Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis
Half of new HIV infections in Thailand are among young people, the majority of whom are young gay and other men who have sex with men (YMSM) and young transgender women (YTGW). Amid low pre-exposure prophylaxis (PrEP) coverage, we explored practice-based factors that impact PrEP engagement among YMS...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-07-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/23259582231188221 |
| _version_ | 1797777744136765440 |
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| author | Peter A. Newman PhD Suchon Tepjan MPH Kangwan Fongkaew PhD Pakorn Akkakanjanasupar PhD Jan Willem de Lind van Wijngaarden PhD Nuttapon Chonwanarat MA |
| author_facet | Peter A. Newman PhD Suchon Tepjan MPH Kangwan Fongkaew PhD Pakorn Akkakanjanasupar PhD Jan Willem de Lind van Wijngaarden PhD Nuttapon Chonwanarat MA |
| author_sort | Peter A. Newman PhD |
| collection | DOAJ |
| description | Half of new HIV infections in Thailand are among young people, the majority of whom are young gay and other men who have sex with men (YMSM) and young transgender women (YTGW). Amid low pre-exposure prophylaxis (PrEP) coverage, we explored practice-based factors that impact PrEP engagement among YMSM and YTGW. In 2018, we conducted 4 focus group discussions with 20 YMSM and 5 YTGW, and 22 in-depth interviews (5 in 2022) with healthcare providers (HCPs), community-based organization (CBO)/nongovernmental organization (NGO) staff, and peer educators. The inclusion of PrEP in universal healthcare coverage, including YMSM and YTGW, is a substantial facilitator of PrEP use; however, systemic barriers at microsocial (lack of communication about PrEP from HCPs, teachers, parents), mesosocial (healthcare-service fragmentation, lack of PrEP-competent HCPs), and macrosocial levels (annual quotas on free HIV-testing, HIV- and sexual-stigma) constrain and disincentivize adolescents’ engagement with PrEP. National scale-up of youth-friendly and LGBT-affirmative CBO/NGO clinics, HCP training, and tailored programs to support adolescents’ adherence may promote PrEP engagement among YMSM and YTGW in Thailand. |
| first_indexed | 2024-03-12T23:09:03Z |
| format | Article |
| id | doaj.art-d522a67bbf9d490b8de30244ee876ca5 |
| institution | Directory Open Access Journal |
| issn | 2325-9582 |
| language | English |
| last_indexed | 2024-03-12T23:09:03Z |
| publishDate | 2023-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj.art-d522a67bbf9d490b8de30244ee876ca52023-07-18T09:33:47ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822023-07-012210.1177/23259582231188221Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative AnalysisPeter A. Newman PhD0Suchon Tepjan MPH1Kangwan Fongkaew PhD2Pakorn Akkakanjanasupar PhD3Jan Willem de Lind van Wijngaarden PhD4Nuttapon Chonwanarat MA5 Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada VOICES-Thailand Foundation, Chiang Mai, Thailand , Chonburi, Thailand VOICES-Thailand Foundation, Chiang Mai, Thailand Independent Scholar/Consultant, Bangsaen Chonburi, Thailand VOICES-Thailand Foundation, Chiang Mai, ThailandHalf of new HIV infections in Thailand are among young people, the majority of whom are young gay and other men who have sex with men (YMSM) and young transgender women (YTGW). Amid low pre-exposure prophylaxis (PrEP) coverage, we explored practice-based factors that impact PrEP engagement among YMSM and YTGW. In 2018, we conducted 4 focus group discussions with 20 YMSM and 5 YTGW, and 22 in-depth interviews (5 in 2022) with healthcare providers (HCPs), community-based organization (CBO)/nongovernmental organization (NGO) staff, and peer educators. The inclusion of PrEP in universal healthcare coverage, including YMSM and YTGW, is a substantial facilitator of PrEP use; however, systemic barriers at microsocial (lack of communication about PrEP from HCPs, teachers, parents), mesosocial (healthcare-service fragmentation, lack of PrEP-competent HCPs), and macrosocial levels (annual quotas on free HIV-testing, HIV- and sexual-stigma) constrain and disincentivize adolescents’ engagement with PrEP. National scale-up of youth-friendly and LGBT-affirmative CBO/NGO clinics, HCP training, and tailored programs to support adolescents’ adherence may promote PrEP engagement among YMSM and YTGW in Thailand.https://doi.org/10.1177/23259582231188221 |
| spellingShingle | Peter A. Newman PhD Suchon Tepjan MPH Kangwan Fongkaew PhD Pakorn Akkakanjanasupar PhD Jan Willem de Lind van Wijngaarden PhD Nuttapon Chonwanarat MA Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis Journal of the International Association of Providers of AIDS Care |
| title | Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis |
| title_full | Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis |
| title_fullStr | Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis |
| title_full_unstemmed | Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis |
| title_short | Multilevel Factors Impacting PrEP Engagement Among Young Gay Men and Young Transgender Women in Thailand: A Qualitative Analysis |
| title_sort | multilevel factors impacting prep engagement among young gay men and young transgender women in thailand a qualitative analysis |
| url | https://doi.org/10.1177/23259582231188221 |
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