Barriers and Facilitators to PrEP Initiation and Adherence Among Transgender and Gender Non-Binary Individuals in Southern California
| Autor: | Sheldon R. Morris, Chloé Opalo, Micah J. Savin, Risa Flynn, Elizabeth C Pasipanodya, David J. Moore, Brook L. Henry, Elizabeth Lampley, Jill Blumenthal, Katya Corado, C Wei-Ming Watson, Robert K. Bolan, Eric Ellorin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Anti-HIV Agents Attitude of Health Personnel Psychological intervention HIV Infections Transgender Persons Vulnerable Populations Health Services Accessibility Underserved Population Pre-exposure prophylaxis Discrimination Psychological Transgender Health care Humans Medicine Misinformation Healthcare Disparities Qualitative Research business.industry Public Health Environmental and Occupational Health Focus Groups Los Angeles Mental health Infectious Diseases Family medicine Female Pre-Exposure Prophylaxis business Psychosocial |
| Zdroj: | AIDS Education and Prevention. 32:472-485 |
| ISSN: | 0899-9546 |
| Popis: | While transgender and gender non-binary (trans/nb) individuals are disproportionately affected by HIV, pre-exposure prophylaxis (PrEP) uptake remains low in this underserved population. We conducted four focus groups with 37 trans/nb individuals in San Diego and Los Angeles to assess barriers and facilitators of PrEP usage. Transcripts were coded for qualitative themes. Although overall PrEP awareness was high, participants reported limited knowledge and misinformation about PrEP. Barriers to PrEP use included: structural access (e.g., discrimination from health care providers, lack of trans-inclusive services, financial barriers), mental health struggles limiting ability to access PrEP, and concerns about potential side effects, drug-drug interactions with hormone therapy, and lack of other STI protection. Facilitators of PrEP usage included: increased PrEP availability, prior experience taking daily medications, and motivation to have active and healthy lives without fear of contracting HIV. Addressing both structural and psychosocial/behavioral factors in trans-affirming health care environments is crucial to designing inclusive, effective PrEP interventions. |
| Databáze: | OpenAIRE |
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