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In Search of a Pathway: Oppression, Subjective Life Expectancy, and Consistent Condom Use Among Transgender Women Who Engage in Sex Work.
In Search of a Pathway: Oppression, Subjective Life Expectancy, and Consistent Condom Use Among Transgender Women Who Engage in Sex Work.
상세정보
- 자료유형
- 학위논문(국외)
- 기본표목-개인명
- 표제와 책임표시사항
- In Search of a Pathway: Oppression, Subjective Life Expectancy, and Consistent Condom Use Among Transgender Women Who Engage in Sex Work.
- 발행, 배포, 간사 사항
- 발행, 배포, 간사 사항
- 형태사항
- 151 p.
- 일반주기
- Source: Dissertations Abstracts International, Volume: 87-02, Section: B.
- 일반주기
- Advisor: Munson, Michelle.
- 학위논문주기
- Thesis (Ph.D.)--New York University, 2025.
- 요약 등 주기
- 요약Transgender women who engage in sex work are disproportionately at risk of HIV infection when compared to all other at-risk groups. The risk of infection among this population is compounded by structural oppression, systemic discrimination, and widespread socioeconomic marginalization. Despite increasing awareness of these disparities, few studies have holistically explored the lived experiences of this population or examined how broader structural forces influence individual health behaviors. This mixed-methods dissertation addresses significant gaps in the literature by investigating the interplay between perceived oppression, subjective life expectancy (SLE), and consistent condom use among transwomen sex workers in New York City. Seventeen participants were interviewed using a combination of standardized quantitative measures and in-depth semi-structured interviews, allowing for a multi-level analysis of individual, relational, and structural factors.Findings indicate that while some participants demonstrate agency and resilience in their sexual health practices, consistent condom use is frequently compromised by financial necessity, systemic barriers, and trauma histories. SLE emerged as a key determinant of health behavior, with lower SLE often corresponding to reduced condom use. Moreover, perceived oppression was inversely related to SLE, suggesting that cumulative marginalization may diminish an individual's orientation toward the future and thus their investment in long-term health. The study reveals that the dominant behavioral approaches to HIV prevention are insufficient for this population and must be replaced by interventions that address structural inequality, enhance community support, and promote empowerment.This dissertation contributes to theory by proposing a more integrative model of health decision-making grounded in socioemotional selectivity theory and structural social work. It calls for future research to expand upon these pathways using intersectional and community-based participatory methods and urges policymakers to center the voices and experiences of transwomen sex workers in health policy design. Without such systemic engagement, prevention strategies will continue to fall short for one of the most vulnerable yet resilient populations within the LGBTQIA+ community.
- 주제명부출표목-일반주제명
- 주제명부출표목-일반주제명
- 주제명부출표목-일반주제명
- 주제명부출표목-일반주제명
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 비통제 색인어
- 부출표목-단체명
- 기본자료저록
- Dissertations Abstracts International. 87-02B.
- 전자적 위치 및 접속
- 원문정보보기
MARC
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■1001 ▼aRamirez, Luis.
■24510▼aIn Search of a Pathway: Oppression, Subjective Life Expectancy, and Consistent Condom Use Among Transgender Women Who Engage in Sex Work.
■260 ▼a[S.l.]▼bNew York University. ▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a151 p.
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: B.
■500 ▼aAdvisor: Munson, Michelle.
■5021 ▼aThesis (Ph.D.)--New York University, 2025.
■520 ▼aTransgender women who engage in sex work are disproportionately at risk of HIV infection when compared to all other at-risk groups. The risk of infection among this population is compounded by structural oppression, systemic discrimination, and widespread socioeconomic marginalization. Despite increasing awareness of these disparities, few studies have holistically explored the lived experiences of this population or examined how broader structural forces influence individual health behaviors. This mixed-methods dissertation addresses significant gaps in the literature by investigating the interplay between perceived oppression, subjective life expectancy (SLE), and consistent condom use among transwomen sex workers in New York City. Seventeen participants were interviewed using a combination of standardized quantitative measures and in-depth semi-structured interviews, allowing for a multi-level analysis of individual, relational, and structural factors.Findings indicate that while some participants demonstrate agency and resilience in their sexual health practices, consistent condom use is frequently compromised by financial necessity, systemic barriers, and trauma histories. SLE emerged as a key determinant of health behavior, with lower SLE often corresponding to reduced condom use. Moreover, perceived oppression was inversely related to SLE, suggesting that cumulative marginalization may diminish an individual's orientation toward the future and thus their investment in long-term health. The study reveals that the dominant behavioral approaches to HIV prevention are insufficient for this population and must be replaced by interventions that address structural inequality, enhance community support, and promote empowerment.This dissertation contributes to theory by proposing a more integrative model of health decision-making grounded in socioemotional selectivity theory and structural social work. It calls for future research to expand upon these pathways using intersectional and community-based participatory methods and urges policymakers to center the voices and experiences of transwomen sex workers in health policy design. Without such systemic engagement, prevention strategies will continue to fall short for one of the most vulnerable yet resilient populations within the LGBTQIA+ community.
■590 ▼aSchool code: 0146.
■650 4▼aLGBTQ studies.
■650 4▼aPublic health.
■650 4▼aGender studies.
■650 4▼aWomens studies.
■653 ▼aCondom use
■653 ▼aHealth disparities
■653 ▼aSex work
■653 ▼aStructural oppression
■653 ▼aSubjective life expectancy
■653 ▼aTransgender women
■690 ▼a0492
■690 ▼a0453
■690 ▼a0733
■690 ▼a0573
■71020▼aNew York University▼bPh.D. Program.
■7730 ▼tDissertations Abstracts International▼g87-02B.
■790 ▼a0146
■791 ▼aPh.D.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359364▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
