Asa Radix
Datos Biográficos
| ID | 6061091 |
|---|---|
| NOMBRE | Asa Radix |
| NOMBRES | Asa |
| APELLIDO | Radix |
| FIRMA | RADIX A |
| AFILIACIONES | Community Health Center |
| ORCID | 0000-0001-9611-4181 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 38 |
| TOTAL DE CITAS | 3 |
| TOTAL COMO AUTOR | 38 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2016 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Gender Diversity Among U.S. Allopathic Medical School Graduates, 2016–2023
Purpose: This study aims to characterize demographic characteristics of transgender and nonbinary (trans) medical students and their training experiences. Methods: We conducted cross-sectional analyses of responses to the Association of American Medical Colleges Graduation Questionnaire (2016–2023) to characterize trans medical students using measures of race, ethnicity, age, and medical school region; assess overall satisfaction with medical tra…
An Evidence-Based Approach to Facilitating PrEP Initiation Among YMSM
Men who have sex with men (MSM) account for nearly 70% of new HIV infections annually. Although awareness of pre-exposure prophylaxis (PrEP) is growing, uptake remains low among young MSM. Peer navigators are well positioned to guide patients through PrEP care, provide psychosocial support, build trust, and demystify PrEP. Given strong evidence to support mobile health (mHealth) apps for enhancing HIV prevention knowledge, our team created MyPEEP…
Cross-sectional and Longitudinal Association Between Sleep and HIV Prevention and Care Behaviors Among Transgender Women of Color
Background: Transgender women of color have shorter and worse-quality sleep, putting them at risk for worse health outcomes. We investigated the causal effect of sleep on HIV care and prevention outcomes among transgender women of color.Methods: We used data from transgender women of color living in New York City from the Trying to Understand Relationships, Network and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study. Our expo…
Participation in the house-ball community as a social determinant of HIV care and prevention outcomes among transgender women of color
House-ball scenes around the world have historically been a community for queer people to form chosen families and social networks and be exposed to community health campaigns. We investigated the impact of house-ball participation on HIV care and prevention outcomes among transgender women of color (TWOC) living in New York City. We asked 178 participants who identified as TWOC about their participation in the house-ball scene (never, former, cu…
The Gender Non-affirmation from Sexual Partners Scale
This study evaluated the psychometric performance and correlates of a 4-item GNSP scale among transgender, nonbinary, and gender diverse (TGD) adults. Data were collected in 2019-2020 via an electronic, self-reported cross-sectional survey of 2192 TGD adults accessing two U.S. LGBTQ+ community health centers. Participants reporting sex within the past 6 months (60.7%, n = 1463) were asked the 4-item GNSP scale. Analyses were internal consistency …
Understanding Patient Barriers and Facilitators Throughout the PrEP Care Continuum
Pre-exposure prophylaxis (PrEP) is a medication that significantly reduces the risk of HIV infection when taken as prescribed, however, less than 36% of the 1.2 million eligible-for-PrEP Americans are currently prescribed it. PrEP navigators can help reduce barriers to PrEP uptake and increase access to care for those vulnerable to HIV. As part of formative work for designing an e-peer navigation tool, MyPEEPS Mobile Plus, twenty PrEP navigators …
Health equity and medical mistrust
Medical mistrust as a construct often places the onus of blame for adverse health outcomes on individuals rather than on social structures. In this study, we aimed to determine if medical mistreatment and access to transgender care were potential determinants of medical mistrust. We used longitudinal survey data from 193 transgender women of colour living in New York City. We measured medical mistrust using the Group-Based Medical Mistrust (GBMM)…
Associations Between Discrimination and Substance Use Among Transgender Women of Color in New York City
Introduction: Transgender women of color (TWOC) face elevated rates of substance use, driven in part by intersecting systems of discrimination and structural inequities. Previous research has highlighted the connection between discrimination and substance use, but few studies have explored this relationship among TWOC. This study examines cross-sectional and longitudinal associations between perceived discrimination and substance use among TWOC i…
The Covid-19 global pandemic and allostatic load among a cohort of Black and Latina transgender women living with HIV
This exploratory study investigated the impact of the COVID-19 pandemic on stress biomarkers and allostatic load for Black and Latina transgender women living with HIV (BLTWLH), as well as COVID-19 infection, hospitalization, and vaccination status. LITE Plus is a longitudinal cohort study of BLTWLH designed to identify pathways linking biopsychosocial stress to HIV co-morbidities. Participants were enrolled between October 2019-June 2022. Descri…
