Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Barriers and Facilitators to Oral PrEP Use Among Transgender Women in New York City

TitleBarriers and Facilitators to Oral PrEP Use Among Transgender Women in New York City
Publication TypeJournal Article
Year of Publication2018
AuthorsRael, CT, Martinez, M, Giguere, R, Bockting, W, MacCrate, C, Mellman, W, Valente, P, Greene, GJ, Sherman, S, Footer, KHA, D’Aquila, RT, Carballo-Diéguez, A
JournalAIDS and Behavior
Type of ArticleArticle
ISBN Number10907165 (ISSN)
Keywordsbarriers, Facilitators, HIV prevention, PrEP, Transgender women, Transwomen

Transgender women may face a disparate risk for HIV/AIDS compared to other groups. In 2012, Truvada was approved for daily use as HIV pre-exposure prophylaxis (PrEP). However, there is a dearth of research about barriers and facilitators to PrEP in transgender women. This paper will shed light on transgender women living in New York City’s perceived and actual challenges to using PrEP and potential strategies to overcome them. After completing an initial screening process, four 90-min focus groups were completed with n = 18 transgender women. Participants were asked what they like and dislike about PrEP. Participants identified the following barriers: uncomfortable side effects, difficulty taking pills, stigma, exclusion of transgender women in advertising, and lack of research on transgender women and PrEP. Facilitators included: reducing pill size, increasing the types of available HIV prevention products, and conducting scientific studies to evaluate PrEP in transgender women. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.