Analysis
psychic distress
RECURRENCE
A quantitative analysis was performed and its outcome was “retention at nine months”, regardless of telephone contact at three months. Retention to the project was defined by the “full completion of the final questionnaire” applied at nine months, which could be answered face-to-face or remotely. Therefore, it is an object cut-out of the original study. This definition is restricted to the contact between the participants and the research team, without considering retention to health care or peer navigation procedures. However, to meet the main objective of the project, clinical data were collected to identify HIV treatment adherence, defined by at least two medical visits or ART abandonment, with a maximum six-month interval during the research periodTo determine the variables associated with retention to the project, several variables of the baseline questionnaire included in the gender affirmative model were considered, such as sociodemographic and behavioral information and data on gender affirmation, mental health, substance use, and experiences of transphobia.“Name change on personal documents” was the gender affirmation variable (“Yes, I did”; “I tried, but I couldn’t”; “I’m trying; I’ve already filed the lawsuit”; “I haven’t tried, but I intend to try”; “I haven’t tried”). A normalized four-item score was also created to synthesize a measure of internalized gender affirmation: (1) “Generally speaking, I feel good about myself and my gender identity”; (2) “I fully accept myself in my gender identity”; (3) “I’m proud of being a The following variables of mental health and use of alcohol and other substances were selected: “psychic distress”, measured using the K10 scaleRegarding experiences of transphobia, the following variables were selected: “previous experience of verbal violence for being trans” (no; yes) and “previous experience of sexual violence for being trans” (no; yes). The participants’ “allocation group” (control group; peer navigation intervention group) and their response to the “check telephone call at three months” (no; yes) were also outcome predictor variables.In order to evaluate the effect of the stigmatization process on the retention of TrTGW, peer contact forms were qualitatively analyzed, considering the questions previously used in the quantitative component as search criteria. The forms were completed by the PNs to record both the attempts to contact the participants and the topics discussed in the meetings, such as their location and the participant’s mental state and appearance. This information was typed and exported to a spreadsheet, allowing the identification of the following thematic categories: schooling level; financial situation; marital status/relationships; occupation/professional situation; general health; mental health; alcohol and other drug use; HIV-related issues; and family and housing situation. The category “additional information” was also included, with other themes that caught the attention of the PNs.These categories were later divided into analytical subcategories, such as abusive relationships, financial difficulties, and lack of family support regarding gender identity. In turn, these subcategories were evaluated for the recurrence in which they appeared in the forms. Since the information reflected a follow-up history of up to nine months, the transformations experienced by the participants throughout the process could be observed.