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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-Expansiv...
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
저자명  
Cluesman, Sabrina Renee.
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  
Gender minority stress
키워드  
Preexposure prophylaxis
키워드  
Substance use
키워드  
Transgender
키워드  
Youth and emerging adults
키워드  
Gender affirmation
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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■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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