Transgender and HIV

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.

Edmond J Coleman, Sheila Kirk, Walter O Bockting

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