Barriers and Facilitators to Integrating Gender-Affirming Care and HIV Prevention/Treatment in Illinois and Missouri: Formative Interviews with Implementation Practitioners.

Alithia Zamantakis, Juan Pablo Zapata, Artur A F L N Queiroz, Valeria A Donoso
{"title":"Barriers and Facilitators to Integrating Gender-Affirming Care and HIV Prevention/Treatment in Illinois and Missouri: Formative Interviews with Implementation Practitioners.","authors":"Alithia Zamantakis, Juan Pablo Zapata, Artur A F L N Queiroz, Valeria A Donoso","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Transgender people experience vast disparities in HIV prevalence, incidence, linkage to care, treatment, and prevention. Recent scholarship has highlighted that gender affirming care (GAC) may facilitate HIV treatment and HIV prevention. However, few researchers have examined how best to integrate these forms of care outside LGBT-focused clinics. Twelve interviews were conducted with key informants in community-based organizations, HIV clinics, and health departments in urban and rural Illinois and Missouri. Interviews were analyzed using a rapid qualitative analytic process, involving the production of analytic memos, coding of memos in NVivo using the Consolidated Framework for Implementation Research, and production of matrices for within-site and cross-site comparison. Key informants were highly excited at the possibility of integrating gender affirming care and HIV services. They highlighted numerous barriers that need to be targeted, including local attitudes and conditions, equity-centeredness, provider capability, and policies and laws. They also highlighted barriers to HIV care alone for transgender patients, including transportation, cost, stigma, provider capability, and homelessness. While numerous barriers exist, provider and funder acceptability are high. Attending to the needs of trans patients may support efforts to end the HIV epidemic by increasing organizational adoption of evidence-based and equity-centered interventions.</p>","PeriodicalId":519980,"journal":{"name":"Bulletin of applied transgender studies","volume":"3 3-4","pages":"205-228"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845241/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bulletin of applied transgender studies","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Transgender people experience vast disparities in HIV prevalence, incidence, linkage to care, treatment, and prevention. Recent scholarship has highlighted that gender affirming care (GAC) may facilitate HIV treatment and HIV prevention. However, few researchers have examined how best to integrate these forms of care outside LGBT-focused clinics. Twelve interviews were conducted with key informants in community-based organizations, HIV clinics, and health departments in urban and rural Illinois and Missouri. Interviews were analyzed using a rapid qualitative analytic process, involving the production of analytic memos, coding of memos in NVivo using the Consolidated Framework for Implementation Research, and production of matrices for within-site and cross-site comparison. Key informants were highly excited at the possibility of integrating gender affirming care and HIV services. They highlighted numerous barriers that need to be targeted, including local attitudes and conditions, equity-centeredness, provider capability, and policies and laws. They also highlighted barriers to HIV care alone for transgender patients, including transportation, cost, stigma, provider capability, and homelessness. While numerous barriers exist, provider and funder acceptability are high. Attending to the needs of trans patients may support efforts to end the HIV epidemic by increasing organizational adoption of evidence-based and equity-centered interventions.

伊利诺伊州和密苏里州整合性别确认护理和艾滋病毒预防/治疗的障碍和促进因素:与实施从业人员的形成性访谈。
跨性别者在艾滋病毒流行率、发病率、与护理、治疗和预防的联系方面存在巨大差异。最近的学术研究强调,性别确认护理(GAC)可以促进艾滋病毒的治疗和预防。然而,很少有研究人员研究过如何最好地将这些形式的护理整合到以lgbt为中心的诊所之外。对伊利诺伊州和密苏里州城乡社区组织、艾滋病毒诊所和卫生部门的关键举报人进行了12次访谈。访谈使用快速定性分析过程进行分析,包括分析备忘录的生成,使用实施研究统一框架在NVivo中对备忘录进行编码,以及用于站点内和跨站点比较的矩阵的生成。主要信息提供者对将性别确认护理和艾滋病毒服务结合起来的可能性感到非常兴奋。他们强调了需要针对的许多障碍,包括当地的态度和条件、以公平为中心、提供者能力以及政策和法律。他们还强调了跨性别患者单独接受艾滋病毒治疗的障碍,包括交通、费用、耻辱、提供者能力和无家可归。虽然存在许多障碍,但提供者和资助者的可接受性很高。关注跨性别患者的需求可以通过增加组织采用循证和以公平为中心的干预措施来支持结束艾滋病毒流行的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信