Jaclyn M White Hughto
Datos Biográficos
| ID | 124457 |
|---|---|
| NOMBRE | Jaclyn M White Hughto |
| NOMBRES | Jaclyn M White |
| APELLIDO | Hughto |
| FIRMA | HUGHTO J M W |
| AFILIACIONES | Brown University |
| ORCID | 0000-0003-4722-8179 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 56 |
| TOTAL DE CITAS | 211 |
| TOTAL COMO AUTOR | 56 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2015 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 8 |
Xylazine Awareness and Suspected Presence in the Illicit Drug Supply Among People Who Used Stimulants in an Overdose Hotspot, 2023
Background Xylazine is harmful to humans and detected in the United States fentanyl supply and sometimes in stimulants. Awareness of xylazine among people who use stimulants (PWUS) is underexplored.Methods In 2023, 59 PWUS in Brockton, Massachusetts, were surveyed about their past 30-day substance use and xylazine awareness. A purposive sub-sample of 21 survey participants completed an in-depth interview, of which 18 discussed xylazine. Chi-squar…
Contrasting perspectives and applications of the Good Samaritan Overdose Prevention Law
BACKGROUND: The overdose crisis in the U.S is complex, with opioid overdoses compounded more recently with rising stimulant-involvement. Individuals who experience or witness overdoses often avoid calling 911 due to fear of criminal-legal system consequences. Many U.S. states have "Good Samaritan Laws" (GSLs) protecting those seeking help for overdoses, but research is lacking on the understanding and role of GSL in overdose response among people…
Exploring Perspectives on HIV Vulnerability Communication among Transgender and Gender Diverse Patients and Primary Care Providers
Self-reported pathways through which illicitly manufactured fentanyl enters the stimulant supply
Background: The unintentional consumption of stimulants containing fentanyl among people who intend to only use stimulants contributes to overdose mortality in North America. Research exploring how fentanyl appears in the stimulant supply among people who manufacture and/or distribute drugs (PWDD) is critical to understanding supply-side factors that shape stimulant and opioid-involved overdose risk. Methods: From April to July 2023, thirty PWDD …
Characterizing disparities in the HIV care continuum among U.S. transgender and cisgender Medicare beneficiaries, 2008–2017
Although HIV is more prevalent among transgender and gender-diverse individuals than cisgender people, a dearth of research has compared the HIV-related care engagement of these populations. Using 2008-2017 Medicare data, we identified TGD (trans feminine and non-binary [TFN], trans masculine and non-binary [TMN], unclassified gender) and cisgender (male, female) beneficiaries with HIV and explored within and between gender group differences in t…
Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States
Transgender and nonbinary young adults in the United States (U.S.) experience disproportionately high rates of HIV and face unique barriers to accessing HIV testing, a key component of HIV prevention. Gender-affirming practices in healthcare settings may improve care access and reduce care avoidance among transgender and nonbinary people. To our knowledge, no study has examined the association between gender-affirming practices in healthcare sett…
Cardiovascular Health at the Intersection of Race and Gender in Medicare Fee for Service
This cross-sectional study found that Asian and Pacific Islander, Black, and Hispanic TGD beneficiaries had a high prevalence of cardiovascular-related conditions and had an elevated prevalence of several conditions, attributable to the intersection of gender, race, and ethnicity. Medicare should use the tools at its disposal to support the health of TGD beneficiaries
Challenges and Best Practices Using Claims Data to Study Gender-Affirming Surgery in Transgender and Gender-Diverse Populations
Understanding Provider Treatment Approaches for the Provision of Gender-Affirming Hormones in the Current US Political Climate
Transgender people’s access to gender-affirming hormone therapy (GAHT) is under attack in the United States. In 2024, we interviewed US providers about how they prescribe GAHT. In accordance with informed consent models, providers reported that they reviewed patients’ medical history, social supports, and comorbidities; prescribed GAHT formulations that aligned with patients’ goals; monitored health regularly; and maintained open communication wi…
Experiences of Gender and Racial/Ethnic Discrimination in Sexual Healthcare Among Transgender and Nonbinary Young Adults of Color
