Full Description
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.
Contents
Contents
About the Editors
Contributors
Foreword
Preface
Chapter 1. Sex, Drugs, and the Culture of Travestismo in Rio de Janeiro
Methods
Findings
Discussion
Chapter 2. Transgenders, HIV/AIDS, and Substance Abuse: From Risk Group to Group Prevention
Transgenders: Understandings and Misunderstandings
HIV/AIDS and Substance Abuse Risks
Conceptualizing Risk
Beyond Individual and Psychological Risk: Historical and Contemporary Risk Structures
Toward Group Prevention
Chapter 3. Transgender Health and Social Service Needs in the Context of HIV Risk
Introduction
Research Methods
Health and Social Service Needs
Problems in Obtaining Appropriate Services
Implications and Recommendations for HIV Prevention
Chapter 4. HIV Risk Behaviors of Male-to-Female Transgenders in a Community-Based Harm Reduction Program
Overview of the Community-Based Program
Method
Conclusion and Discussion
Chapter 5. HIV Prevention and Health Service Needs of the Transgender Community in San Francisco
Background
Methods
Results
Discussion of Findings
Limitations and Conclusions
Chapter 6. HIV/AIDS and Female-to-Male Transsexuals and Transvestites: Results from a Needs Assessment in Quebec
Introduction
Background of the Project
Methods
Results
Conclusions
Chapter 7. Education and Soul-Searching: The Enterprise HIV Prevention Group
Introduction
A Brief History of Enterprise
Paradigm Shifts in HIV Prevention
The Enterprise Prevention Workshops
Key Issues form Workshop Participants
Conclusion
Chapter 8. Transgender HIV Prevention: Community Involvement and Empowerment
Introduction
Planning
Needs Assessment
Recruitment
Intervention
Evaluation
Celebration
Replication
Discussion
Recommendations for Future Collaboration
Conclusion
Chapter 9. Sex, Truth, and Videotape: HIV Prevention at the Gender Identity Project in New York City
Introduction
Program Participants
Peer-Driven Assessment of Needs
Prevention Strategies
Training, Advocacy, and Empowerment
Chapter 10. Sex Reassignment Surgery in HIV-Positive Transsexuals
Introduction
Review of Literature
Findings
Conclusion
Chapter 11. Guidelines for Selecting HIV-Positive Patients for Genital Reconstructive Surgery
Introduction
Guidelines
My Personal Experience
Conclusions
Index
Reference Notes Included
