Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults
IntroductionTransgender and gender non-binary (TGNB) individuals are disproportionally affected by HIV and face high rates of discrimination and stigmatization, resulting in limited access to HIV prevention services. Pre-exposure prophylaxis (PrEP) is highly efficacious for reducing the risk of HIV...
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Frontiers Media S.A.
2024-01-01
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| Series: | Frontiers in Reproductive Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/frph.2023.1150370/full |
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| author | Arianna Rodriguez Keith J. Horvath Nadia Dowshen Nadia Dowshen Raina Voss Jonathan Warus Megan Jacobs Kacie M. Kidd David J. Inwards-Breland Jill Blumenthal |
| author_facet | Arianna Rodriguez Keith J. Horvath Nadia Dowshen Nadia Dowshen Raina Voss Jonathan Warus Megan Jacobs Kacie M. Kidd David J. Inwards-Breland Jill Blumenthal |
| author_sort | Arianna Rodriguez |
| collection | DOAJ |
| description | IntroductionTransgender and gender non-binary (TGNB) individuals are disproportionally affected by HIV and face high rates of discrimination and stigmatization, resulting in limited access to HIV prevention services. Pre-exposure prophylaxis (PrEP) is highly efficacious for reducing the risk of HIV transmission. However, little research is available regarding PrEP awareness and utilization among TGNB adolescents and young adults (AYA).MethodsTGNB AYA ages 15–24 years old were recruited between December 2021 and November 2022 for participation in a one-time, anonymous online survey study to assess PrEP awareness and perceptions, as well as barriers to its use. Participants were recruited from seven academic centers offering gender-affirming care to TGNB AYA across the United States.ResultsOf the 156 TGNB AYA individuals who completed the survey, most (67%) were aware of PrEP; however, few (7%) had been prescribed PrEP. Many (60%) had not spoken to a medical provider and, even if the medication was free and obtained confidentially, most participants did not plan to take PrEP due to low perceived HIV risk, lack of PrEP knowledge, and concern about interactions between their hormone therapy and PrEP.DiscussionThese findings underscore the need for broad PrEP educational efforts for both TGNB AYA and their providers to improve knowledge, identify potential PrEP candidates among TGNB AYA and improve access by addressing identified barriers. |
| first_indexed | 2024-03-08T12:29:16Z |
| format | Article |
| id | doaj.art-70565fceb810466a80487cce682a65c4 |
| institution | Directory Open Access Journal |
| issn | 2673-3153 |
| language | English |
| last_indexed | 2024-03-08T12:29:16Z |
| publishDate | 2024-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Reproductive Health |
| spelling | doaj.art-70565fceb810466a80487cce682a65c42024-01-22T04:44:35ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532024-01-01510.3389/frph.2023.11503701150370Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adultsArianna Rodriguez0Keith J. Horvath1Nadia Dowshen2Nadia Dowshen3Raina Voss4Jonathan Warus5Megan Jacobs6Kacie M. Kidd7David J. Inwards-Breland8Jill Blumenthal9Department of Medicine, University of California San Diego, La Jolla, CA, United StatesDepartment of Psychology, San Diego State University, San Diego, CA, United StatesCraig-Dalsimer Division of Adolescent Medicine, Children’s Hospital of Philadelphia, Philadelphia, PA, United StatesDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United StatesDivision of Adolescent Medicine, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, United StatesDepartment of Pediatrics, Children’s Hospital Los Angeles, Keck School of Medicine of USC, Los Angeles, CA, United StatesDepartment of Pediatrics, Oregon Health and Science University, Portland, OR, United StatesDivision of Adolescent Medicine, WVU Medicine Children’s, Morgantown, WV, United StatesDepartment of Pediatrics, Rady Children’s Hospital, UCSD, La Jolla, CA, United StatesDepartment of Medicine, University of California San Diego, La Jolla, CA, United StatesIntroductionTransgender and gender non-binary (TGNB) individuals are disproportionally affected by HIV and face high rates of discrimination and stigmatization, resulting in limited access to HIV prevention services. Pre-exposure prophylaxis (PrEP) is highly efficacious for reducing the risk of HIV transmission. However, little research is available regarding PrEP awareness and utilization among TGNB adolescents and young adults (AYA).MethodsTGNB AYA ages 15–24 years old were recruited between December 2021 and November 2022 for participation in a one-time, anonymous online survey study to assess PrEP awareness and perceptions, as well as barriers to its use. Participants were recruited from seven academic centers offering gender-affirming care to TGNB AYA across the United States.ResultsOf the 156 TGNB AYA individuals who completed the survey, most (67%) were aware of PrEP; however, few (7%) had been prescribed PrEP. Many (60%) had not spoken to a medical provider and, even if the medication was free and obtained confidentially, most participants did not plan to take PrEP due to low perceived HIV risk, lack of PrEP knowledge, and concern about interactions between their hormone therapy and PrEP.DiscussionThese findings underscore the need for broad PrEP educational efforts for both TGNB AYA and their providers to improve knowledge, identify potential PrEP candidates among TGNB AYA and improve access by addressing identified barriers.https://www.frontiersin.org/articles/10.3389/frph.2023.1150370/fullpre-exposure prophylaxistransgendernon-binaryadolescentsawarenessyoung adults |
| spellingShingle | Arianna Rodriguez Keith J. Horvath Nadia Dowshen Nadia Dowshen Raina Voss Jonathan Warus Megan Jacobs Kacie M. Kidd David J. Inwards-Breland Jill Blumenthal Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults Frontiers in Reproductive Health pre-exposure prophylaxis transgender non-binary adolescents awareness young adults |
| title | Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults |
| title_full | Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults |
| title_fullStr | Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults |
| title_full_unstemmed | Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults |
| title_short | Awareness and utilization of pre-exposure prophylaxis and HIV prevention services among transgender and non-binary adolescent and young adults |
| title_sort | awareness and utilization of pre exposure prophylaxis and hiv prevention services among transgender and non binary adolescent and young adults |
| topic | pre-exposure prophylaxis transgender non-binary adolescents awareness young adults |
| url | https://www.frontiersin.org/articles/10.3389/frph.2023.1150370/full |
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