Understanding the social and structural context of oral PrEP delivery: an ethnography exploring barriers and facilitators impacting transgender women who engage in street-based sex work in Baltimore, Maryland.
Understanding the social and structural context of oral PrEP delivery: an ethnography exploring barriers and facilitators impacting transgender women who engage in street-based sex work in Baltimore, Maryland.
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DOI：
10.1186/s12981-023-00556-6
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发表时间：
2023-09-20
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
--
作者：
从事性交易的跨性别女性（TWSS）感染艾滋病毒的比例很高。用于暴露前预防的抗逆转录病毒药物是一种有效的艾滋病毒预防策略。社会和结构因素影响PrEP在TWSS中提供的研究还不够充分。我们进行了民族志研究，以研究多层次的社会和结构因素如何在TWSS的生活经历中表现出来，并影响PrEP的提供和使用。从蓝宝石队列中招募了24名跨性别妇女，并完成了访谈，重点是在街头性工作背景下参与预防工作的障碍和促进因素。还进行了利益相关者访谈（N = 7）。我们的研究结果表明，风险环境的独特特征可能共同阻碍TWSS使用PrEP。
Transgender women who sell sex (TWSS) experience high rates of HIV acquisition. Antiretrovirals for pre-exposure prophylaxis (PrEP) represent an efficacious HIV prevention strategy. The social and structural factors affecting PrEP delivery amongst TWSS are underexplored in the literature. We conducted ethnographic research to examine how multilevel social and structural factors manifest in TWSS’s lived experiences and affect PrEP delivery and use. Twenty-four transgender women were recruited from the SAPPHIRE cohort and completed interviews focused on barriers and facilitators to PrEP engagement in the context of street-based sex work. Stakeholder interviews (N = 7) were also conducted. Our findings suggest there are unique features of the risk environment that can collectively impede PrEP use among TWSS.
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影响因子：
4.6
作者：
Golub SA
通讯作者：
Golub SA
影响因子：
56.3
作者：
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通讯作者：
Kerrigan, Deanna
影响因子：
168.9
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Hare, C. Bradley
影响因子：
4.4
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Eaton LA;Kalichman SC;Price D;Finneran S;Allen A;Maksut J
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Maksut J
影响因子：
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