Purpose Experiences of gender‐based discrimination against transgender and nonbinary people and racial discrimination against people of color in sexual healthcare settings serve as significant barriers to care. However, the sexual healthcare experiences of transgender young adults of color (TNYAC), who face intersecting forms of discrimination, are poorly understood. Methods We conducted a qualitative analysis of semi‐structured interviews ( n = …
Long-Acting Injectable Pre-Exposure Prophylaxis Perceptions and Preferences Among Transgender and Nonbinary Young Adults in the United States
Long-acting injectable pre-exposure prophylaxis for HIV prevention (LAI-PrEP) was approved for use in the United States in 2021, yet little is known about perceptions of LAI-PrEP among transgender and nonbinary young adults, a group that faces substantial barriers to HIV prevention. We investigated US transgender and nonbinary young adults' perceptions of and attitudes toward LAI-PrEP and how perceived advantages and disadvantages of LAI-PrEP rel…
A qualitative study of reasons to use substances and substance use treatment experiences among transgender and gender diverse adults in Rhode Island
Motivation for substance use and interest in substance use treatment varied. • Substances were used to self-treat mental health concerns. • Multi-level barriers were experienced across substance use treatment types. • More TGD professionals of color are needed in substance use treatment settings. • Providers need training in care for TGD patients and referral processes
Preventing overdoses involving stimulants
Completion of this study will yield a rich understanding of the social epidemiology of stimulant and opioid-involved overdoses in addition to community-derived intervention strategies that can be readily implemented and scaled to prevent such overdoses in two states disproportionately impacted by the opioid and overdose crises: Massachusetts and Rhode Island
Rapid Assessment Amid an Injection Drug Use-Driven HIV Outbreak in Massachusetts’ Merrimack Valley
Illicitly manufactured fentanyl within the drug supply has substantially increased opioid-related overdose deaths and driven infectious disease outbreaks among people who use drugs (PWUD). Local jurisdictions often lack the data and tools necessary to detect and translate such moments into actionable and effective responses. Informed by a risk environment framework, this case study adopted a mixed-methods design spanning two rapid assessment stud…
Gender minority stress is associated with past-year suicidal ideation in a national probability sample of transgender and gender diverse adults
Transgender and gender diverse (TGD) adults experience increased discrimination and victimization relative to cisgender adults, thus elevating their risk for suicidal ideation (SI). Social support and connection to the broader TGD community may mitigate the relationship between gender identity-based stressors (i.e., interpersonal minority stressors), psychological stress processes (i.e., intrapsychic minority stress processes), and TGD adults' ri…
Promoting equitable sexual health communication among patients with minoritized racial/ethnic, sexual orientation, and gender identities
Understanding the delivery of substance use treatment services to transgender and gender-diverse people
Makeshift medicine is a response to US health system failures
I think providers see trans people as unstable patients”
Numerous studies have linked minority stress to substance use among transgender and gender diverse (TGD) individuals. Yet there has been limited research on how TGD patients experience alcohol, tobacco, and substance use communication with their providers. We used qualitative interviews to explore the substance use communication experiences of transgender and gender diverse adults with their primary care providers. We interviewed 25 TGD adults fr…
Cruel and Unusual
Gender affirming hormone therapy dosing behaviors among transgender and nonbinary adults
Gender-affirming hormones have been shown to improve psychological functioning and quality of life among transgender and nonbinary (trans) people, yet, scant research exists regarding whether and why individuals take more or less hormones than prescribed. Drawing on survey data from 379 trans people who were prescribed hormones, we utilized multivariable logistic regression models to identify factors associated with hormone-dosing behaviors and c…
Factors associated with transmasculine adults recently engaging in sexual behavior with partners of unknown STI and HIV status
Trans architecture and the prison as archive
Most incarceration settings around the world are governed by strong cisnormative policies, architectures, and social expectations that segregate according to a person's legal gender (i.e. male or female). This paper draws on the lived experiences of 24 formerly incarcerated trans women in Australia and the U.S. to elucidate the way in which the prison functions according to Lucas Crawford's theory of trans architecture, alongside Jacques Derrida'…
