AI Article Synopsis
- PrEP is underused among transgender women, particularly women of color and those in the southeastern US, highlighting the need for better access to this HIV prevention method.
- Research in Florida involved interviews with 22 transgender women, showing that many face barriers to PrEP access, including costs, lack of representation in clinical studies, poverty, and trauma due to discrimination.
- The study identified how systemic issues like transphobia and social exclusion create significant obstacles to accessing HIV preventive care, leading to adverse mental health and financial outcomes for the participants.
Article Abstract
Background: PrEP, a biomedical HIV prevention option, continues to be underutilized among transgender women who could benefit from sustained use, especially women of color and those who identify as Latina and/or reside in the southeastern US.
Objective: We explored the barriers and facilitators experienced by transgender women who live in Florida regarding accessing, using, and/or staying on PrEP.
Methods: In-depth interviews and focus groups were conducted in either Spanish or English with adult transgender women living in Florida (N = 22). The interviews were audio-recorded, transcribed, and coded in ATLAS.ti using thematic analyses.
Results: The mean age of the participants was 42.2 years. Among the participants, 73% were Hispanic/Latina, 59% were foreign-born, and approximately one-third were living with HIV (but had past experience with PrEP). Transgender women cited the following barriers to accessing or considering PrEP: (1) costs and benefits of PrEP use; (2) under-representation in clinical trials resulting in unknown or misinformation regarding PrEP side effects; (3) chronic poverty; and (4) trauma and discrimination. Other stressors, such as behavioral healthcare needs, were identified.
Conclusions: Our analysis revealed interlocking systems of oppression like transphobia, discrimination, and misgendering, which were common barriers experienced by our participants. These synergistically epidemic (i.e., syndemic) barriers contributed to their feelings of being systematically excluded in social spaces, research, public health planning and policies, laws, and social programs related to PrEP. These structural barriers are impediments to HIV preventive care but also act as a source of stress that contributes to mental health problems, financial vulnerability, substance abuse, and other deleterious health outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10970227 | PMC |
| http://dx.doi.org/10.3390/ijerph21030376 | DOI Listing |
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