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Get the latest assessment of the health needs of the transgender population The impact of the HIV/AIDS epidemic on the transgender community has been tragically ignored, and as yet there is surprisingly little research data on the subject of health care and HIV prevention in this marginalized population. Transgender Health and HIV Prevention fills this void by providing a groundbreaking empirical assessment of the health needs of transgender persons in several areas around the United States. Respected experts discuss issues that hinder the effectiveness of HIV prevention programs, including housing, mental health, and employment, as well as the unique broader problems of social stigma, discrimination, and the lack of transgender knowledge and sensitivity on the part of health providers and prevention workers. Even though recent studies show estimated HIV infection rates to be as much as 60 percent among specific transgender populations in the United States, the transgender community continues to receive inadequate healthcare support. Transgender Health and HIV Prevention tackles the problems inherent in the healthcare system by first assessing the needs of transgender persons, then offering specific practical recommendations for remedy. Top researchers in partnership with community members in San Francisco, Houston, Washington DC, Chicago, Boston, Philadelphia, New England, San Juan, and Minneapolis/St. Paul bring empirical data together to assess what has to be done to effectively stem the HIV epidemic. This essential resource is extensively referenced with several tables to clarify data. Transgender Health and HIV Prevention explores in detail: health and social services needs of African-Americans, Latinas, and Asian/Pacific Islanders sources for the high rates of HIV infection among male-to-female transgender persons the prevalence of physical and sexual violence, substance abuse, and unemployment in the transgender community risk behaviors of male-to-female transgender persons health care providers’ ignorance, insensitivity, and discrimination—with training strategies to increase patient access and effectiveness of care how traditional notions about femininity affect risk behaviors a comparison between transgender persons and other sexual minorities Transgender Health and HIV Prevention is crucial, one-of-a-kind reading for educators, students, researchers, public health professionals, social workers, health care providers, HIV/AIDS caregivers, and prevention workers.
Deliver effective services to this growing population! This volume presents the first collection of reports on the impact of HIV/AIDS on the transgender community worldwide. It includes a thorough description of the unique HIV risks of transgender people and exposes their largely neglected health and social service needs. This unique book also reports on the first generation of prevention interventions targeting this community, discusses guidelines for providing sex reassignment services to HIV-positive transsexuals, and encourages collaboration between communities at risk, researchers, and people in the helping professions. The social stigma faced by this population adds to their risk of HIV infection. Low self-esteem, rejection, neglect, employment discrimination, disenfranchisement, and a desire for acceptance and validation are all contributing factors. Yet, as the editors point out, “On the positive side, the transgender community has been able to mobilize and empower itself, and has found a voice that no longer can be ignored. We call on transgender and nontransgender people alike to work together to advance HIV prevention and promote our sexual health.” In Transgender and HIV you'll encounter: extensive discussions of the health, social service, and HIV prevention needs of the transgender community tips on how to work with marginalized communities in an empowering way explorations of the sexuality of both male-to-female and female-to-male transsexuals first-ever findings on sex reassignment surgery on HIV-positive individuals guidelines for surgery on HIV-positive transsexuals Transgender and HIV provides much-needed and often-requested information on HIV prevalence, risks, prevention, and care for this increasingly visible community.
As the HIV epidemic moves into its fourth decade, it is clear that the global response has failed to adequately address the needs of a wide range of vulnerable populations and groups. Chief among these are gay, bisexual and other men who have sex with men, and transgender persons, who globally face the disproportional burden of HIV infection. This volume rethinks HIV prevention and health promotion for sexual and gender minorities – in both the industrialised societies of the West, as well as in the developing nations of the Global South. The chapters it contains offer a critical analysis of past and present HIV research employing categories to designate gay and other men who have sex with men, transgender persons, and/or other persons and communities with diverse gender and sexual identities. Contributors question the politics of many of the existing classifications and categories in HIV research and argue for a more sophisticated analysis of gender and sexual diversity in order to tackle the social and political barriers that impede the design of successful HIV prevention and health promotion approaches. This book was originally published as a special issue of Global Public Health.
