Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru.
Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru.
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DOI：
10.1007/s10461-017-1768-8
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发表时间：
2017-12
影响因子：
4.4
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
Reisner SL;Perez-Brumer AG;McLean SA;Lama JR;Silva-Santisteban A;Huerta L;Sanchez J;Clark JL;Mimiaga MJ;Mayer KH
在秘鲁，变性妇女是感染艾滋病毒风险增加的弱势群体。2015年1月至2月期间，对48名TW和19名医疗保健专业人员进行了一项混合方法研究，以探索实施将艾滋病毒服务与性别平等医疗保健（即，激素疗法）在秘鲁利马。TW和医疗保健专业人员对综合护理模式的可接受性都很高。障碍包括耻辱、缺乏提供者培训或秘鲁关于最佳TW护理的指导方针，以及服务提供障碍（例如，法律的文件、诊所的空间布局、营业时间）。TW工作人员的雇用被认为是参与医疗保健的关键促进因素。与当地TW和医疗保健提供者组织合作，对于克服现有障碍，为秘鲁的这一关键人群成功实施艾滋病毒综合服务和性别平等医疗保健模式至关重要。
Transgender women (TW) represent a vulnerable population at increased risk for HIV infection in Peru. A mixed-methods study with 48 TW and 19 healthcare professionals was conducted between January-February 2015 to explore barriers and facilitators to implementing a model of care that integrates HIV services with gender-affirmative medical care (i.e., hormone therapy) in Lima, Peru. Perceived acceptability of the integrated care model was high among TW and healthcare professionals alike. Barriers included stigma, lack of provider training or Peruvian guidelines regarding optimal TW care, and service delivery obstacles (e.g., legal documents, spatial placement of clinics, hours of operation). The hiring of TW staff was identified as a key facilitator for engagement in health care. Working in partnership with local TW and healthcare provider organizations is critical to overcoming existing barriers to successful implementation of an integrated HIV services and gender-affirmative medical care model for this key population in Peru.
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影响因子：
4.9
作者：
Bradford, Judith B.;Coleman, Sharon;Cunningham, William
通讯作者：
Cunningham, William
影响因子：
12.7
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
通讯作者：
Coleman, E.
影响因子：
3.7
作者：
Cambou MC;Perez-Brumer AG;Segura ER;Salvatierra HJ;Lama JR;Sanchez J;Clark JL
通讯作者：
Clark JL
影响因子：
2.7
作者：
Gamarel, Kristi E.;Reisner, Sari L.;Laurenceau, Jean-Philippe;Nemoto, Tooru;Operario, Don
通讯作者：
Operario, Don
DOI：
10.1080/13691058.2014.950982
发表时间：
2015
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Gooren LJ;Sungkaew T;Giltay EJ;Guadamuz TE
通讯作者：
Guadamuz TE