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Exploring barriers and facilitators to PrEP use among transgender women in two urban areas: implications for messaging and communication
Brajuha, Jesse Gutierrez-Mock, Luis Koester, Kimberly Sevelius, Jae
Brajuha, Jesse
Gutierrez-Mock, Luis
Koester, Kimberly
Sevelius, Jae
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Journal article
Date
2022-01-06
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Social and Behavioral Sciences
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http://dx.doi.org/10.1186/s12889-021-12425-w
Abstract
Background: Trans women are at increased risk for HIV infection yet are less likely to use pre-exposure prophylaxis (PrEP) medication as a preventive measure. PrEP messaging and marketing has focused on men who have sex with men (MSM) or included trans women as a subset of MSM, ignoring the potential barriers to PrEP use unique to trans women. Little is known about how this group conceptualizes PrEP, what knowledge gaps still exist, and how trans women believe PrEP should be communicated to increase use. Methods: This qualitative study conducted focus groups (n=5) in Philadelphia and Sacramento with trans women to assess these issues. Results: Twelve sub-themes were found related to fve main domains, including PrEP knowledge, benefts, barriers, community-related considerations, and essaging/marketing. Findings indicate that knowledge of PrEP is still low and beliefs about PrEP’s efects on hormone use persist. Most importantly, participants voiced a demand for culturally appropriate trans-specifc messages in HIV prevention interventions and communication. Conclusions: Without acknowledging specifc barriers to PrEP uptake among transgender women separate from those of MSM and incorporating gender afrmation into PrEP education, simply knowing PrEP is available may not motivate trans women to use PrEP. This has important implications for future eforts to communicate about PrEP with trans women.
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Bass, S.B., Kelly, P.J., Brajuha, J. et al. Exploring barriers and facilitators to PrEP use among transgender women in two urban areas: implications for messaging and communication. BMC Public Health 22, 17 (2022). https://doi.org/10.1186/s12889-021-12425-w
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BMC Public Health, Vol. 22
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