There are no other options for us because of who we are’
Employment and retention in care among gay and bisexual men and transgender women living with HIV in Guatemala
Bibliographic Data
| ID | 15098267 |
|---|---|
| Authors | Alexandra J Munson (0000-0003-0091-5932, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA, corresponding author), Dirk A Davis (0000-0002-7056-427X, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA), Clare Barrington (0000-0001-7802-4051, Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA) |
| Year | 2021 |
| Volume | 23 |
| Issue | 5 |
| Pages | 608-623 |
| Publication date | 2021-05-04 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691058.2020.1718212 |
| PMID | 32208919 |
| OpenAlex | W3013610359 |
| Language | EN |
| Citations received | 11 |
| References cited | 22 |
The purpose of this study was to improve understanding of the relationship between employment and retention in HIV care among gay and bisexual men and transgender women in Guatemala. We interviewed gay and bisexual men ( n = 18) and transgender women ( n = 9) receiving care at HIV clinics in three Guatemalan cities. Thematic coding and narrative analysis were used to describe employment experiences and identify employment factors that enabled or hindered retention within the broader context of participants' lives. Employment types ranged from formal, salaried positions to informal jobs; several participants were unemployed. Intersecting stigma related to HIV status, sexual orientation and gender identity reduced participants' ability to find and maintain stable, adequately compensated work. Job opportunities were particularly limited for transgender women due to discrimination related to gender identity. Among gay and bisexual men, discrimination related to HIV was the most salient barrier to employment. Three main employment-related determinants of retention were identified: work schedule, relationships with employers, and income. HIV care and treatment services should be strategically located and have flexible hours tailored to the employment schedules and needs of key populations living with HIV. Social protection programmes are needed to foster quality employment opportunities that facilitate attendance at HIV care appointments
Context (archaeology · Employment discrimination · Political science · Qualitative research · Sexual orientation · Sociology · Thematic analysis · Transgender · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Gerontology
‘She showed me a new path, a way forward’
Intersectional HIV stigma in Sub-Saharan Africa, Latin America and the Caribbean
A mobile application to monitor mode, content and duration of health navigation services for people living with HIV in Guatemala
Covid-19, violence, and mental health among Indigenous gay and bisexual men in Guatemala
Clinical Follow-Up in People Living with HIV During the Covid-19 Pandemic in Mexico
Decision-Making at the Intersection of Risk and Pleasure
Stigma and HIV Treatment Outcomes Among Transgender Women Sex Workers in the Dominican Republic
Interpersonal violence victimisation, HIV-related behaviours and STIs among adult, urban Indigenous and non-Indigenous gay, bisexual and other men who have sex with men in Guatemala
Transgender self-employment outcomes
HIV Diagnosis as Both Biographical Disruption and Biographical Reinforcement
Gay Pornography Stars and Criminal Risk
The HIV treatment cascade and care continuum
Retention in Care
What determines health-related quality of life among people living with HIV
Prevention of HIV-1 Infection with Early Antiretroviral Therapy
Is any job better than no job? Labor market experiences and depressive symptoms in people living with HIV
HIV and work don't go together’
A Mixed-Methods Exploration of the Needs of People Living with HIV (PLWH) Enrolled in Access to Care, a National HIV Linkage, Retention and Re-Engagement in Medical Care Program
La vida normal
Employment status is associated with both physical and mental health quality of life in people living with HIV
| Unique citing works | 11 |
|---|---|
| Citations per year | 2,2 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 11 |