Community Connectedness as a Source of Adherence to HIV Prevention Behaviors and Resilience Among Transgender Women of Color in New York City, 2020–2022.
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| Title: | Community Connectedness as a Source of Adherence to HIV Prevention Behaviors and Resilience Among Transgender Women of Color in New York City, 2020–2022. |
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| Authors: | Furuya, Alexander, Ransome, Yusuf, Kawachi, Ichiro, Callander, Denton, Radix, Asa, Whalen, Adam, Herrera, Cristina, Watson, Kim, Contreras, Jessica, Merriman, Jenesis, Bhatt, Krish J., Scheinmann, Roberta, Lim, Sahnah, Trinh-Shevrin, Chau, Schneider, John A., Park, Su Hyun, Duncan, Dustin T. |
| Source: | American Journal of Public Health. Oct2025, Vol. 115 Issue 10, p1631-1641. 11p. |
| Subjects: | HIV prevention, Psychological resilience, Patient compliance, Scale analysis (Psychology), Research funding, Viral load, People of color, Communities, Descriptive statistics, Chi-squared test, Pre-exposure prophylaxis, Longitudinal method, Health behavior, Trans women, Interpersonal relations, Medical screening, Confidence intervals, Data analysis software, Factor analysis |
| Geographic Terms: | New York (State) |
| Abstract: | Objectives. To examine how one's community connectedness may act as a source of resilience and promote HIV prevention and care behaviors among transgender women of color. Methods. We analyzed survey data from 313 transgender women of color living in New York City collected from August 2020 to November 2022. The Community Connectedness Scale asks participants about their baseline feelings of connection, feelings of inclusion, feelings of belonging, feelings of isolation, and feelings of being unlike in relation to the transgender community. The HIV prevention and care outcomes of interest were measured at 6-month follow-up and included consistent condom usage, recent testing for sexually transmitted infections (STIs), current preexposure prophylaxis use, and HIV viral load suppression. Results. Those with a high (compared to low) community connectedness were 62% more likely to consistently use condoms and 16% more likely to test for STIs. Conclusions. Community connectedness was associated with a greater likelihood of HIV prevention behaviors. Public Health Implications. Future interventions could include strategies to strengthen community connectedness to improve HIV status neutral care continuums. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objectives. To examine how one's community connectedness may act as a source of resilience and promote HIV prevention and care behaviors among transgender women of color. Methods. We analyzed survey data from 313 transgender women of color living in New York City collected from August 2020 to November 2022. The Community Connectedness Scale asks participants about their baseline feelings of connection, feelings of inclusion, feelings of belonging, feelings of isolation, and feelings of being unlike in relation to the transgender community. The HIV prevention and care outcomes of interest were measured at 6-month follow-up and included consistent condom usage, recent testing for sexually transmitted infections (STIs), current preexposure prophylaxis use, and HIV viral load suppression. Results. Those with a high (compared to low) community connectedness were 62% more likely to consistently use condoms and 16% more likely to test for STIs. Conclusions. Community connectedness was associated with a greater likelihood of HIV prevention behaviors. Public Health Implications. Future interventions could include strategies to strengthen community connectedness to improve HIV status neutral care continuums. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/AJPH.2025.308144 |
