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- HIV and gender identity expression among transfeminine people in the Western Cape, South Africa - a thematic analysis of data from the HPTN 071 (PopART) trial.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
No description defined |
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Statements
Transfeminine people in South Africa have a high HIV risk due to structural, behavioural, and psychosocial factors. (English)
INTRODUCTION (English)
© 2024. The Author(s). (English)
2024
Transfeminine people and feminine identifying men who have sex with men (MSM) are often conflated or grouped with transgender or MSM categories in HIV service programming, although they don't necessarily identify as either. (English)
INTRODUCTION (English)
© 2024. The Author(s). (English)
2024
We aimed to investigate gender expression among feminine identifying people who were assigned male at birth. (English)
INTRODUCTION (English)
© 2024. The Author(s). (English)
2024
We examined how local conceptualizations of sexuality and gender intersect with the key population label of 'transgender' imported into local HIV programming. (English)
INTRODUCTION (English)
© 2024. The Author(s). (English)
2024
A qualitative cohort nested within the HPTN 071 (PopART) trial included longitudinal, in-depth interviews with eight transfeminine people (four who disclosed as living with HIV). (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Data were collected approximately every six weeks between January 2016 and October 2017. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
We used a combination of thematic analysis and case study descriptions to explore gender identification among participants. (English)
METHODS (English)
© 2024. The Author(s). (English)
2024
Of the eight participants, only one accepted 'transgender' as a label, and even she used varying terms at different times to describe her identity. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
For participants, a feminine identity included dressing in normatively feminine clothes; using feminine terms, pronouns and names; and adopting stereotypically feminine mannerisms. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Participants would switch between typically feminine and masculine norms in response to contextual cues and audience. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
For example, some participants accepted identification as masculine gay men amongst their family members. (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Among peers, they expressed their identity through typically more effeminate gender characteristics, for example self-identifying as "femgay". (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
With partners they often also took on a feminine identity role, for example identifying as women in sexual and romantic relationships (meaning they viewed and expressed themselves as the feminine partner in the relationship). (English)
RESULTS (English)
© 2024. The Author(s). (English)
2024
Our findings are amongst the first exploratory and descriptive data of transfeminine people in South Africa. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
We show how transfeminine people navigate fluid gender identities that could pose a challenge for accessing and utilizing HIV services that are currently set up for transgender individuals or MSM. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
More work needs to be done to understand and respond to the diverse and shifting ways people experience their gender identities in this high HIV burden context. (English)
CONCLUSIONS (English)
© 2024. The Author(s). (English)
2024
Laing (English)
de Villiers (English)
L
Leslie (English)
Swartz (English)
L
Peter (English)
Bock (English)
P
Janet (English)
Seeley (English)
J
Anne L (English)
Stangl (English)
AL
Virginia (English)
Bond (English)
V
James (English)
Hargreaves (English)
J
Graeme (English)
Hoddinott (English)
G
23 September 2024
6 July 2024