MMWR Supplements, Год журнала: 2024, Номер 73(1), С. 51 - 60

Опубликована: Янв. 23, 2024

Transgender women experience discrimination in many settings, including employment. Because employment and health insurance are intertwined the United States, might be related to lower coverage care use, gender-affirming care. This analysis used data from transgender (N = 1,608) seven urban areas States collected during 2019-2020 present prevalence of six types (employment, housing, bathroom, businesses, care, abuse) measure association between (defined as trouble getting a job or fired due being transgender) sociodemographic characteristics, access, use. Log-linked Poisson regression models were conducted estimate adjusted ratios 95% CIs. Seven 10 experienced at least one type past 12 months. During same period, 9.9% 32.4% had because transgender. Employment was associated with younger age socioeconomic status. Having access use factors, having no Medicaid only, an unmet medical need cost, never transgender-specific for procedures. These findings suggest that contributes women's economic marginalization their ability obtain adequate achieve transition goals. help guide efforts protect right pursue work, health, life goals without discrimination.

Язык: Английский

Gender-affirming hormone therapy is a crucial component of HIV care

The Lancet HIV, Год журнала: 2025, Номер unknown

Опубликована: Март 1, 2025

Язык: Английский

Pre-exposure Prophylaxis: Clinical Considerations for Overcoming Barriers to Uptake and Persistence

Journal of the Association of Nurses in AIDS Care, Год журнала: 2025, Номер unknown

Опубликована: Апрель 8, 2025

Abstract Pre-exposure prophylaxis (PrEP) is the administration of antiretroviral medications before HIV exposure to prevent infection. PrEP or biomedical prevention an essential part ending epidemic strategy. Currently, there are 4 guideline-approved dosing approaches PrEP, which include 2 oral formulations and 1 long-acting injectable. Unfortunately, most individuals who would benefit from do not receive a prescription, even fewer initiate continue PrEP. Barriers uptake persistence complex extend along socio-ecologic framework individual through structural. In this article, we highlight barriers care among priority populations, discuss evidence-based solutions, offer multilevel considerations for clinicians, researchers, community members increase access, uptake, in all.

Язык: Английский

“When Somebody Comes into This Country and You Are Trans on Top of That Is Like You Got… Two Strikes on You”: Intersectional Barriers to PrEP Use Among Latina Transgender Women in the Eastern and Southern United States

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(5), С. 659 - 659

Опубликована: Апрель 22, 2025

In the United States (U.S.), Latina transgender women (LTW) are highly burdened by HIV and prioritized for pre-exposure prophylaxis (PrEP). This study explored intersectional barriers facilitators to PrEP uptake among LTW. Between February–November 2022, in-depth interviews were conducted with 27 LTW in LITE Study. Participants purposively sampled from 196 cohort based on (PrEP-naïve n = 8, PrEP-eligible not user 5, current 6, previous 8). We content analysis guided a Modified Social Ecological Model Intersectionality Framework. The mean age of participants was 32.3 (SD 12.9). Themes were: (1) Intrapersonal: Medical distrust, acceptability modalities, concerns about long-term health; (2) Interpersonal: Mistreatment healthcare, discrimination-related healthcare avoidance, difficulty finding trans-competent providers, language barriers, shame stigma; (3) Structural: context limited access gender-affirming care widespread silicone use, immigration status, economic marginalization, lack community outreach, transphobia anti-transgender legislative contexts, xenophobia. found multilevel influence persistence. Culturally tailored prevention efforts needed address LTW-specific provide information programs subsidizing PrEP, implement policy change ensure equitable access.

