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HIV information needs of transgender people and their healthcare providers

机译:艾滋病毒信息需求变性人和他们的医疗保健提供者

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摘要

Despite the disproportionate burden of HIV among transgender people in the United States, few HIV-related communication materials exist for transgender people or their healthcare providers. Our goal was to understand the barriers and facilitators transgender people face in accessing HIV prevention, testing, and care services and the potential implications for message development and dissemination. We reviewed the literature and interviewed nine key informants representing healthcare and service providers, researchers, and transgender advocates. Healthcare providers who care for transgender patients often demonstrate a lack of transgender competent care strategies. In addition, transgender people face many barriers to accessing HIV services. Although communication materials cannot address many of these barriers, materials specifically developed for transgender people and their healthcare providers would fill a gap and may increase uptake of HIV services. Materials for transgender people should include gender-affirming messaging and imagery, be framed in terms of resiliency, and present HIV information tailored to the needs of transgender people. Materials for healthcare providers should provide basic information to increase transgender competency and provision of comprehensive healthcare for transgender patients, inclusive of gender-affirming and HIV prevention, testing and care services. Channels for disseminating materials to transgender people and healthcare providers are described.
机译:尽管在美国的变性人群中艾滋病毒的负担不成比例,但近年人人民或其医疗保健提供者存在很少有艾滋病毒相关的通信材料。我们的目标是了解障碍和促进者的变性人员在访问艾滋病毒预防,检测和护理服务以及对信息开发和传播的潜在影响方面。我们审查了代表医疗保健和服务提供商,研究人员和转型倡导者的文学和采访了九个主要信息人员。护理转型患者的医疗保健提供者常常表现出缺乏变性主动的护理策略。此外,跨性别人员面临许多访问艾滋病毒服务的障碍。虽然通信材料不能解决许多这些障碍,但专门为变性人和其医疗保健提供者开发的材料将填补差距,并可能增加艾滋病服务的吸收。跨性别人员的材料应包括性别肯定的消息传递和图像,在弹性方面进行框架,并呈现针对变性人的需求的艾滋病毒信息。医疗保健提供者的材料应提供基本信息,以提高变性患者的变性能力和综合医疗保健,包括性别肯定和艾滋病毒预防,测试和护理服务。描述了将材料传播给变性人和医疗保健提供者的渠道。

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