HIV Pre-exposure Prophylaxis Continuum of Care Among Transgender Individuals in an Integrated Health care System

Hojilla, J Carlo; Hurley, Leo B.; Marcus, Julia L.; Satre, Derek D.; Silverberg, Michael J.; Zaritsky, Eve; Getahun, Darios; Goodman, Michael; Volk, Jonathan E.

doi:10.1097/qai.0000000000002853

Cited by 1 publication

(1 citation statement)

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“…However, evidence of PrEP efficacy among transgender and gender diverse individuals is lacking, likely due to underrepresentation of these groups in clinical trials and suboptimal adherence [ 10 , 11 ]. Studies of the PrEP care cascade among transgender and gender diverse individuals in both health system and community settings have identified major gaps in linkage to PrEP care and persistence on PrEP [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding Barriers and Facilitators of Pre-exposure Prophylaxis (PrEP) Among Transgender and Gender Diverse Adults in an Integrated Health Care System

et al. 2023

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Transgender and gender diverse individuals face health disparities such as higher HIV prevalence, but limited studies have found low PrEP uptake among these populations. To understand both patient and provider perspectives regarding PrEP care for transgender and gender diverse individuals, we conducted a mixed-methods study at Kaiser Permanente Southern California from September 2020 to October 2021. Transgender and gender diverse adults (N = 396) participated in a web-based survey, and qualitative interviews were subsequently conducted with a subset of survey respondents (N = 32) and healthcare providers (N = 8). Among survey respondents, > 75% were familiar with PrEP, and > 40% reported at least one HIV risk factor, but < 5% had taken PrEP. Interview themes included increasing providers’ inclusivity in primary care for transgender and gender diverse patients, and reducing logistical barriers and costs associated with PrEP-related visits. To improve PrEP uptake among transgender and gender diverse individuals, barriers across patient, provider, and health system levels must be addressed. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-023-03983-8.

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