Understanding Barriers and Facilitators of Pre-exposure Prophylaxis (PrEP) Among Transgender and Gender Diverse Adults in an Integrated Health Care System

被引:2
|
作者
Bruxvoort, Katia [1 ,2 ]
Portugal, Cecilia [1 ]
Munis, Mercedes [1 ]
Pak, Katherine [1 ]
Hechter, Rulin [1 ,3 ]
机构
[1] Kaiser Permanente Southern Calif, Dept Res & Evaluat, Div Epidemiol Res, Pasadena, CA 91188 USA
[2] Univ Alabama Birmingham, Sch Publ Hlth, Dept Epidemiol, 1665 Univ Blvd, Birmingham, AL 35233 USA
[3] Kaiser Permanente Bernard J Tyson Sch Med, Dept Hlth Syst Sci, Pasadena, CA USA
关键词
Transgender; Gender diverse; PrEP; HIV; Prevention; MEDICAL MISTRUST; HIV; WOMEN; AWARENESS; PROVIDERS; MEN;
D O I
10.1007/s10461-023-03983-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Transgender and gender diverse individuals face health disparities such as higher HIV prevalence, but limited studies have found low PrEP uptake among these populations. To understand both patient and provider perspectives regarding PrEP care for transgender and gender diverse individuals, we conducted a mixed-methods study at Kaiser Permanente Southern California from September 2020 to October 2021. Transgender and gender diverse adults (N = 396) participated in a web-based survey, and qualitative interviews were subsequently conducted with a subset of survey respondents (N = 32) and healthcare providers (N = 8). Among survey respondents, > 75% were familiar with PrEP, and > 40% reported at least one HIV risk factor, but < 5% had taken PrEP. Interview themes included increasing providers' inclusivity in primary care for transgender and gender diverse patients, and reducing logistical barriers and costs associated with PrEP-related visits. To improve PrEP uptake among transgender and gender diverse individuals, barriers across patient, provider, and health system levels must be addressed.
引用
收藏
页码:2579 / 2591
页数:13
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