Grant: Operating Grant - HIV/AIDS CBR Program - General

Trans PULSE is a community-based research project that responds to problems identified within trans communities in Ontario regarding access to health and social services and the broader social determinants of health. Trans PULSE aims to understand the multifaceted ways in which social exclusion, cisnormativity (the belief that trans identities or bodies are less authentic or "normal"), and transphobia shape not only the provision of services for trans people, but also how these factors affect the health of trans people, particularly HIV. Phase I of the study has been completed and Phase II (quantitative survey) is in-progress. Despite the high prevalence of HIV (ranging from 11% - 86%) documented in other studies, preliminary analysis of Trans PULSE data indicate low self-reported infection rates in our sample to date (despite significant indicators of risk including, involvement in sex work, a very high degree of social marginalization, and mental health challenges). To ensure that the needs of trans people living with HIV are fully investigated, we will undertake a qualitative exploration of their experiences, overall health concerns and service needs. Particular attention will be placed on trans people living with HIV who have intersecting identities (e.g., ethnoracial groups, newcomers) and how their experiences with HIV and their overall health are severely complicated by transphobia. A significant emphasis of the study will be on exploring and identifying facilitating factors for overcoming service access barriers for HIV+ trans people, and determining ideas and solutions for trans-inclusive and sensitive HIV care.