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

Bulletin of applied transgender studies Pub Date : 2024-12-15

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":"","url":null,"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.","PeriodicalId":519980,"journal":{"name":"Bulletin of applied transgender studies","volume":"3 3-4","pages":"205-228"},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It's not the 'being trans,' it's everything around that": Trans Community Perspectives for Suicide Prevention. "这不是'变性'的问题，而是与变性有关的一切"：变性社区预防自杀的观点。

Bulletin of applied transgender studies Pub Date : 2024-01-01 Epub Date: 2024-06-28 DOI: 10.57814/ec38-hh59

Anne V Kirby, Emily Krebs, Laurel Hiatt, Anna Docherty, Nicole L Mihalopoulos, Brooks R Keeshin, Elese Peifer, Marlee Craker, Michael Staley, Amanda V Bakian, Hilary Coon

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引用次数: 0