000 02638nam a22003497a 4500
008 232233s20232023 xxu||||| |||| 00| 0 eng d
022 _a2325-9574
024 _a10.1177/23259582231196705 [doi]
024 _aPMC10524076 [pmc]
040 _aOvid MEDLINE(R)
099 _a37753609
245 _aSocial Networks Play a Complex Role in HIV Prevention Knowledge, Attitudes, Practices, and the Uptake of PrEP Through Transgender Women Communities Centered Around Three "Casas Trans" in Lima, Peru: A Qualitative Study.
251 _aJournal of the International Association of Providers of AIDS Care. 22:23259582231196705, 2023 Jan-Dec.
252 _aJ Int Assoc Provid AIDS Care. 22:23259582231196705, 2023 Jan-Dec.
253 _aJournal of the International Association of Providers of AIDS Care
260 _c2023
260 _fFY2024
260 _p2023 Jan-Dec
265 _sppublish
265 _tPUBMED-not-MEDLINE
266 _d2023-11-22
520 _aTransgender women's (TW) social networks may facilitate HIV prevention information dissemination and normative reinforcement. We conducted a qualitative study of social networks among 20 TW affiliated with 3 "casas trans" (houses shared among TW) in Lima, Peru, using diffusion of innovations theory to investigate community-level HIV prevention norms. Participants completed demographic questionnaires, social network interviews, and semistructured in-depth interviews. Median age was 26 and all participants engaged in sex work. Interviews revealed high HIV prevention knowledge and positive attitudes, but low engagement in HIV prevention. Respondents primarily discussed HIV prevention with other TW. Network members' opinions about pre-exposure prophylaxis (PrEP) frequently influenced respondents' personal beliefs, including mistrust of healthcare personnel, concern that PrEP efficacy was unproven, fear of adverse effects, and frustration regarding difficulty accessing PrEP. Patterns of influence in TW networks may be leveraged to improve uptake of HIV prevention tools, including PrEP.
546 _aEnglish
650 _zAutomated
656 _aInternal Medicine & Pediatrics Residency
656 _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
657 _aJournal Article
700 _aMoriarty, Kathleen
_bMGUH
_cInternal Medicine & Pediatrics Residency
_dMD
790 _aTemelkovska T, Moriarty K, Huerta L, Perez-Brumer A, Segura E, Passaro RC, Lake JE, Clark J, Blair C
856 _uhttps://dx.doi.org/10.1177/23259582231196705
_zhttps://dx.doi.org/10.1177/23259582231196705
942 _cART
_bArticle
999 _c13566
_d13566