Discrimination and Sleep Health Among Transgender Women of Color in New York City
Objectives. To determine whether discrimination is associated with sleep health among transgender women of color. Methods. We included 269 participants from the Trying to Understand Relationships, Networks, and Neighborhoods Among Transgender Women of Color (TURNNT) Cohort Study in New York City in a cross-sectional analysis and 179 in a longitudinal analysis of the association between discrimination and sleep duration, quality, and latency. Resu…
Community Connectedness as a Source of Adherence to HIV Prevention Behaviors and Resilience Among Transgender Women of Color in New York City, 2020–2022
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…
Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women
The policies included in this analysis do not mitigate racism's effects on access to resources, indicating they may be less impactful for transgender women of color than White transgender women. Future research and policy advocacy efforts promoting transgender women's health must center racial equity as well as transgender people of color's priorities
Access to healthcare among transgender women living with and without HIV in the United States
Gender minority stress was associated with increased barriers to healthcare access among TW in the US, regardless of HIV status. Resilience factors did not mediate this effect. Interventions aiming to increase healthcare access among TW can be aided by efforts to mitigate drivers of gender minority stress and improve patient experiences in healthcare facilities
Preference for Long-Acting HIV Prevention Methods Among Transgender Women Vulnerable to HIV in Eastern and Southern United States
To Improve Motivational Barriers to Retention in High Resolution Anoscopy, Patients and Providers Recommend Social and Environmental Changes
Loss to follow-up (LTFU) in high-resolution anoscopy (HRA) programs jeopardizes the procedure's potential to help prevent anal cancer. We explored quality improvement factors to understand how to address this LTFU. Using the transtheoretical COM-B Model (Capability, Opportunity, Motivation, and Behavior) and a sequential explanatory mixed-methods design, we surveyed and interviewed 13 patients who remained engaged in HIV care but who delayed thei…
Characterizing Event-Driven PrEP Use and Investigating its Association with Experiences of PrEP-Related Barriers Among a US National Sample of PrEP Users
Neighborhood Safety and Neighborhood Police Violence Are Associated with Psychological Distress among English- and Spanish-Speaking Transgender Women of Color in New York City
The Helping Networks of Transgender Women Living with HIV
Transgender women living with HIV face significant barriers to healthcare that may be best addressed through community-centered interventions holistically focused on their HIV-related, gender-related, and other important needs. Community health ambassador (CHA) interventions (education and training programs designed to engage communities and community leaders in health promotion) may be an effective option, though information about the natural he…
Effects of Race and Gender Classifications on Atherosclerotic Cardiovascular Disease Risk Estimates for Clinical Decision-Making in a Cohort of Black Transgender Women
Introduction: Despite their dynamic, socially constructed, and imprecise nature, both race and gender are included in common risk calculators used for clinical decision-making about statin therapy for atherosclerotic cardiovascular disease (ASCVD) prevention. Methods and Materials: We assessed the effect of manipulating six different race-gender categories on ASCVD risk scores among 90 Black transgender women. Results: Risk scores varied by opera…
The mediating role of social support between HIV stigma and sexual orientation-based medical mistrust among newly HIV-diagnosed gay, bisexual, and other men who have sex with men
HIV-related stigma and medical mistrust are significant challenges to addressing HIV inequities among gay, bisexual, and other men who have sex with men (MSM). HIV-related stigma is associated with high levels of medical mistrust, but there is limited knowledge regarding the mechanisms that link these variables. We examined the potential mediating roles of social support and coping in the relationship between perceived HIV stigma and sexual orien…
A feasibility study of the use of HIV self-tests in young men who have sex with men
Studies on HIV self-testing (HIV-ST) have been limited to adults (age 18+). The study assessed use of HIV-ST among a diverse group of young men who have sex with men (YMSM) in the United States (US) and assessed differences in uptake by demographic characteristics and requirements for parental consent. This study demonstrated feasibility of HIV-ST for YMSM as young as 14 years of age, which suggests potential for increasing HIV testing in this yo…
