TY  - GEN
AB  - 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.
AD  - Oregon Health and Science University
AU  - Steinbeck, Cecile
DA  - 2022
DO  - 10.6083/mw22v608n
DO  - DOI
ED  - McKimmy, Mandy
ED  - Chair
ED  - Personal
ID  - 9603
KW  - HIV Infections
KW  - Pre-Exposure Prophylaxis
KW  - Health Behavior
KW  - Female
KW  - Transgender Persons
KW  - human immunodeficiency virus
KW  - trans women
KW  - prep
L1  - https://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
L2  - https://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
L4  - https://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
LK  - https://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
N2  - 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.
PB  - Oregon Health and Science University
PY  - 2022
T1  - Assessment of barriers and facilitators to PrEP uptake among transgender women and non-binary assigned male at birth persons at risk of contracting HIV
TI  - Assessment of barriers and facilitators to PrEP uptake among transgender women and non-binary assigned male at birth persons at risk of contracting HIV
UR  - https://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
Y1  - 2022
ER  -