Barriers to Accessing and Engaging in HIV Preventive Care and Pre-Exposure Prophylaxis Experienced by Transgender Women in Florida.
Allysha C Maragh-BassSandra KiplagatSarah LavariFrancisco SastreJessy G DevieuxDaniel JimenezRachel D ClarkeInes NoelEric W SchrimshawJae SeveliusElena CyrusPublished in: International journal of environmental research and public health (2024)
Our analysis revealed interlocking systems of oppression like transphobia, discrimination, and misgendering, which were common barriers experienced by our participants. These synergistically epidemic (i.e., syndemic) barriers contributed to their feelings of being systematically excluded in social spaces, research, public health planning and policies, laws, and social programs related to PrEP. These structural barriers are impediments to HIV preventive care but also act as a source of stress that contributes to mental health problems, financial vulnerability, substance abuse, and other deleterious health outcomes.
Keyphrases
- mental health
- public health
- hiv testing
- healthcare
- men who have sex with men
- antiretroviral therapy
- hiv positive
- hiv infected
- human immunodeficiency virus
- palliative care
- hepatitis c virus
- hiv aids
- affordable care act
- polycystic ovary syndrome
- type diabetes
- pain management
- metabolic syndrome
- single cell
- pregnant women
- global health
- skeletal muscle
- insulin resistance
- heat stress