Navigating intimate trans citizenship while incarcerated in Australia and the United States
Trans women incarcerated throughout the world have been described as "vulnerable populations" due to significant victimization, mistreatment, lack of gender-affirming care, and human rights violations, which confers greater risk of trauma, self-harm, and suicide compared with the general incarcerated population. Most incarceration settings around the world are segregated by the person's sex characteristics (i.e., male or female) and governed by s…
US Black–White Differences in Mortality Risk Among Transgender and Cisgender People in Private Insurance, 2011–2019
Objectives. To compare survival by gender and race among transgender and cisgender people enrolled in private insurance in the United States between 2011 and 2019. Methods. We examined Optum’s Clinformatics Data Mart Database. We identified transgender enrollees using claims related to gender-affirming care. Our analytic sample included those we identified as transgender and a 10% random sample of cisgender enrollees. We limited our sample to tho…
Discriminatory experiences associated with posttraumatic stress disorder symptoms among transgender adults
Discrimination has been shown to disproportionately burden transgender people; however, there has been a lack of clinical attention to the mental health sequelae of discrimination, including posttraumatic stress disorder (PTSD) symptoms. Additionally, few studies contextualize discrimination alongside other traumatic stressors in predicting PTSD symptomatology. The current study sought to fill these gaps. A community-based sample of 412 transgend…
Differences in Sexual Orientation Diversity and Sexual Fluidity in Attractions Among Gender Minority Adults in Massachusetts
This study characterized sexual orientation identities and sexual fluidity in attractions in a community-based sample of self-identified transgender and gender-nonconforming adults in Massachusetts. Participants were recruited in 2013 using bimodel methods (online and in person) to complete a one-time, Web-based quantitative survey that included questions about sexual orientation identity and sexual fluidity. Multivariable logistic regression mod…
Sex, status, competition, and exclusion
252). Overall, these experiments provide partial support for the possibility that gay and bisexual men's status concerns underlie their experience of gay community stress. Together, these studies advance psychological and sociological accounts of gay and bisexual men's mental health beyond minority stress theory, with implications for intervention. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
"What's the right thing to do?" Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates
The transgender-specific intimate partner violence scale for research and practice
Improving correctional healthcare providers' ability to care for transgender patients
Social and Medical Gender Affirmation Experiences Are Inversely Associated with Mental Health Problems in a U.S. Non-Probability Sample of Transgender Adults
Transgender stigma
Differences in All-Cause Mortality Among Transgender and Non-Transgender People Enrolled in Private Insurance
Few studies have analyzed mortality rates among transgender (trans) populations in the United States and compared them to the rates of non-trans populations. Using private insurance data from 2011 to 2019, we estimated age-specific all-cause mortality rates among a subset of trans people enrolled in private insurance and compared them to a 10% randomly selected non-trans cohort. Overall, we found that trans people were nearly twice as likely to d…
I have to constantly prove to myself, to people, that I fit the bill
Trans architecture and the prison as archive
Most incarceration settings around the world are governed by strong cisnormative policies, architectures, and social expectations that segregate according to a person's legal gender (i.e. male or female). This paper draws on the lived experiences of 24 formerly incarcerated trans women in Australia and the U.S. to elucidate the way in which the prison functions according to Lucas Crawford's theory of trans architecture, alongside Jacques Derrida'…
Uncertainty and Confusion Regarding Transgender Non-discrimination Policies
Development and Psychometric Evaluation of the Transgender Knowledge, Attitudes, and Beliefs (T-KAB) Scale
Healthcare mistreatment and avoidance in trans masculine adults
Rejection sensitivity may contribute to healthcare avoidance among stigmatized TM patients; however, longitudinal research is needed to establish the temporal ordering of these processes. Multilevel interventions to reduce healthcare discrimination and help TM adults cope with the psychological and behavioral consequences of stigma are recommended
