Cisnormativity, human rights and vulnerability of young transgender women to HIV: An analysis based on their youth trajectories.

IF 2.1 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Public Health Pub Date : 2025-12-31 Epub Date: 2025-10-06 DOI:10.1080/17441692.2025.2560944
Dulce Ferraz, Julia Clara de Pontes, Eliana Zucchi Miura, Paola Alves de Souza, Ramiro Unsain, Marcia Couto
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引用次数: 0

Abstract

In Brazil, young transgender women (YTW) bear a disproportionate burden of HIV, which persists despite technological advances in biomedical prevention. This study explores how rights violations across different areas of life shape YTW's vulnerability to HIV through an intersectional lens. We conducted 13 in-depth interviews and one group interview with YTW participating in an HIV pre-exposure prophylaxis (PrEP) cohort. Thematic analysis with intersectional sensibility focused on six dimensions: family, schooling, romantic-sexual relationships, friendships, work, and health. The results show that gender transition impacted all areas. Rights violations prevailed in family and school settings, while supportive friendships and romantic relationships contributed to protecting their rights. A synergistic effect emerged: family disruptions hindered education, leading to precarious jobs and increased exposure to sexual exploitation. Conversely, family and school support promoted education continuity and access to basic needs. Though healthcare discrimination was reported, HIV services were largely respectful and extended care beyond prevention. The findings highlight how interconnected rights violations during youth can deepen HIV vulnerability. Effective prevention must extend beyond biomedical access to include strategies that protect rights and strengthen community and institutional support for YTW.

反规范性、人权和年轻跨性别女性对艾滋病毒的脆弱性:基于其青年轨迹的分析。
在巴西,年轻的跨性别妇女(YTW)承受着不成比例的艾滋病毒负担,尽管生物医学预防方面取得了技术进步,但这种负担仍然存在。本研究通过交叉视角探讨了生活中不同领域的人权侵犯如何影响YTW对艾滋病毒的脆弱性。我们对参加HIV暴露前预防(PrEP)队列的YTW进行了13次深度访谈和1次小组访谈。主题分析与交叉的敏感性集中在六个方面:家庭,学校,浪漫的性关系,友谊,工作和健康。结果表明,性别转换对所有领域都有影响。侵犯人权行为普遍存在于家庭和学校环境中,而支持性友谊和恋爱关系有助于保护她们的权利。协同效应出现了:家庭破裂阻碍了教育,导致工作不稳定,增加了遭受性剥削的机会。相反,家庭和学校的支助促进了教育的连续性和获得基本需要的机会。尽管据报告在保健方面存在歧视,但艾滋病毒服务基本上是尊重和延伸到预防之外的护理。这些发现突出表明,青少年期间相互关联的侵犯权利行为如何会加深对艾滋病毒的脆弱性。有效预防必须超越生物医学获取,包括保护权利和加强社区和机构对YTW支持的战略。
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来源期刊
Global Public Health
Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
3.00%
发文量
120
期刊介绍: Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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