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HIV and transgender women in Kampala, Uganda – Double Jeopardy

Bibliographic Data

ID15098599
AuthorsRachel King (0000-0002-0085-3498, University of California, San Francisco, corresponding author), Justine Nanteza (Makerere University), Zubayiri Sebyala (Makerere University), Joy Bbaale (Makerere University), Enos Sande (0009-0001-1956-3036, Makerere University), Tonia Poteat (0000-0001-6541-3787, Johns Hopkins University), Herbert Kiyingi (0000-0001-7029-0814, Strategic Information, Centers for Disease Control and Prevention, Kampala, Uganda), Wolfgang Hladik (0000-0002-3869-1711, Centers for Disease Control and Prevention)
Year2019
Volume21
Issue6
Pages727-740
Publication date2019-06-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2018.1506155
PMID30328785
OpenAlexW2896768378
LanguageEN
Citations received10
References cited24

Transgender women in Kampala face stigma, high HIV acquisition or transmission risk and poor access to health services. We explored the HIV and gender-related contexts of their lives. Snowball sampling was used to enrol 45 participants between July-October 2013. Data collection included audio-computer-assisted self-interviews, qualitative face-to-face interviews and blood tests for HIV and CD4. One in five respondents tested HIV positive. Emergent themes revealed highly varied forms of gender identity and gender expression. Almost all respondents asserted that they frequently engaged in sex work, mainly due to lack of employment. HIV-related themes included limited access to non-stigmatising health services, inconsistent condom use, inaccurate perceptions of self and partners' risk, alcohol use, receptive anal sex with men, multiple sex partners, frequent self and enacted stigma, and violence. Findings highlight the urgency of providing members of this marginalised population with tailored, innovative, comprehensive and effective HIV prevention programmes that address structural issues such as access to HIV services and limited employment as well as behavioural issues such as inconsistent condom use, multiple sexual partners, self and enacted stigma, violence and alcohol use

Condom · Environmental health · Family medicine · Men who have sex with men · Population · Psychiatry · Qualitative research · Sex work · Snowball sampling · Sociology · Transgender · Transgender women · Clinical Psychology · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex work and related issues

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Unique citing works10
Citations per year2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8

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