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data Kellan E. Baker PhD, MPH, Eleanor Sarkodie MPH, Jennafer Kwait PhD, MHS, Caroline Medina MPA, MHS, Asa Radix PhD, MPH, and Risa Flynn Affiliation Kellan E. Baker, Eleanor Sarkodie, Jennafer Kwait, and Caroline Medina are with Whitman-Walker Institute, Washington, DC. Asa Radix is with Callen-Lorde Community Health Center, New York, NY. Risa Flynn is with th…
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…
Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males
Purpose: Research suggests social support may protect sexual minorities from the harmful effects of victimization that undermine mental and sexual health wellness; however, this relationship has been underexplored among a diverse youth population. We examined the association between lifetime homonegative victimization, perceived stress in the last month, and resilience factors among a diverse sample of adolescent sexual minority males. Methods: D…
Focus more on what’s right instead of what’s wrong
Participants identified investigating the impact of social influences on health as a research priority for TGD patients. Recalibrating field norms from individual researcher priorities to TGD population-driven research will help ensure investigators address topics that may otherwise be missed or overlooked and may optimize the reach and impact of research in TGD health
Barriers to healthcare for transgender individuals
PURPOSE OF REVIEW: Transgender persons suffer significant health disparities and may require medical intervention as part of their care. The purpose of this manuscript is to briefly review the literature characterizing barriers to healthcare for transgender individuals and to propose research priorities to understand mechanisms of those barriers and interventions to overcome them. RECENT FINDINGS: Current research emphasizes sexual minorities' se…
Integrated and Gender-Affirming Transgender Clinical Care and Research
Transgender (trans) communities worldwide, particularly those on the trans feminine spectrum, are disproportionately burdened by HIV infection and at risk for HIV acquisition/transmission. Trans individuals represent an underserved, highly stigmatized, and under-resourced population not only in HIV prevention efforts but also in delivery of general primary medical and clinical care that is gender affirming. We offer a model of gender-affirmative …
What's in a Guideline? Developing Collaborative and Sound Research Designs that Substantiate Best Practice Recommendations for Transgender Health Care
Transgender medicine presents a particular challenge for the development of evidence-based guidelines, due to limitations in the available body of evidence as well as the exclusion of gender identity data from most public health surveillance activities. The guidelines that have been published are often based on expert opinion, small studies, and data gathered outside the US. The existence of guidelines, however, helps legitimate the need for gend…
Two Tailored Provider Curricula Promoting Healthy Weight in Lesbian and Bisexual Women
The “Something Else” of Sexual Orientation
Transgender health care
BACKGROUND: A growing body of research continues to elucidate health inequities experienced by transgender individuals and further underscores the need for medical providers to be appropriately trained to deliver care to this population. Medical education in transgender health can empower physicians to identify and change the systemic barriers to care that cause transgender health inequities as well as improve knowledge about transgender-specific…
Predictors of PrEP Uptake Among Patients with Equivalent Access
Gendered Expectations
Members of the lesbian, gay, bisexual, transgender, and queer community experience marginalization, bias, and discrimination, including in the world of academic medicine. People who are transgender and nonbinary (TGNB) experience further marginalization compared with individuals who are lesbian, gay, bisexual, and queer. According to a recent survey, more than half of medical students who are TGNB chose not to disclose their gender identities dur…
Navigating stigma in neighborhoods and public spaces among transgender and nonbinary adults in New York City
A randomized controlled efficacy trial of an mHealth HIV prevention intervention for sexual minority young men
ClinicalTrials.gov number, NCT03167606, registered May 30, 2017
Awareness, Willingness, and Perceived Efficacy of Pre-exposure Prophylaxis among Adolescent Sexual Minority Males
Public Restrooms in Neighborhoods and Public Spaces
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…
Homonegative Victimization and Perceived Stress among Adolescent Sexual Minority Males
Purpose: Research suggests social support may protect sexual minorities from the harmful effects of victimization that undermine mental and sexual health wellness; however, this relationship has been underexplored among a diverse youth population. We examined the association between lifetime homonegative victimization, perceived stress in the last month, and resilience factors among a diverse sample of adolescent sexual minority males. Methods: D…
Focus more on what’s right instead of what’s wrong