Self-Reported Changes in Attractions and Social Determinants of Mental Health in Transgender Adults
Navigating intimate trans citizenship while incarcerated in Australia and the United States
Trans women incarcerated throughout the world have been described as "vulnerable populations" due to significant victimization, mistreatment, lack of gender-affirming care, and human rights violations, which confers greater risk of trauma, self-harm, and suicide compared with the general incarcerated population. Most incarceration settings around the world are segregated by the person's sex characteristics (i.e., male or female) and governed by s…
US Black–White Differences in Mortality Risk Among Transgender and Cisgender People in Private Insurance, 2011–2019
Objectives. To compare survival by gender and race among transgender and cisgender people enrolled in private insurance in the United States between 2011 and 2019. Methods. We examined Optum’s Clinformatics Data Mart Database. We identified transgender enrollees using claims related to gender-affirming care. Our analytic sample included those we identified as transgender and a 10% random sample of cisgender enrollees. We limited our sample to tho…
A Critical Discourse Analysis of an Australian Incarcerated Trans Woman's Letters of Complaint and Self-Advocacy
This case study provides a critical discourse analysis of 121 letters of complaint and self-advocacy authored by Natasha Keating, a trans woman incarcerated in two Australian male correctional facilities from 2000 to 2007. During her incarceration, Natasha experienced victimization, misgendering, microaggression, and institutional discrimination. Despite this, Natasha embodied and "fought" against the injustices she experienced, whilst seeking to…
LifeSkills for Men (LS4M)
Understanding the delivery of substance use treatment services to transgender and gender-diverse people
A Randomized Pilot Study of a Group-Delivered HIV Risk Reduction Intervention for At-Risk Urban Men Who Have Sex with Men Who Regularly Attend Private Sex Events
Characteristics of Transgender Residents of Massachusetts Cities With High HIV Prevalence
Geographic context can influence individual risk in populations disproportionately susceptible to HIV infection, such as transgender people. We examined factors associated with residing in Massachusetts cities with the highest HIV prevalence (geographic “hotspots”) in a 2013 sample of 433 transgender adults who were not infected with HIV. Residing in hotspots was associated with older age, non-White race/ethnicity, low income, incarceration histo…
Legal Protections in Public Accommodations Settings
Discrimination in public accommodations is common and is associated with adverse health outcomes among transgender and gender-nonconforming adults in Massachusetts. Discrimination in health care settings creates a unique health risk for gender minority people. The passage and enforcement of transgender rights laws that include protections against discrimination in public accommodations-inclusive of health care-are a public health policy approach …
Transgender stigma and health
Characteristics of Transgender Residents of Massachusetts Cities With High HIV Prevalence
Geographic context can influence individual risk in populations disproportionately susceptible to HIV infection, such as transgender people. We examined factors associated with residing in Massachusetts cities with the highest HIV prevalence (geographic “hotspots”) in a 2013 sample of 433 transgender adults who were not infected with HIV. Residing in hotspots was associated with older age, non-White race/ethnicity, low income, incarceration histo…
Differences in Sexual Orientation Diversity and Sexual Fluidity in Attractions Among Gender Minority Adults in Massachusetts
This study characterized sexual orientation identities and sexual fluidity in attractions in a community-based sample of self-identified transgender and gender-nonconforming adults in Massachusetts. Participants were recruited in 2013 using bimodel methods (online and in person) to complete a one-time, Web-based quantitative survey that included questions about sexual orientation identity and sexual fluidity. Multivariable logistic regression mod…
A Systematic Review of the Effects of Hormone Therapy on Psychological Functioning and Quality of Life in Transgender Individuals
LifeSkills for Men (LS4M)
Discriminatory experiences associated with posttraumatic stress disorder symptoms among transgender adults
Discrimination has been shown to disproportionately burden transgender people; however, there has been a lack of clinical attention to the mental health sequelae of discrimination, including posttraumatic stress disorder (PTSD) symptoms. Additionally, few studies contextualize discrimination alongside other traumatic stressors in predicting PTSD symptomatology. The current study sought to fill these gaps. A community-based sample of 412 transgend…