Deliver effective services to this growing population! This volume presents the first collection of reports on the impact of HIV/AIDS on the transgender community worldwide. It includes a thorough description of the unique HIV risks of transgender people and exposes their largely neglected health and social service needs. This unique book also reports on the first generation of prevention interventions targeting this community, discusses guidelines for providing sex reassignment services to HIV-positive transsexuals, and encourages collaboration between communities at risk, researchers, and people in the helping professions. The social stigma faced by this population adds to their risk of HIV infection. Low self-esteem, rejection, neglect, employment discrimination, disenfranchisement, and a desire for acceptance and validation are all contributing factors. Yet, as the editors point out, "On the positive side, the transgender community has been able to mobilize and empower itself, and has found a voice that no longer can be ignored. We call on transgender and nontransgender people alike to work together to advance HIV prevention and promote our sexual health." In Transgender and HIV you'll encounter: extensive discussions of the health, social service, and HIV prevention needs of the transgender community tips on how to work with marginalized communities in an empowering way explorations of the sexuality of both male-to-female and female-to-male transsexuals first-ever findings on sex reassignment surgery on HIV-positive individuals guidelines for surgery on HIV-positive transsexuals Transgender and HIV provides much-needed and often-requested information on HIV prevalence, risks, prevention, and care for this increasingly visible community.
Deliver effective services to this growing population! This volume presents the first collection of reports on the impact of HIV/AIDS on the transgender community worldwide. It includes a thorough description of the unique HIV risks of transgender people and exposes their largely neglected health and social service needs. This unique book also reports on the first generation of prevention interventions targeting this community, discusses guidelines for providing sex reassignment services to HIV-positive transsexuals, and encourages collaboration between communities at risk, researchers, and people in the helping professions.The social stigma faced by this population adds to their risk of HIV infection. Low self-esteem, rejection, neglect, employment discrimination, disenfranchisement, and a desire for acceptance and validation are all contributing factors. Yet, as the editors point out, "On the positive side, the transgender community has been able to mobilize and empower itself, and has found a voice that no longer can be ignored. We call on transgender and nontransgender people alike to work together to advance HIV prevention and promote our sexual health."In Transgender and HIV you'll encounter: extensive discussions of the health, social service, and HIV prevention needs of the transgender community tips on how to work with marginalized communities in an empowering way explorations of the sexuality of both male-to-female and female-to-male transsexuals first-ever findings on sex reassignment surgery on HIV-positive individuals guidelines for surgery on HIV-positive transsexualsTransgender and HIV provides much-needed and often-requested information on HIV prevalence, risks, prevention, and care for this increasingly visible community.
At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.
he starting point for this guideline is the point at which a woman has learnt that she is living with HIV and it therefore covers key issues for providing comprehensive sexual and reproductive health and rights-related services and support for women living with HIV. As women living with HIV face unique challenges and human rights violations related to their sexuality and reproduction within their families and communities as well as from the health-care institutions where they seek care particular emphasis is placed on the creation of an enabling environment to support more effective health interventions and better health outcomes. This guideline is meant to help countries to more effectively and efficiently plan develop and monitor programmes and services that promote gender equality and human rights and hence are more acceptable and appropriate for women living with HIV taking into account the national and local epidemiological context. It discusses implementation issues that health interventions and service delivery must address to achieve gender equality and support human rights.
The first case-based comprehensive textbook to address the unique health care needs of transgender and gender diverse adults A Doody's Core Title for 2023! Demand for state-of-the-art health care services for transgender and gender diverse communities is rapidly increasing. Transgender and Gender Diverse Health Care: The Fenway Guide offers a roadmap for clinicians to provide culturally responsive care that meets the primary, preventive, and specialty health needs of transgender and gender diverse adult patients. With the most up-to-date scientific and clinical information, this practical guide reviews new data on terminology, demographics, and epidemiology; highlights key aspects of gender identity emergence across the lifespan; and provides guidance on both hormonal and surgical gender affirmation. Applying a health-equity model of care, this invaluable resource offers a foundation for clinicians when addressing health needs of transgender and gender diverse communities. Transgender and Gender Diverse Health Care: The Fenway Guide features essential information that includes the following topics and more: The history and epidemiology of transgender and gender diverse health care Primary, preventive, and specialty care considerations for transgender and gender diverse patients Hormonal, surgical and non-medical gender affirmation Trauma-informed and gender-affirming care Behavior health, eating disorders and body positivity Reproductive health, obstetrical care, and family building Treatment of HIV and sexually transmitted infections Community building, advocacy and partnership
"The Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health is the first truly comprehensive clinical reference to enhancing the health care and wellness of LGBT patients. Written by leading experts in the field and created in conjunction with Fenway Community Health of Boston, one of America's most respected community-based research and treatment centers, this one-of-a kind resource examines the unique issues faced by sexual minority patients and provides readers with clear and authoritative guidance." -- Book Jacket.