Acceptability of Antiretroviral Pre-exposure Prophylaxis from a Cohort of Sexually Experienced Young Transgender Women in Two U.S. Cities.
Arjee J RestarLisa KuhnsSari L ReisnerAdedotun OgunbajoRobert GarofaloMatthew J MimiagaPublished in: AIDS and behavior (2018)
Emtricitabine/tenofovir disoproxil fumarate as pre-exposure prophylaxis (PrEP) can prevent HIV infection among at-risk individuals, including young transgender women (YTW). We used baseline data from 230 HIV-uninfected YTW (ages 16-29 years) who were enrolled in Project LifeSkills during 2012-2015. We examined factors associated with perceived acceptability of PrEP use (mean score = 23.4, range 10.0-30.0). Participants were largely transgender women of color (67%) and had a mean age of 23 years (SD = 3.5). In an adjusted multiple linear regression model, PrEP interest (β = 3.7, 95% CI 2.2-5.2) and having a medical provider who meets their health needs (β = 2.9, 95% CI 1.3-4.4) was associated with higher PrEP acceptability scores, whereas younger age (21-25 vs 26-29 years) (β = -2.0, 95% CI - 3.6 to - 0.4) and reporting transactional sex in the past 4 months (β = - 1.5, 95% CI - 3.0 to - 0.1) was associated with lower PrEP acceptability scores (all p values < 0.05). Enhancing PrEP-related interventions by addressing the unique barriers to uptake among YTW of younger age or those with history of transactional sex could bolster PrEP acceptability for this population.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- polycystic ovary syndrome
- hiv infected
- antiretroviral therapy
- healthcare
- physical activity
- human immunodeficiency virus
- public health
- mental health
- pregnancy outcomes
- depressive symptoms
- type diabetes
- breast cancer risk
- hepatitis c virus
- middle aged
- metabolic syndrome
- health information
- big data
- adverse drug