دورية أكاديمية
A cross-sectional analysis of psychosocial and structural barriers and facilitators associated with PrEP use among a sample of transgender women in Chicago, IL.
| العنوان: | A cross-sectional analysis of psychosocial and structural barriers and facilitators associated with PrEP use among a sample of transgender women in Chicago, IL. |
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| المؤلفون: | Kuhns LM; Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. lkuhns@luriechildrens.org.; Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA. lkuhns@luriechildrens.org., Perloff J; Chicago House and Social Service Agency, Chicago, IL, USA., Johnson AK; Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.; Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA., Paul JL; Chicago House and Social Service Agency, Chicago, IL, USA., Pleasant K; Chicago House and Social Service Agency, Chicago, IL, USA., Evans K; Chicago House and Social Service Agency, Chicago, IL, USA., Denson DJ; Centers for Disease Control and Prevention, Atlanta, GA, USA., Gelaude DJ; Centers for Disease Control and Prevention, Atlanta, GA, USA., Bessler PA; Centers for Disease Control and Prevention, Atlanta, GA, USA., Diskin R; Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA., Cervantes M; Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA., Garofalo R; Department of Pediatrics, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.; Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA., Hotton AL; Department of Medicine, University of Chicago, Chicago, IL, USA. |
| المصدر: | AIDS research and therapy [AIDS Res Ther] 2023 Apr 21; Vol. 20 (1), pp. 24. Date of Electronic Publication: 2023 Apr 21. |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, P.H.S.; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101237921 Publication Model: Electronic Cited Medium: Internet ISSN: 1742-6405 (Electronic) Linking ISSN: 17426405 NLM ISO Abbreviation: AIDS Res Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2004- |
| مواضيع طبية MeSH: | Transgender Persons*/psychology , Pre-Exposure Prophylaxis*, Humans ; Female ; Adolescent ; Young Adult ; Adult ; Cross-Sectional Studies ; Male ; Chicago |
| مستخلص: | Background: Expanding pre-exposure prophylaxis (PrEP) among transgender women in the United States is an important strategy to meet national HIV prevention goals, however self-reported use of PrEP is low in this group. Methods: This study reports the findings of a cross-sectional analysis of the relationship of barriers as well as facilitators to recent PrEP use among transgender women enrolled in an evaluation of the TransLife Care project (Chicago, Illinois), a structural intervention designed to meet basic needs. We computed multivariable prevalence ratios for barriers, facilitators and recent PrEP use, controlling for demographics. Results: Findings suggest that psychosocial and structural barriers, including moderate/high alcohol use, stimulant use, and history of incarceration were all positively associated with recent PrEP use among urban transgender women. In addition, a psychosocial facilitator, gender affirmation, was positively associated with recent PrEP use, while, while collective self-esteem, a was negatively associated with it. Finally, common indications for PrEP have high sensitivity, but low specificity and predictive value for identifying those on PrEP. Conclusion: We conclude that despite a large gap in PrEP use among those with indications, individuals experiencing psychosocial and structural barriers are more likely to use PrEP, and facilitators, such as psychological sense of affirmed gender may support its use. Trial Registration: N/A. (© 2023. The Author(s).) |
| References: | Arch Intern Med. 2006 May 22;166(10):1092-7. (PMID: 16717171) AIDS Care. 2021 Feb;33(2):244-252. (PMID: 32449399) AIDS Behav. 2021 Jul;25(7):2301-2315. (PMID: 33515132) Am J Orthopsychiatry. 1998 Jul;68(3):361-71; discussion 372-5. (PMID: 9686289) J Acquir Immune Defic Syndr. 2021 Sep 1;88(1):10-18. (PMID: 34397742) JAMA. 2019 Mar 5;321(9):844-845. (PMID: 30730529) AIDS Behav. 2016 Jul;20(7):1470-7. (PMID: 26336946) Eval Program Plann. 2022 Feb;90:101998. (PMID: 34544606) Sex Roles. 2013 Jun 1;68(11-12):675-689. (PMID: 23729971) Int J Environ Res Public Health. 2021 Mar 23;18(6):. (PMID: 33806834) J Acquir Immune Defic Syndr. 2022 May 1;90(1):15-19. (PMID: 35013087) J Acquir Immune Defic Syndr. 2020 Aug 15;84(5):437-442. (PMID: 32692101) Am J Prev Med. 1994 Mar-Apr;10(2):77-84. (PMID: 8037935) Transgend Health. 2016 May 01;1(1):86-93. (PMID: 29159300) Glob Public Health. 2016 Aug-Sep;11(7-8):1060-75. (PMID: 26963756) J Int AIDS Soc. 2016 Oct 18;19(7(Suppl 6)):21105. (PMID: 27760683) AIDS Educ Prev. 2021 Aug;33(4):345-360. (PMID: 34370565) JAMA Pediatr. 2018 Oct 1;172(10):916-923. (PMID: 30105381) |
| معلومات مُعتمدة: | U01PS005140 United States ACL ACL HHS; UL1 TR001422 United States TR NCATS NIH HHS; U01PS005140 United States CC CDC HHS |
| فهرسة مساهمة: | Keywords: HIV; Pre-exposure prophylaxis; Transgender women |
| تواريخ الأحداث: | Date Created: 20230421 Date Completed: 20230425 Latest Revision: 20240229 |
| رمز التحديث: | 20240229 |
| مُعرف محوري في PubMed: | PMC10122350 |
| DOI: | 10.1186/s12981-023-00516-0 |
| PMID: | 37085860 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1742-6405 |
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| DOI: | 10.1186/s12981-023-00516-0 |