HIV Prevention and Primary Care for Transgender Women in a Community-Based Clinic
HIV Prevention and Primary Care for Transgender Women in a Community-Based Clinic
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DOI：
10.1016/j.jana.2009.06.002
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发表时间：
2009-09-01
影响因子：
2
通讯作者：
Pinto, Rogerio M.
中科院分区：
文献类型：
--
作者：
Melendez, Rita M.;Pinto, Rogerio M.
男变男跨性别者或跨性别女性 (TW) 感染艾滋病毒的风险很高，并且在艾滋病毒护理方面面临多重障碍。倡导者一致认为，为了预防台湾的艾滋病毒感染，需要同时解决许多因素，包括初级卫生保健。本文探讨了提供免费或低成本护理的社区诊所如何满足台湾的医疗保健需求。共有 20 名在致力于社区健康的医疗保健诊所就诊的台湾人接受了有关艾滋病毒预防和初级保健最佳实践的采访。我们进行了深入访谈、转录、编码和分析。据报道，对艾滋病毒预防和初级保健有效的因素包括（a）在非专门为跨性别和/或同性恋社区提供服务的环境中获得医疗保健，（b）友好的氛围和工作人员的敏感性，以及（c）包括激素治疗在内的整体护理。以社区为基础的医疗保健机构可以成为台湾艾滋病毒预防和初级保健的理想场所。
Male-to-male transgender individuals, or trans-fie gender women (TW), are at high risk for HIV infection and face multiple barriers to HIV care. Advocates agree that numerous factors need to be addressed concurrently to prevent HIV infection in TW, including primary health care. This article examines how a community-based clinic that offers free or low-cost care addresses the health care needs of TW. A total of 20 TW who attended a health care clinic dedicated to community-based health were interviewed regarding best practices for HIV prevention and primary care. In-depth interviews were conducted, transcribed, coded, and analyzed. Factors reported to be effective for HIV prevention and primary care included (a) access to health care in settings not dedicated to serving transgender and/or gay communities, (b) a friendly atmosphere and staff sensitivity, and (c) holistic care including hormone therapy. Community-based health care settings can be ideal locales for HIV prevention and primary care for TW.