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
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. W...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | AIDS Research and Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12981-023-00556-6 |
| _version_ | 1797556324152639488 |
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| author | Erin E. Cooney Katherine H. A. Footer Jennifer L. Glick Anna Passaniti Meridian Howes Susan G. Sherman |
| author_facet | Erin E. Cooney Katherine H. A. Footer Jennifer L. Glick Anna Passaniti Meridian Howes Susan G. Sherman |
| author_sort | Erin E. Cooney |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T17:01:13Z |
| format | Article |
| id | doaj.art-bb7cec1f2b7447818fcdb242cbd16df9 |
| institution | Directory Open Access Journal |
| issn | 1742-6405 |
| language | English |
| last_indexed | 2024-03-10T17:01:13Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | AIDS Research and Therapy |
| spelling | doaj.art-bb7cec1f2b7447818fcdb242cbd16df92023-11-20T10:58:56ZengBMCAIDS Research and Therapy1742-64052023-09-0120111010.1186/s12981-023-00556-6Understanding 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, MarylandErin E. Cooney0Katherine H. A. Footer1Jennifer L. Glick2Anna Passaniti3Meridian Howes4Susan G. Sherman5Department of International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public HealthDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public HealthDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of International Health, Johns Hopkins Bloomberg School of Public HealthDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public HealthAbstract 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.https://doi.org/10.1186/s12981-023-00556-6Transgender womenSex workPreexposure prophylaxisHIVRisk environment |
| spellingShingle | Erin E. Cooney Katherine H. A. Footer Jennifer L. Glick Anna Passaniti Meridian Howes Susan G. Sherman 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 AIDS Research and Therapy Transgender women Sex work Preexposure prophylaxis HIV Risk environment |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Transgender women Sex work Preexposure prophylaxis HIV Risk environment |
| url | https://doi.org/10.1186/s12981-023-00556-6 |
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