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The accomplishments & pitfalls of the 400 groups that comprise the San Franciso (Calif) area peace movement are discussed, based on interviews with representative leaders of the movement (N not provided) & telephone surveys of peace organizations (N not provided). The ideals & goals, interest areas, compositions, & activities of the movement are considered. Accomplishments include impact on public education concerning nuclear war, provision of detailed information to targeted audiences, & translation of principles into positive action. Pitfalls are identified as inconsistency, intolerance of ambiguity, lack of integration, negativism, & lack of professionalism. Examples of peace activities & suggestions for involvement in group actions toward peace development are discussed. In Comment, Michel P. Richard (State U of New York, Geneseo) claims that Steffy presents a fragmented picture of the peace movement, fails to specify her methodology, & suggests that the movement's influence may be more cultural than political. In Rejoinder, Steffy welcomes the criticism, discusses the credentials of some of her key informants, & defends a broad definition of peace that encompasses many diverse interest groups. 2 References. K. Carande

AbstractIntroductionAlthough transgender women (trans women) often are conflated with men who have sex with men (MSM) in HIV research and services, there are distinct population differences that are important for implementing effective HIV prevention. Our objective was to examine pre‐exposure prophylaxis (PrEP) disparities between the two populations and compare individual, social and structural factors that influence differences between MSM and trans women along the PrEP continuum.MethodsWe analysed data from two population‐based studies, one with trans women (Trans*National Study, 2016 ‐ 18) and the other with MSM (National HIV Behavioral Surveillance, 2017). Trans women were recruited via respondent‐driven sampling and MSM using time location sampling. Key indicators of the PrEP continuum were evaluated, including awareness, health insurance, provider discussions, recent use and adherence. Associations were also examined for PrEP continuum indicators and structural barriers (e.g. employment, homelessness).ResultsTranswomen were more likely than MSM to be Latino/a (30.4% vs. 25.8%; prevalence ratio (PR)=1.08, 95% CI 1.02 to 1.14) or African American (7.1% vs. 4.5%; PR = 1.12, 1.02 to 1.24), live at or below the poverty limit (70.7% vs. 15.8%; PR = 1.47; 1.41 to 1.53), be unemployed (50.1% vs. 26.3%; PR = 1.18, 1.13 to 1.24), be homeless (8.4% vs. 3.5%; PR = 1.15, 1.06 to 1.25) and to have less than a college degree (PR = 1.41, 1.34 to 1.48). Trans women were more likely than MSM to have health insurance (95.7% vs. 89.7%, PR = 1.17, 1.06 to 1.28), but less likely than MSM to have heard of PrEP (79.1% vs. 96.7%; PR = 0.77, 0.73 to 0.81), talked with a provider about PrEP (35.5% vs. 54.9%; PR = 0.87, 0.83 to 0.91) and less likely than MSM to have used PrEP in the past six months (14.6% vs. 39.8%; PR = 0.80, 0.76 to 0.84). Among PrEP users, trans women were less likely to report being adherent to PrEP than MSM (70.4% vs. 87.4%; PR = 0.80, 0.70 to 0.91).ConclusionsWe found PrEP disparities for trans women compared to MSM and the need for differentiated implementation strategies to meet the specific PrEP barriers trans women face. Inclusion of trans women's HIV risks is needed in CDC guidance for PrEP. Interventions to increase trans women's awareness of PrEP including at the provider and community level are also needed. Finally, programming that addresses trans women's barriers to housing and income is also needed to reduce PrEP disparities.

This item is part of the Political & Rights Issues & Social Movements (PRISM) digital collection, a collaborative initiative between Florida Atlantic University and University of Central Florida in the Publication of Archival, Library & Museum Materials (PALMM).

In this interdisciplinary study, Barbara Voss examines religious, environmental, cultural, and political differences at the Presidio of San Francisco, California to reveal the development of social identities within the colony. Voss reconciles material culture with historical records, challenging widely held beliefs about ethnic growth