000			03730nam a22003617a 4500
008			2401116s20232023 xxu||||| |||| 00| 0 eng d
024			_a10.21203/rs.3.rs-3150364/v1 [doi]
024			_aPMC10418543 [pmc]
040			_aOvid MEDLINE(R)
099			_a37577472
245			_aBoth/And: Mixed methods analysis of network composition, communication patterns, and socio-economic support within social networks of transgender women in Lima, Peru.
251			_aResearch Square. 2023 Jul 31
252			_aRes Sq. 2023 Jul 31
253			_aResearch square
260			_c2023
260			_fFY2024
260			_p2023 Jul 31
265			_sepublish
265			_tPubMed-not-MEDLINE
266			_d2024-01-16
520			_aConclusion: TW have diverse social networks where other TW are key sources of knowledge sharing and support, and family members may also represent important and influential components. Within these complex networks, TW may selectively solicit and provide support from different network alters according to specific contexts and needs. HIV prevention messaging could consider incorporating network-based interventions with TW community input and outreach efforts for supportive family members.
520			_aIntroduction: Social networks contribute to normative reinforcement of HIV prevention strategies, knowledge sharing, and social capital, but little research has characterized the social networks of transgender women (TW) in Latin America. We conducted a mixed methods analysis of three network clusters of TW in Lima, Peru, to evaluate network composition, types of support exchanged, and patterns of communication.
520			_aMethods: We recruited TW residing in or affiliated with three "casas trans" (houses shared among TW) in Lima between April-May 2018. Eligible participants were 18 or older, self-reported HIV-negative, and reported recent intercourse with a cis-male partner. Participants completed demographic questionnaires, social network interviews, and semi-structured interviews to assess egocentric network structures, support exchanged, and communication patterns. Quantitative and qualitative data were analyzed using Stata v14.1 and Atlas.ti, respectively.
520			_aResults: Of 20 TW, median age was 26 years and 100% reported involvement in commercial sex work. Respondents identified 161 individuals they interacted with in the past month (alters), of whom 33% were TW and 52% family members. 70% of respondents reported receiving emotional support from family, while 30% received financial support and instrumental support from family. Of the 13 (65%) respondents who nominated someone as a source of HIV prevention support (HPS), the majority (69%) nominated other TW. In a GEE regression analysis adjusted for respondent education and region of birth, being a family member was associated with lower likelihood of providing financial support (aOR 0.21, CI 0.08-0.54), instrumental support (aOR 0.16, CI 0.06-0.39), and HPS (aOR 0.18, CI 0.05-0.64). In qualitative interviews, most respondents identified a cis-female family member as their most trusted and closest network member, but other TW were more often considered sources of day-to-day support, including HPS.
546			_aEnglish
656			_aInternal Medicine & Pediatrics Residency
656			_aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
657			_aPreprint
700			_aMoriarty, Kathleen _bMGUH _cInternal Medicine & Pediatrics Residency _dMD
790			_aTemelkovska T, Moriarty K, Huerta L, Perez-Brumer AG, Segura ER, Passaro RC, Lake JE, Clark JL, Blair CS
856			_uhttps://dx.doi.org/10.21203/rs.3.rs-3150364/v1
942			_cART _dArticle
999			_c13691 _d13691