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Navigating stigma, survival, and sex in contexts of social inequity among young transgender women and sexually diverse men in Kingston, Jamaica.
Reprod Health Matters 2018; 26(54):72-83RH

Abstract

Social inequities, including stigma, criminalisation of same-sex practices, and poverty, elevate HIV exposure among young transgender women and sexually diverse men in Jamaica. Yet the ways transgender women and sexually diverse men in Jamaica navigate sex and HIV in contexts of social inequity are underexplored. The study objective was to explore experiences and perceptions of sexual decision-making and HIV risk among young (aged 18-30) sexually diverse men and transgender women in Kingston, Jamaica. We conducted a community-based qualitative study in Kingston that involved in-depth individual interviews (transgender women: n = 20; sexually diverse men: n = 20), 2 focus groups (transgender women: n = 8; sexually diverse men: n = 10) and 13 key informant interviews. Focus groups and interviews were digitally recorded, transcribed verbatim, and analysed with a thematic approach. Findings suggest that transgender women and sexually diverse men in Kingston are aware of, and managing survival challenges and HIV risks in contexts of social inequity. Daily survival challenges include stigma and a lack of human rights protections that contributed to barriers to employment, housing, healthcare, education, and exposure to violence. Challenges maintaining sexual relationships included the need to hide for safety, often resulting in difficulties forming lasting relationships. These survival and relationship challenges converged to lower self-esteem and self-acceptance. In the face of these challenges, participants navigated sexual risk and pleasure. Findings provide insight into agency and sexual decision-making processes in contexts of social inequities. Findings can inform multi-level strategies to promote social equity, sexual health, and HIV prevention with young transgender women and sexually diverse men in Jamaica.

Authors+Show Affiliations

a Associate Professor, Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada. b Adjunct Scientist, Women's College Research Institute , Women's College Hospital , Toronto , ON , Canada.c Independent Scientist , Centre for Addiction and Mental Health , Toronto , ON , Canada.d Doctoral Candidate, Ontario Institute for Studies in Education (OISE) , University of Toronto , Toronto , ON , Canada.e Executive Director , Jamaica AIDS Support for Life , Kingston , Jamaica.f Research Coordinator , Jamaica AIDS Support for Life , Kingston , Jamaica.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30475167

Citation

Logie, Carmen H., et al. "Navigating Stigma, Survival, and Sex in Contexts of Social Inequity Among Young Transgender Women and Sexually Diverse Men in Kingston, Jamaica." Reproductive Health Matters, vol. 26, no. 54, 2018, pp. 72-83.
Logie CH, Abramovich A, Schott N, et al. Navigating stigma, survival, and sex in contexts of social inequity among young transgender women and sexually diverse men in Kingston, Jamaica. Reprod Health Matters. 2018;26(54):72-83.
Logie, C. H., Abramovich, A., Schott, N., Levermore, K., & Jones, N. (2018). Navigating stigma, survival, and sex in contexts of social inequity among young transgender women and sexually diverse men in Kingston, Jamaica. Reproductive Health Matters, 26(54), pp. 72-83. doi:10.1080/09688080.2018.1538760.
Logie CH, et al. Navigating Stigma, Survival, and Sex in Contexts of Social Inequity Among Young Transgender Women and Sexually Diverse Men in Kingston, Jamaica. Reprod Health Matters. 2018;26(54):72-83. PubMed PMID: 30475167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Navigating stigma, survival, and sex in contexts of social inequity among young transgender women and sexually diverse men in Kingston, Jamaica. AU - Logie,Carmen H, AU - Abramovich,Alex, AU - Schott,Nicole, AU - Levermore,Kandasi, AU - Jones,Nicolette, Y1 - 2018/11/26/ PY - 2018/11/27/pubmed PY - 2019/5/29/medline PY - 2018/11/27/entrez KW - Jamaica KW - gay men KW - sexual health KW - sexual rights KW - stigma KW - transgender women SP - 72 EP - 83 JF - Reproductive health matters JO - Reprod Health Matters VL - 26 IS - 54 N2 - Social inequities, including stigma, criminalisation of same-sex practices, and poverty, elevate HIV exposure among young transgender women and sexually diverse men in Jamaica. Yet the ways transgender women and sexually diverse men in Jamaica navigate sex and HIV in contexts of social inequity are underexplored. The study objective was to explore experiences and perceptions of sexual decision-making and HIV risk among young (aged 18-30) sexually diverse men and transgender women in Kingston, Jamaica. We conducted a community-based qualitative study in Kingston that involved in-depth individual interviews (transgender women: n = 20; sexually diverse men: n = 20), 2 focus groups (transgender women: n = 8; sexually diverse men: n = 10) and 13 key informant interviews. Focus groups and interviews were digitally recorded, transcribed verbatim, and analysed with a thematic approach. Findings suggest that transgender women and sexually diverse men in Kingston are aware of, and managing survival challenges and HIV risks in contexts of social inequity. Daily survival challenges include stigma and a lack of human rights protections that contributed to barriers to employment, housing, healthcare, education, and exposure to violence. Challenges maintaining sexual relationships included the need to hide for safety, often resulting in difficulties forming lasting relationships. These survival and relationship challenges converged to lower self-esteem and self-acceptance. In the face of these challenges, participants navigated sexual risk and pleasure. Findings provide insight into agency and sexual decision-making processes in contexts of social inequities. Findings can inform multi-level strategies to promote social equity, sexual health, and HIV prevention with young transgender women and sexually diverse men in Jamaica. SN - 1460-9576 UR - https://www.unboundmedicine.com/medline/citation/30475167/Navigating_stigma_survival_and_sex_in_contexts_of_social_inequity_among_young_transgender_women_and_sexually_diverse_men_in_Kingston_Jamaica_ L2 - http://www.tandfonline.com/doi/full/10.1080/09688080.2018.1538760 DB - PRIME DP - Unbound Medicine ER -