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

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

J Community Health

Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles, Los Angeles, CA, USA.

Published: December 2019

AI Article Synopsis

  • Transgender women and MSM face stigma-related health issues that increase the risk of HIV, with low uptake of PrEP despite its effectiveness.
  • A study tested a peer navigator program, A.S.K.-PrEP, to help connect these groups to PrEP over five sessions.
  • Results showed that 90% of participants were linked to PrEP, and a majority maintained their usage at the 90-day check-in, indicating that the program is a promising way to improve PrEP access and adherence.

Article Abstract

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 χ(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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859945PMC
http://dx.doi.org/10.1007/s10900-019-00705-xDOI Listing

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