Community Connectedness as a Source of Adherence to HIV Prevention Behaviors and Resilience Among Transgender Women of Color in New York City, 2020–2022

Bibliographic Data

ID11020493
AuthorsAlexander Furuya (0009-0008-4596-9014, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Yusuf Ransome (0000-0003-4170-2001, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Ichiro Kawachi (0000-0003-3579-4456, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Denton Callander (0000-0002-4116-4250, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Asa Radix (0000-0001-9611-4181, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Adam Whalen (0000-0003-0235-1341, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Cristina Herrera (0000-0002-1431-0507, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Kim Watson (Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Jessica Contreras (Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Jenesis Merriman (0009-0008-7950-5701, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Krish J Bhatt (0000-0002-0007-5470, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Roberta Scheinmann (0000-0002-0574-0310, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Sahnah Lim (0000-0001-7406-5235, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Chau Trinh-Shevrin (Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Chau Trinh‐Shevrin (0000-0001-9635-0512, Public Health Department), John A Schneider (0009-0003-0553-3447, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Su Hyun Park (0000-0002-5527-7520, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans), Dustin T Duncan (0000-0001-8586-8711, Alexander Furuya, Asa Radix, Adam Whalen, Jessica Contreras, Jenesis Merriman, Krish J. Bhatt, Roberta Scheinmann, and Dustin T. Duncan are with the Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. Yusuf Ransome is with the Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Ichiro Kawachi is with the Department of Social and Behavioral Science, Harvard School of Public Health, Boston, MA. Cristina Herrera is with the Trans)
Year2025
Volume115
Issue10
Pages1631-1641
Publication date2025-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2025.308144
PMID40929666
OpenAlexW4414109030
LanguageEN
Citations received1
References cited31

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. ( Am J Public Health. 2025;115(10):1631–1641. https://doi.org/10.2105/AJPH.2025.308144 )

Condom · Feeling · Human immunodeficiency virus (HIV) · Men who have sex with men · Psychological intervention · Psychological resilience · Public health · Social connectedness · Transgender · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy

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