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Publication Profiles

Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity: Findings from TRANSforming the Carolinas

Citation

Poteat T, Simmons A. Intersectional Structural Stigma, Community Priorities, and Opportunities for Transgender Health Equity: Findings from TRANSforming the Carolinas. J Law Med Ethics. 2022;50(3):443-455. doi:10.1017/jme.2022.86

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not reported

Continuum target addressed:

HIV testing, Linkage to preventative care, PrEP initiation, Linkage to HIV care, Engagement in treatment (including retention and re-engagement), Viral suppression

Geography:

South Carolina

Study Participant Classification:

Community member(s), Implementer(s)

Plain Language Objectives

The researchers examined how laws, policies, and overlapping forms of stigma affect transgender people’s health and HIV services in the Carolinas. They wanted to identify community priorities and policy changes that could improve safety and health equity.

Plain Language Abstract

Transgender people in the southern United States face overlapping legal, policy, and social barriers that can limit HIV prevention and care. This article combined qualitative and quantitative information from a community-engaged study of transgender adults and other stakeholders with an analysis of policies affecting transgender people in the Carolinas. The work described how structural stigma operates through laws and institutions rather than only through individual attitudes. Community priorities emphasized preventing violence and reducing criminalization as policy changes that could improve health equity. These priorities connect safety, legal conditions, and social inclusion with the ability to access HIV testing, prevention medication, treatment, and ongoing care. The article’s abstract provides limited methodological and numerical detail, so the profile cannot report a sample size or estimate how common particular experiences were. The findings should be understood as community-informed evidence and policy analysis, not proof that a specific policy change caused a health outcome. The study identifies structural opportunities but did not test an HIV intervention.

Key Takeaways

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