{"doi":"10.1037/sgd0000792","title":"The COVID-19 global pandemic and allostatic load among a cohort of Black and Latina transgender women living with HIV.","abstract":"This exploratory study investigated the impact of the COVID-19 pandemic on stress biomarkers and allostatic load for Black and Latina transgender women living with HIV (BLTWLH), as well as COVID-19 infection, hospitalization, and vaccination status. LITE Plus is a longitudinal cohort study of BLTWLH designed to identify pathways linking biopsychosocial stress to HIV co-morbidities. Participants were enrolled between October 2019-June 2022. Descriptive statistics compared stress biomarkers and allostatic load index (ALI) scores pre- (to March 2020) and post-onset pandemic onset (January 2021-December 2022). Frequencies and proportions are reported for COVID-19 indicators. Of the cohort, 26 BLTWLH completed study visits both pre- and post-onset pandemic onset (\"pre-onset\"; \"post-onset\"). Post-onset, chronic stress biomarkers were elevated across all body systems. Sample ALI distribution shifted post-onset, with elevated mean, median, IQR and proportion above the median. Of the 108 participants who completed any post-onset visits, 19% had ever tested positive for COVID-19 and 4% reported a COVID-19 related hospitalization. COVID-19 vaccination uptake was 70% and 24% had received a booster. Of those unvaccinated, 15% intended to be vaccinated, 9% were unsure and 6% did not intend to be vaccinated. BLTWH deployed various strategies to cope with pandemic effects and 22% reported unmet COVID-19-related support needs. ALI for BLTWLH was high compared to other populations in the literature, suggesting unique vulnerabilities to biopsychosocial stress and chronic disease risk. Despite high engagement with COVID-19 prevention including vaccination intention and uptake, BLTWLH experienced heavy COVID-19 burden and unmet support needs.","journal":"Psychology of Sexual Orientation and Gender Diversity","year":2025,"id":538552,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8972,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1079598,"name":"Huijun Jiang","orcid":"0000-0002-7918-8805","position":1,"is_corresponding":false},{"id":1425113,"name":"Jenny Williams","orcid":"0000-0002-9084-0446","position":2,"is_corresponding":false},{"id":1201602,"name":"Mannat Malik","orcid":"0000-0002-9765-5710","position":3,"is_corresponding":false},{"id":1290407,"name":"L. Zachary DuBois","orcid":"0000-0001-5459-2863","position":4,"is_corresponding":false},{"id":793988,"name":"Robert‐Paul Juster","orcid":"0000-0003-4133-4042","position":5,"is_corresponding":false},{"id":277262,"name":"Sari L. Reisner","orcid":"0000-0001-7868-4746","position":6,"is_corresponding":false},{"id":394627,"name":"Andrea L. Wirtz","orcid":"0000-0002-2063-1534","position":7,"is_corresponding":false},{"id":394769,"name":"Asa Radix","orcid":"0000-0001-9611-4181","position":8,"is_corresponding":false},{"id":426620,"name":"Jowanna Malone","orcid":"0000-0002-2846-0012","position":9,"is_corresponding":false},{"id":305156,"name":"Kenneth H. Mayer","orcid":"0000-0001-7460-733X","position":10,"is_corresponding":false},{"id":657412,"name":"Carl G. Streed","orcid":"0000-0003-3075-253X","position":11,"is_corresponding":false},{"id":303807,"name":"Krista M. Perreira","orcid":"0000-0003-2906-0261","position":12,"is_corresponding":false},{"id":284815,"name":"Tonia Poteat","orcid":"0000-0001-6541-3787","position":13,"is_corresponding":false},{"id":952366,"name":"Ashleigh J. Rich","orcid":"0000-0003-3742-7086","position":0,"is_corresponding":true}],"reference_count":0,"raw_metadata":null,"created_at":"2026-07-19T02:52:21.389196Z","pmid":"40895804","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}