I have to constantly prove to myself, to people, that I fit the bill
Characterizing the HIV Prevention and Care Continua in a Sample of Transgender Youth in the U.S
The big ole gay express’
Recent research has examined how gay and bisexual men experience and navigate the variations in sexual minority stigma that exist across geographic contexts, with implications for their health. We extend this literature on stigma, mobility, and health by considering the unique and understudied setting of the small city. Drawing on semi-structured interviews (n = 29) conducted in two small US cities (New Haven and Hartford), we find that these sma…
Self-Reported Changes in Attractions and Social Determinants of Mental Health in Transgender Adults
"What's the right thing to do?" Correctional healthcare providers' knowledge, attitudes and experiences caring for transgender inmates
Improving correctional healthcare providers' ability to care for transgender patients
A randomized controlled efficacy trial of behavioral activation for concurrent stimulant use and sexual risk for HIV acquisition among MSM
ClinicalTrials.gov number NCT03175159 , registered June 5, 2017
Positive STEPS – a randomized controlled efficacy trial of an adaptive intervention for strengthening adherence to antiretroviral HIV treatment among youth
ClinicalTrials.gov number NCT03092531 , registered March 28, 2017
Sensitive Health Topics With Underserved Patient Populations
Online focus group discussions provide an anonymous environment to assess sensitive, health-related experiences that may be difficult to discuss utilizing traditional face-to-face modalities, particularly for marginalized populations such as female-to-male trans masculine (TM) transgender individuals. This article reviews the history, advantages, and disadvantages of online focus groups, with an emphasis for research about sensitive issues with s…
Healthcare mistreatment and avoidance in trans masculine adults
Rejection sensitivity may contribute to healthcare avoidance among stigmatized TM patients; however, longitudinal research is needed to establish the temporal ordering of these processes. Multilevel interventions to reduce healthcare discrimination and help TM adults cope with the psychological and behavioral consequences of stigma are recommended
An initial randomized controlled trial of behavioral activation for treatment of concurrent crystal methamphetamine dependence and sexual risk for HIV acquisition among men who have sex with men
Men who have sex with men (MSM) continue to be the largest risk group for HIV infections in the U.S., where crystal methamphetamine abuse heightens risk for HIV infection through greater engagement in condomless anal sex (CAS). Existing treatments lack attention to replacement activities or the role of depressed mood. Behavioral activation (BA) is an evidence-based approach for depression that involves identifying and participating in pleasurable…
HIV prevention and HIV care among transgender and gender diverse youth
Registered on ClinicalTrials.gov on 05/20/2015 (NCT02449629)
Multilevel Barriers to Engagement in the HIV Care Continuum Among Residents of the State of Rhode Island Living with HIV
Development and Psychometric Evaluation of the Transgender Knowledge, Attitudes, and Beliefs (T-KAB) Scale
A Randomized Pilot Study of a Group-Delivered HIV Risk Reduction Intervention for At-Risk Urban Men Who Have Sex with Men Who Regularly Attend Private Sex Events
Legal gender marker and name change is associated with lower negative emotional response to gender-based mistreatment and improve mental health outcomes among trans populations
These data provide corroborate recent studies suggesting having pursued legal gender affirmation may be protective. Findings bolster calls to increase structural support for trans individuals, including enactment of state policies easing legal gender affirmation
Transgender stigma
Beyond Gender Identity Disorder Diagnoses Codes
BACKGROUND: Large administrative databases often do not capture gender identity data, limiting researchers' ability to identify transgender people and complicating the study of this population. OBJECTIVE: The objective of this study was to develop methods for identifying transgender people in a large, national dataset for insured adults. RESEARCH DESIGN: This was a retrospective analysis of administrative claims data. After using gender identity …
Psychology (44 obras) · LGBTQ Health, Identity, and Policy (43 obras) · Medicine (43 obras) · Transgender (36 obras) · Psychiatry (22 obras) · Family medicine (21 obras) · Sociology (21 obras) · Clinical Psychology (19 obras) · HIV/AIDS Research and Interventions (18 obras) · Social Psychology (18 obras)