g86-02B.
■790 ▼a0146
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17163859▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
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