Participants identified investigating the impact of social influences on health as a research priority for TGD patients. Recalibrating field norms from individual researcher priorities to TGD population-driven research will help ensure investigators address topics that may otherwise be missed or overlooked and may optimize the reach and impact of research in TGD health
Changes in high-risk sexual behavior, HIV and other STI testing, and PrEP use during the Covid-19 pandemic in a longitudinal cohort of adolescent men who have sex with men 13 to 18 years old in the Un…
The Helping Networks of Transgender Women Living with HIV
Transgender women living with HIV face significant barriers to healthcare that may be best addressed through community-centered interventions holistically focused on their HIV-related, gender-related, and other important needs. Community health ambassador (CHA) interventions (education and training programs designed to engage communities and community leaders in health promotion) may be an effective option, though information about the natural he…
Effects of Race and Gender Classifications on Atherosclerotic Cardiovascular Disease Risk Estimates for Clinical Decision-Making in a Cohort of Black Transgender Women
Introduction: Despite their dynamic, socially constructed, and imprecise nature, both race and gender are included in common risk calculators used for clinical decision-making about statin therapy for atherosclerotic cardiovascular disease (ASCVD) prevention. Methods and Materials: We assessed the effect of manipulating six different race-gender categories on ASCVD risk scores among 90 Black transgender women. Results: Risk scores varied by opera…
The mediating role of social support between HIV stigma and sexual orientation-based medical mistrust among newly HIV-diagnosed gay, bisexual, and other men who have sex with men
HIV-related stigma and medical mistrust are significant challenges to addressing HIV inequities among gay, bisexual, and other men who have sex with men (MSM). HIV-related stigma is associated with high levels of medical mistrust, but there is limited knowledge regarding the mechanisms that link these variables. We examined the potential mediating roles of social support and coping in the relationship between perceived HIV stigma and sexual orien…
A feasibility study of the use of HIV self-tests in young men who have sex with men
Studies on HIV self-testing (HIV-ST) have been limited to adults (age 18+). The study assessed use of HIV-ST among a diverse group of young men who have sex with men (YMSM) in the United States (US) and assessed differences in uptake by demographic characteristics and requirements for parental consent. This study demonstrated feasibility of HIV-ST for YMSM as young as 14 years of age, which suggests potential for increasing HIV testing in this yo…
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data
Advancing Sexual and Gender Minority Population Health Using Electronic Health Record Data Kellan E. Baker PhD, MPH, Eleanor Sarkodie MPH, Jennafer Kwait PhD, MHS, Caroline Medina MPA, MHS, Asa Radix PhD, MPH, and Risa Flynn Affiliation Kellan E. Baker, Eleanor Sarkodie, Jennafer Kwait, and Caroline Medina are with Whitman-Walker Institute, Washington, DC. Asa Radix is with Callen-Lorde Community Health Center, New York, NY. Risa Flynn is with th…
Racial/ethnic differences in the association between transgender-related U.S. state policies and self-rated health of transgender women
The policies included in this analysis do not mitigate racism's effects on access to resources, indicating they may be less impactful for transgender women of color than White transgender women. Future research and policy advocacy efforts promoting transgender women's health must center racial equity as well as transgender people of color's priorities
Access to healthcare among transgender women living with and without HIV in the United States
Gender minority stress was associated with increased barriers to healthcare access among TW in the US, regardless of HIV status. Resilience factors did not mediate this effect. Interventions aiming to increase healthcare access among TW can be aided by efforts to mitigate drivers of gender minority stress and improve patient experiences in healthcare facilities
Preference for Long-Acting HIV Prevention Methods Among Transgender Women Vulnerable to HIV in Eastern and Southern United States
To Improve Motivational Barriers to Retention in High Resolution Anoscopy, Patients and Providers Recommend Social and Environmental Changes
Loss to follow-up (LTFU) in high-resolution anoscopy (HRA) programs jeopardizes the procedure's potential to help prevent anal cancer. We explored quality improvement factors to understand how to address this LTFU. Using the transtheoretical COM-B Model (Capability, Opportunity, Motivation, and Behavior) and a sequential explanatory mixed-methods design, we surveyed and interviewed 13 patients who remained engaged in HIV care but who delayed thei…
LGBTQ Health, Identity, and Policy (31 obras) · Medicine (29 obras) · Psychology (25 obras) · Transgender (24 obras) · Public health (18 obras) · Gerontology (17 obras) · HIV/AIDS Research and Interventions (17 obras) · Nursing (15 obras) · Family medicine (13 obras) · Sociology (13 obras)