9780789012685

Transgender and HIV: Risks, Prevention, and Care

by ;
  • ISBN13:

    9780789012685

  • ISBN10:

    0789012685

  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 2001-06-15
  • Publisher: Routledge

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Summary

Deliver effective services to this growing population! This volume presents the first collection of reports on the impact of HIV/AIDS on the transgender community worldwide. It includes a thorough description of the unique HIV risks of transgender people and exposes their largely neglected health and social service needs. This unique book also reports on the first generation of prevention interventions targeting this community, discusses guidelines for providing sex reassignment services to HIV-positive transsexuals, and encourages collaboration between communities at risk, researchers, and people in the helping professions. The social stigma faced by this population adds to their risk of HIV infection. Low self-esteem, rejection, neglect, employment discrimination, disenfranchisement, and a desire for acceptance and validation are all contributing factors. Yet, as the editors point out, "On the positive side, the transgender community has been able to mobilize and empower itself, and has found a voice that no longer can be ignored. We call on transgender and nontransgender people alike to work together to advance HIV prevention and promote our sexual health." In Transgender and HIV you'll encounter: extensive discussions of the health, social service, and HIV prevention needs of the transgender community tips on how to work with marginalized communities in an empowering way explorations of the sexuality of both male-to-female and female-to-male transsexuals first-ever findings on sex reassignment surgery on HIV-positive individuals guidelines for surgery on HIV-positive transsexuals Transgender and HIV provides much-needed and often-requested information on HIV prevalence, risks, prevention, and care for this increasingly visible community.

Table of Contents

About the Editors xi
Contributors xiii
Foreword xvii
Eli Coleman
Preface xix
Sex, Drugs, and the Culture of Travestismo in Rio de Janeiro
1(12)
James A. Inciardi
Hilary L. Surratt
Paulo R. Telles
Binh H. Pok
Methods
3(2)
Findings
5(6)
Discussion
11(2)
Transgenders, HIV/AIDS, and Substance Abuse: From Risk Group to Group Prevention
13(26)
Nina Kammerer
Theresa Mason
Margaret Connors
Rebecca Durkee
Transgenders: Understandings and Misunderstandings
15(4)
HIV/AIDS and Substance Abuse Risks
19(2)
Conceptualizing Risk
21(4)
Beyond Individual and Psychological Risk: Historical and Contemporary Risk Structures
25(5)
Toward Group Prevention
30(9)
Transgender Health and Social Service Needs in the Context of HIV Risk
39(20)
Nina Kammerer
Theresa Mason
Margaret Connors
Rebecca Durkee
Introduction
39(2)
Research Methods
41(1)
Health and Social Services Needs
42(5)
Problems in Obtaining Appropriate Services
47(4)
Implications and Recommendations for HIV Prevention
51(8)
HIV Risk Behaviors of Male-to-Female Transgenders in a Community-Based Harm Reduction Program
59(10)
Cathy J. Reback
Emilia L. Lombardi
Overview of the Community-Based Program
59(2)
Method
61(5)
Conclusion and Discussion
66(3)
HIV Prevention and Health Service Needs of the Transgender Community in San Francisco
69(22)
Kristen Clements-Nolle
Willy Wilkinson
Kerrily Kitano
Rani Marx
Background
69(1)
Methods
70(2)
Results
72(15)
Discussion of Findings
87(1)
Limitations and Conclusions
88(3)
HIV/AIDS and Female-to-Male Transsexuals and Transvestites: Results from a Needs Assessment in Quebec
91(10)
Viviane K. Namaste
Introduction
91(1)
Background of the Project
92(1)
Methods
93(2)
Results
95(2)
Conclusion
97(4)
Education and Soul-Searching: The Enterprise HIV Prevention Group
101(18)
Douglas Hein
Michael Kirk
Introduction
101(1)
A Brief History of Enterprise
102(1)
Paradigm Shifts in HIV Prevention
103(1)
The Enterprise Prevention Workshops
104(7)
Key Issues for Workshop Participants
111(3)
Conclusion
114(5)
Transgender HIV Prevention: Community Involvement and Empowerment
119(26)
Walter O. Bockting
B. R. Simon Rosser
Eli Coleman
Introduction
119(5)
Planning
124(1)
Needs Assessment
125(1)
Recruitment
126(1)
Intervention
127(7)
Evaluation
134(2)
Celebration
136(1)
Replication
136(1)
Discussion
137(2)
Recommendations for Future Collaboration
139(1)
Conclusion
140(5)
Sex, Truth, and Videotape: HIV Prevention at the Gender Identity Project in New York City
145(8)
Barbara E. Warren
Introduction
145(2)
Program Participants
147(1)
Peer-Driven Assessment of Needs
148(1)
Prevention Strategies
148(2)
Training, Advocacy, and Empowerment
150(3)
Sex Reassignment Surgery in HIV-Positive Transsexuals
153(8)
A. Neal Wilson
Introduction
153(1)
Review of Literature
154(1)
Findings
155(4)
Conclusion
159(2)
Guidelines for Selecting HIV-Positive Patients for Genital Reconstructive Surgery
161(8)
Sheila Kirk
Introduction
161(2)
Guidelines
163(2)
My Personal Experience
165(2)
Conclusion
167(2)
Index 169

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