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Barriers and Facilitators to PrEP Initiation and Adherence Among Transgender and Gender Non-Binary Individuals in Southern California
- Source :
- AIDS education and prevention : official publication of the International Society for AIDS Education, vol 32, iss 6
- Publication Year :
- 2020
- Publisher :
- eScholarship, University of California, 2020.
-
Abstract
- 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.
- Subjects :
- Adult
Male
Social Work
Anti-HIV Agents
Attitude of Health Personnel
HIV prevention
health care disparities
8.1 Organisation and delivery of services
HIV Infections
STDs/STIs
gender non-conforming
Sexual and Gender Minorities (SGM/LGBT*)
Vulnerable Populations
Transgender Persons
Health Services Accessibility
7.1 Individual care needs
Clinical Research
Discrimination
Behavioral and Social Science
Humans
Healthcare Disparities
Qualitative Research
pre-exposure prophylaxis
Pediatric
Practice
Health Knowledge
Focus Groups
Los Angeles
Good Health and Well Being
Mental Health
Infectious Diseases
Attitudes
qualitative
Public Health and Health Services
Psychological
HIV/AIDS
Female
Management of diseases and conditions
Public Health
Infection
Health and social care services research
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- AIDS education and prevention : official publication of the International Society for AIDS Education, vol 32, iss 6
- Accession number :
- edsair.dedup.wf.001..470581de0221e4972742ccea6e79c0ed