| Autor: |
Temelkovska T; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.; Department of Obstetrics and Gynecology, University of Colorado Anschutz, Aurora, CO, USA., Moriarty K; Department of Internal Medicine, Medstar Georgetown University Hospital, Washington, DC, USA., Huerta L; Feminas, Lima, Peru., Perez-Brumer A; Division of Social and Behavioral Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Segura E; Facultad de Ciencias de la Salud, Universidad de Huánuco, Huánuco, Perú., Passaro RC; Department of Emergency Medicine, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA., Lake JE; Department of Internal Medicine, McGovern Medical School at UTHealth, Houston, TX, USA., Clark J; Department of Medicine, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA., Blair C; Department of Medicine, Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. |
| Abstrakt: |
Transgender women's (TW) social networks may facilitate HIV prevention information dissemination and normative reinforcement. We conducted a qualitative study of social networks among 20 TW affiliated with 3 "casas trans" (houses shared among TW) in Lima, Peru, using diffusion of innovations theory to investigate community-level HIV prevention norms. Participants completed demographic questionnaires, social network interviews, and semistructured in-depth interviews. Median age was 26 and all participants engaged in sex work. Interviews revealed high HIV prevention knowledge and positive attitudes, but low engagement in HIV prevention. Respondents primarily discussed HIV prevention with other TW. Network members' opinions about pre-exposure prophylaxis (PrEP) frequently influenced respondents' personal beliefs, including mistrust of healthcare personnel, concern that PrEP efficacy was unproven, fear of adverse effects, and frustration regarding difficulty accessing PrEP. Patterns of influence in TW networks may be leveraged to improve uptake of HIV prevention tools, including PrEP. |
