@article{ETD,
      school = {D.N.P.},
      author = {Steinbeck, Cecile},
      url = {http://digitalcollections.ohsu.edu/record/9603},
      title = {Assessment of barriers and facilitators to PrEP uptake  among transgender women and non-binary assigned male at  birth persons at risk of contracting HIV},
      publisher = {Oregon Health and Science University},
      abstract = {Transgender women are disproportionately affected by HIV,  at a rate 32 times that of the general population. In spite  of high levels of efficacy, use of HIV pre-exposure  prophylaxis (PrEP) ? to prevent HIV infection ? remains  very low in transgender women at risk of HIV. The PrEP care  continuum models how patients interact with PrEP at the  levels of awareness, willingness, uptake, adherence, and  retention. In assessing barriers and facilitators to PrEP  use in transgender female and non-binary assigned male at  birth (AMAB) patients, identifying the stages of  disengagement in the continuum helped formulate  recommendations for tailored interventions to increase PrEP  use and reduce new HIV infections in this group. 

To do  so, a two pronged approach consisted of historical chart  reviews and a Qualtrics survey of current Prism Health  transfemale and non-binary AMAB patients about PrEP  experience and perceptions. Both gathered sociodemographic  factors, elicited sexual health related behaviors, the  stage in the PrEP care continuum, and themes related to  PrEP use and values. The outcomes of this study validated  the adoption of gender affirming and trauma informed care  models as supportive to the patient health and HIV  prevention, while eliciting a few opportunities for further  improvement in PrEP engagement. 
},
      number = {ETD},
      doi = {https://doi.org/10.6083/mw22v608n},
      recid = {9603},
      address = {2022},
}