Perceived barriers and facilitators to integrating HIV prevention and treatment with cross- sex hormone therapy for transgender women in Lima, Peru
| Autor: | Jorge Sanchez, Sari L. Reisner, Alfonso Silva-Santisteban, Jesse L. Clark, Sarah McLean, Amaya Perez-Brumer, Javier R Lama, Leyla Huerta, Matthew J. Mimiaga, Kenneth H. Mayer |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Social stigma Models of care Service delivery framework Social Stigma HIV Infections Patient Acceptance of Health Care/psychology Health Services Accessibility 0302 clinical medicine Integrated Health care Peru 030212 general & internal medicine Gonadal Steroid Hormones Delivery of Health Care Integrated/organization & administration education.field_of_study Delivery of Health Care Integrated Health psychology Infectious Diseases Public Health and Health Services Female Public Health 0305 other medical science Adult Social Work medicine.medical_specialty Gonadal Steroid Hormones/therapeutic use Social Psychology Population purl.org/pe-repo/ocde/ford#3.03.08 [https] Transgender Persons Vulnerable Populations Article 03 medical and health sciences Nursing medicine Humans Transgender women HIV Infections/prevention & control/therapy education 030505 public health purl.org/pe-repo/ocde/ford#3.03.12 [https] business.industry Public health Public Health Environmental and Occupational Health Patient Acceptance of Health Care HIV infection Integrated care Facilitator Perception business Delivery of Health Care Peru/epidemiology |
| Zdroj: | Reisner, SL; Perez-Brumer, AG; McLean, SA; Lama, JR; Silva-Santisteban, A; Huerta, L; et al.(2017). Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru. AIDS and Behavior, 21(12), 3299-3311. doi: 10.1007/s10461-017-1768-8. UCLA: Retrieved from: http://www.escholarship.org/uc/item/10c484m3 AIDS and behavior, vol 21, iss 12 |
| DOI: | 10.1007/s10461-017-1768-8. |
| Popis: | © 2017, Springer Science+Business Media New York. Transgender women (TW) represent a vulnerable population at increased risk for HIV infection in Peru. A mixed-methods study with 48 TW and 19 healthcare professionals was conducted between January and February 2015 to explore barriers and facilitators to implementing a model of care that integrates HIV services with gender-affirmative medical care (i.e., hormone therapy) in Lima, Peru. Perceived acceptability of the integrated care model was high among TW and healthcare professionals alike. Barriers included stigma, lack of provider training or Peruvian guidelines regarding optimal TW care, and service delivery obstacles (e.g., legal documents, spatial placement of clinics, hours of operation). The hiring of TW staff was identified as a key facilitator for engagement in health care. Working in partnership with local TW and healthcare provider organizations is critical to overcoming existing barriers to successful implementation of an integrated HIV services and gender-affirmative medical care model for this key population in Peru. |
| Databáze: | OpenAIRE |
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