IMG_2868.JPG

Transgender Health

How do we support the health and wellbeing of transgender communities?

Transgender individuals face a tremendous number of challenges to quality of life, including systemic prejudice, routine discrimination in housing, employment, education health care, and social service setting, and interpersonal stigma and mistreatment. At the same time, transgender communities demonstrate tremendous power and resilience, and have been pioneers in the fight for human rights for all persons. At HART, our research with transgender communities focuses on supporting health and wellbeing, developing new strategies to increase the availability of competent, comprehensive, affirming care. Our team of transgender researchers collaborate with cisgender colleagues to create projects that both inform and support the communities with whom we work.

 

 

Projects

Leveraging Biomedical HIV Prevention as a Gateway to Gender Affirming Health Care (R01AA022067-04S1 ; Golub, PI)

This project is designed to identify social, behavioral, and structural factors that influence access to and utilization of sexual heath and primary care services among transgender men. Through a combination of qualitative and quantitative data collection, we are working to develop a valid, reliable, and affirming assessment tool for engaging transmen in conversations about their sexual health. Transmen are often left out of conversations around PrEP, and this project is also focused on developing strategies for greater inclusion and leveraging engagement of PrEP toward improving overall health of TM. 

Facilitators and Barriers to Pre-exposure Prophylaxis (PrEP) Use among Transgender Women at Risk for HIV (Dissertation Project; Klein, PI)

This project focuses on the barriers to PrEP access experienced by transgender women, and the potential for PrEP to improve the sexual health care transwomen receive. Through interviews with transgender women who have chosen to use PrEP as well as women who have decided that PrEP is not the right prevention choice for them, this study examines sexual health decision-making for transgender women and the ways in which programs and policies can be designed to support them. 

Supporting Patient-Focused Decision-Making around Gender Affirming Therapy (Pilot Project; Klein/Golub, PIs)

In collaboration with Dr. Rachel Bluebond-Langer at NYU Medical Center, we are examining patients' making processes in approaching gender affirming surgical intervention. This project is designed to develop better tools and support services for patients both pre- and post-surgery.

Family Decision-Making and Quality of Life Goals for Transgender Youth (Pilot Project; Klein/Golub, PIs)

This qualitative project interviews parents of transgender youth 

Findings

Feature 2

The following is placeholder text known as “lorem ipsum,” which is scrambled Latin used by designers to mimic real copy. Vivamus a ante congue, porta nunc nec, hendrerit turpis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae. Aenean eu justo sed elit dignissim aliquam. Fusce at massa nec sapien auctor gravida in in tellus.

In a national sample of transgender individuals, experiencing high levels of family rejection was associated with almost three and a half times greater odds of suicide attempts and two and a half times the odds of substance misuse. 

In a national sample of transgender individuals, experiencing high levels of family rejection was associated with almost three and a half times greater odds of suicide attempts and two and a half times the odds of substance misuse. 

Feature 3

The following is placeholder text known as “lorem ipsum,” which is scrambled Latin used by designers to mimic real copy. Nullam sit amet nisi condimentum erat iaculis auctor. Mauris egestas at nibh nec finibus.

Publications

Meyers, K. and Golub, S.A. (2015) Planning ahead for implementation of long-acting HIV prevention: Challenges and opportunities. Current Opinion in HIV/AIDS, 10(4):290-295.

Golub, S.A., Operario, D., & Gorbach, P.M. (2010).  Pre-exposure prophylaxis state of the science: Empirical analogies for research and implementation.  Current HIV/AIDS Reports, 7(4):201-209.