Язык: Английский

Black Women’s Sexual Well-being in the Age of Pre-Exposure Prophylaxis (PrEP): a Systematic Review of the Literature

Current Sexual Health Reports, Год журнала: 2024, Номер 16(3), С. 138 - 176

Опубликована: Июнь 17, 2024

Abstract Purpose of Review Black women’s sexual well-being is predicated upon having the autonomy, resources, and access to define, explore, safely enjoy their sexuality intimacy. cisgender transgender women have been placed at disproportional risk for HIV due structural health specific inequities. Pre-exposure prophylaxis (PrEP), an effective biomedical intervention, reduces transmission from sex or injection drug use by 99%, however uptake PrEP remains low among women. Using PRISMA technique, we conducted a review literature on women, transgender, PrEP. We used Google Scholar PubMed conduct search. Recent Findings Our initial search garnered 2,221 sources across two databases. However, n = 197 articles were included in this based screening process our inclusion criteria. Socio-cultural factors, provider awareness, limited awareness knowledge, communication, motivation, concerns about PrEP, barriers, agency, power, pleasure may impact utilization facilitators highlighted as well interventions, though limited. Summary To adequately meet needs increase uptake, there need address these factors that develop interventions surrounding

Язык: Английский

Preexposure Prophylaxis Uptake Among Spanish-Speaking Transgender Women: A Randomized Controlled Trial in North and South Carolina, 2019–2022

American Journal of Public Health, Год журнала: 2023, Номер 114(1), С. 68 - 78

Опубликована: Дек. 13, 2023

To evaluate Chicas Creando Acceso a la Salud (Girls Creating Access to Health; ChiCAS), Spanish-language, small-group intervention designed increase preexposure prophylaxis (PrEP) use, consistent condom and medically supervised gender-affirming hormone therapy use among Spanish-speaking transgender Latinas who have sex with men.

Язык: Английский

Determinants of HIV Pre-Exposure Prophylaxis (PrEP) Retention among Transgender Women: A Sequential, Explanatory Mixed Methods Study

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(2), С. 133 - 133

Опубликована: Янв. 25, 2024

Transgender women (TW) face inequities in HIV and unique barriers to PrEP, an effective biomedical intervention prevent acquisition. To improve PrEP retention among TW, we examined factors related using a two-phase, sequential explanatory mixed methods approach. In Phase I, used data from trial of 170 TW who were provided oral examine predictors 24-week retention. II, conducted 15 in-depth interviews with PrEP-experienced thematic analysis explain I findings. more participants not retained at 24 weeks reported sex work engagement (18% versus 7%) substantial/severe drug use 8%). as barrier often the context work, identified two subcategories work. engaged “non-survival work” had little difficulty staying on while those “survival struggled stay PrEP. fewer gender-affirming hormone therapy (GAHT) (56% 71%). prioritized medical gender affirmation services over but also described bidirectional benefits accessing GAHT experience (e.g., unstable housing, use) may require additional support care.

Язык: Английский

Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review

AIDS and Behavior, Год журнала: 2024, Номер 28(11), С. 3666 - 3709

Опубликована: Июль 31, 2024

Язык: Английский

Pre-exposure Prophylaxis Awareness and Use Among Transgender and Nonbinary Individuals in Canada

JAIDS Journal of Acquired Immune Deficiency Syndromes, Год журнала: 2024, Номер 96(4), С. 341 - 349

Опубликована: Май 10, 2024

Background: Transgender and nonbinary populations are disproportionately affected by HIV face barriers to accessing HIV-related services. Pre-exposure prophylaxis (PrEP) may benefit those at risk of acquisition. However, PrEP awareness uptake, along with potential facilitators, have not been investigated among transgender individuals living in Canada. Setting: This study analyzed data from 1965 participants the 2019 Trans PULSE Canada survey, a national convenience sampling survey Methods: Data were estimate levels uptake identify predictors population. Prevalence ratios estimated block-wise modified Poisson regression models used assess awareness. Results: awareness, lifetime use, current use be 71.0%, 2.2%, 0.9%, respectively, full sample, 82.3%, 7.3%, 3.8% indications for use. Respondents who aged 45 years or older, transfeminine, Indigenous, Atlantic Quebec, had high school education less significantly likely aware PrEP. Lifetime sex work, past-year HIV/STI testing, being single nonmonogamous relationship, higher emotional social support positively associated Conclusions: There is need improve particularly revealed inequities within this population, which serve as targets future public health initiatives.

Язык: Английский

“That’s My Girl; I love her”: The Promise of Compassionate, Inclusive Healthcare for Black Transgender Women to Support PrEP Use

AIDS and Behavior, Год журнала: 2024, Номер 28(9), С. 2899 - 2909

Опубликована: Май 29, 2024

Язык: Английский