A Promising PrEP Navigation Intervention for Transgender Women and Men Who Have Sex with Men Experiencing Multiple Syndemic Health Disparities

被引：52
|
作者：
Reback, Cathy J. [1 ,2 ]
Clark, Kirsty A. [3 ]
Ruenger, Dennis [1 ]
Fehrenbacher, Anne E. [2 ,4 ]
机构：
[1] Friends Res Inst Inc, 1419 N La Brea Ave, Los Angeles, CA 90028 USA
[2] Univ Calif Los Angeles, Ctr HIV Identificat Prevent & Treatment Serv, Los Angeles, CA 90024 USA
[3] Univ Calif Los Angeles, Dept Epidemiol, Fielding Sch Publ Hlth, Los Angeles, CA USA
[4] Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA
来源：
JOURNAL OF COMMUNITY HEALTH | 2019年 / 44卷 / 06期
关键词：
PrEP; HIV prevention; Transgender; MSM; Health disparities; PREEXPOSURE PROPHYLAXIS PREP; SOCIAL COGNITIVE THEORY; HIV PREVENTION; BLACK-MEN; RISK BEHAVIORS; UNITED-STATES; BARRIERS; FACILITATORS; SUPPORT; IMPLEMENTATION;
D O I：
10.1007/s10900-019-00705-x
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Transgender women and MSM experience many stigma-related syndemic conditions that exacerbate HIV incidence and prevalence rates. While PrEP is an effective biomedical intervention to reduce HIV transmission, uptake and adherence of PrEP is low among transgender women and MSM experiencing multiple syndemic health disparities. This study tested the feasibility, acceptability and effectiveness of A.S.K.-PrEP (AssistanceServicesKnowledge-PrEP), a five-session peer navigator program, designed to link transgender women and MSM to PrEP. From September 2016 to March 2018, 187 participants (transgender women = 58; MSM = 129) enrolled. Results demonstrated that approximately 90% of transgender women and MSM were linked to PrEP; MSM linked more quickly [KW chi(2)(1) = 10.9, p < .001]. Most transgender women (80%) and MSM (70%) reported they were still taking PrEP at the 90-day follow-up evaluation. Findings indicated that A.S.K.-PrEP is a promising intervention for PrEP linkage, uptake and preliminary adherence among transgender women and MSM.
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页码：1193 / 1203
页数：11
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