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HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among trans women: a review

机译:艾滋病毒预曝光预防(准备)跨妇女的意识和可接受性:审查

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摘要

Transgender (trans) women are disproportionally burdened by the HIV epidemic due to complex structural, psychosocial and biological factors. HIV pre-exposure prophylaxis (PrEP) is a biomedical prevention approach for people at substantial risk of acquiring HIV. This literature review assessed awareness, willingness to use, and barriers and facilitators for PrEP acceptability among trans women. A search was conducted through five databases and included studies with primary data and disaggregate results for trans women. Of 255 retrieved citations, 17 met the inclusion criteria and were included. Low to moderate knowledge about PrEP was observed among studies. However, willingness to use PrEP was predominantly high. Frequent barriers to PrEP acceptability included concerns about side effects, cost, hormone therapy, adherence, PrEP-related stigma and interaction with healthcare workers. Facilitators included perceived reduction of HIV risk, fear of HIV/AIDS and reduced dependence on partners. Findings suggest elevated interest in PrEP and highlight important barriers and facilitators that should be specifically addressed to optimize PrEP uptake and use among this highly vulnerable population.
机译:由于复杂的结构,心理社会和生物因素,艾滋病病毒潮流性妇女对艾滋病病毒疫情不成比例地负担。艾滋病毒预曝光预防(PREP)是艾滋病毒获得实质性风险的生物医学预防方法。该文献综述评估了意识,使用意愿,跨妇女准备可接受的障碍和促进者。搜索是通过五个数据库进行的,并包括主要数据的研究和跨妇女的分解结果。 255个检索到的引文,17符合纳入标准,包括在内。在研究中观察到对准备的适度知识。但是,使用准备的意愿主要是很高的。准备可接受性频繁的障碍包括关于副作用,成本,激素治疗,遵守,预采用相关的耻辱和与医疗工作者的互动的担忧。促进者包括艾滋病毒风险的减少,担心艾滋病毒/艾滋病,并对伙伴的依赖减少。调查结果表明,对准备的兴趣提高,并突出了应具体讨论的重要障碍和促进者,以优化预科吸收和使用这种高度脆弱的人口。

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