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Understanding Social and Sexual Networks of Sexual Minority Men and Transgender Women in Guatemala City to Improve HIV Prevention Efforts

Citation

Tucker, Christine M.; Arandi, Cesar Galindo, Jr.; Bolanos, J. Herbert; Paz-Bailey, Gabriela; & Barrington, Clare (2014). Understanding Social and Sexual Networks of Sexual Minority Men and Transgender Women in Guatemala City to Improve HIV Prevention Efforts. Journal of Health Care for the Poor and Underserved, 25(4), 1698-1717. PMCID: PMC4310554

Abstract

Sexual minority men and transgender women are disproportionately affected by HIV in Guatemala. Innovative prevention strategies are urgently needed to address these disparities. While social network approaches are frequently used to reach sexual minorities, little is known about the unique network characteristics among sub-groups. We conducted in-depth qualitative interviews with 13 gay-identifying men, eight non-gay-identifying men who have sex with men (MSM) and eight transgender women in Guatemala City. Using narrative and thematic coding procedures, we identified distinct patterns in the size, composition, and overlap between social and sexual networks across groups. Gay-identifying men had the largest, most supportive social networks, predominantly comprising family. For both non-gay-identifying MSM and transgender women, friends and sex clients provided more support. Transgender women reported the smallest social networks, least social support, and the most discrimination. HIV prevention efforts should be tailored to the specific sexual minority population and engage with strong ties.

URL

http://dx.doi.org/10.1353/hpu.2014.0163

Reference Type

Journal Article

Year Published

2014

Journal Title

Journal of Health Care for the Poor and Underserved

Author(s)

Tucker, Christine M.
Arandi, Cesar Galindo, Jr.
Bolanos, J. Herbert
Paz-Bailey, Gabriela
Barrington, Clare

PMCID

PMC4310554