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1. 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.

Author

Cooney, Erin E., Footer, Katherine H. A., Glick, Jennifer L., Passaniti, Anna, Howes, Meridian, and Sherman, Susan G.

Subjects
*HIV prevention, *HEALTH services accessibility, *TRANS women, *SEX work, *ANTIRETROVIRAL agents, *INTERVIEWING, *PRE-exposure prophylaxis, *SOCIOECONOMIC factors, *EXPERIENCE, *ETHNOLOGY research, *DESCRIPTIVE statistics, *RESEARCH funding
Abstract

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. [ABSTRACT FROM AUTHOR]

Published
2023
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