000009603 001__ 9603
000009603 005__ 20231229122547.0
000009603 0247_ $$2DOI$$a10.6083/mw22v608n
000009603 037__ $$aETD
000009603 245__ $$aAssessment of barriers and facilitators to PrEP uptake among transgender women and non-binary assigned male at birth persons at risk of contracting HIV
000009603 260__ $$bOregon Health and Science University
000009603 269__ $$a2022
000009603 336__ $$aFinal project
000009603 502__ $$bD.N.P.
000009603 520__ $$aTransgender 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. 

000009603 650__ $$aHIV Infections$$028555
000009603 650__ $$aPre-Exposure Prophylaxis$$040565
000009603 650__ $$aHealth Behavior$$028413
000009603 650__ $$aFemale$$018941
000009603 650__ $$aTransgender Persons$$040159
000009603 691__ $$aSchool of Nursing$$041370
000009603 7001_ $$aSteinbeck, Cecile$$uOregon Health and Science University$$041354
000009603 8564_ $$9189401e6-f49c-47d4-ac05-c22ba91d3a09$$s1014878$$uhttps://digitalcollections.ohsu.edu/record/9603/files/Steinbeck.Cecile.2022.pdf
000009603 905__ $$a/rest/prod/mw/22/v6/08/mw22v608n
000009603 909CO $$ooai:digitalcollections.ohsu.edu:9603$$pstudent-work
000009603 980__ $$aTheses and Dissertations