Social Networks Play a Complex Role in HIV Prevention Knowledge, Attitudes, Practices, and the Uptake of PrEP Through Transgender Women Communities Centered Around Three "Casas Trans" in Lima, Peru: A Qualitative Study.
Social Networks Play a Complex Role in HIV Prevention Knowledge, Attitudes, Practices, and the Uptake of PrEP Through Transgender Women Communities Centered Around Three "Casas Trans" in Lima, Peru: A Qualitative Study.
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DOI：
10.1177/23259582231196705
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发表时间：
2023-01
影响因子：
--
通讯作者：
Blair, Cherie
中科院分区：
文献类型：
--
作者：
Temelkovska, Tijana;Moriarty, Kathleen;Huerta, Leyla;Perez-Brumer, Amaya;Segura, Eddy;Passaro, Ryan Colby;Lake, Jordan E.;Clark, Jesse;Blair, Cherie
跨性别女性 (TW) 的社交网络可以促进艾滋病毒预防信息的传播和规范的强化。我们对秘鲁利马 3 个“casas trans”（TW 之间共享的房屋）附属的 20 个 TW 的社交网络进行了定性研究，利用创新扩散理论来调查社区层面的艾滋病毒预防规范。参与者完成了人口统计调查问卷、社交网络访谈和半结构化深度访谈。平均年龄为 26 岁，所有参与者都从事性工作。访谈显示，艾滋病预防知识和积极态度较高，但艾滋病预防参与度较低。受访者主要与其他台湾人讨论了艾滋病毒预防问题。网络成员对暴露前预防 (PrEP) 的看法经常影响受访者的个人信念，包括对医护人员的不信任、对 PrEP 功效未经证实的担忧、对不良反应的恐惧以及对难以获得 PrEP 的沮丧。可以利用 TW 网络中的影响模式来提高艾滋病毒预防工具（包括 PrEP）的采用。
Transgender women's (TW) social networks may facilitate HIV prevention information dissemination and normative reinforcement. We conducted a qualitative study of social networks among 20 TW affiliated with 3 “casas trans” (houses shared among TW) in Lima, Peru, using diffusion of innovations theory to investigate community-level HIV prevention norms. Participants completed demographic questionnaires, social network interviews, and semistructured in-depth interviews. Median age was 26 and all participants engaged in sex work. Interviews revealed high HIV prevention knowledge and positive attitudes, but low engagement in HIV prevention. Respondents primarily discussed HIV prevention with other TW. Network members’ opinions about pre-exposure prophylaxis (PrEP) frequently influenced respondents’ personal beliefs, including mistrust of healthcare personnel, concern that PrEP efficacy was unproven, fear of adverse effects, and frustration regarding difficulty accessing PrEP. Patterns of influence in TW networks may be leveraged to improve uptake of HIV prevention tools, including PrEP.
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DOI：
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发表时间：
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