HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among trans women: a review |
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Authors: | Nathália Pacífico de Carvalho Cássia Cristina Pinto Mendicino Raissa Carolina Fonseca Cândido Denyr Jeferson Dutra Alecrim Cristiane Aparecida Menezes de Pádua |
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Affiliation: | 1. Departamento de Farmácia Social, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazilnpacificoc@gmail.comhttps://orcid.org/0000-0002-4142-4411;3. Departamento de Farmácia Social, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazilhttps://orcid.org/0000-0002-1627-292X;4. Departamento de Farmácia Social, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazilhttps://orcid.org/0000-0002-5353-8125;5. Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazilhttps://orcid.org/0000-0003-0913-418X;6. Departamento de Farmácia Social, Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brazilhttps://orcid.org/0000-0001-7083-3188 |
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Abstract: | ABSTRACTTransgender (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. |
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Keywords: | Pre-exposure prophylaxis PrEP transgender women HIV prevention awareness acceptability |
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