Predictors of PrEP awareness, PrEP discussion and interest in long-acting injectable PrEP among Filipina transfeminine adults.
HIV
Philippines
PrEP
implementation
transfeminine
transgender
Journal
Journal of the International AIDS Society
ISSN: 1758-2652
Titre abrégé: J Int AIDS Soc
Pays: Switzerland
ID NLM: 101478566
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
received:
17
10
2022
accepted:
08
03
2023
medline:
13
6
2023
pubmed:
12
6
2023
entrez:
12
6
2023
Statut:
ppublish
Résumé
Transfeminine adults are impacted by the HIV epidemic in the Philippines, and newly approved modalities of pre-exposure prophylaxis (PrEP), including long-acting injectable (LAI-PrEP), could be beneficial for this group. To inform implementation, we analysed PrEP awareness, discussion and interest in taking LAI-PrEP among Filipina transfeminine adults. We utilized secondary data from the #ParaSaAtin survey that sampled Filipina transfeminine adults (n = 139) and conducted a series of multivariable logistic regressions with lasso selection to explore factors independently associated with PrEP outcomes, including awareness, discussion with trans friends and interest in LAI-PrEP. Overall, 53% of Filipina transfeminine respondents were aware of PrEP, 39% had discussed PrEP with their trans friends and 73% were interested in LAI-PrEP. PrEP awareness was associated with being non-Catholic (p = 0.017), having previously been HIV tested (p = 0.023), discussing HIV services with a provider (p<0.001) and having high HIV knowledge (p = 0.021). Discussing PrEP with friends was associated with older age (p = 0.040), having experienced healthcare discrimination due to transgender identity (p = 0.044), having HIV tested (p = 0.001) and having discussed HIV services with a provider (p < 0.001). Very interested in LAI-PrEP was associated with living in Central Visayas (p = 0.045), having discussed HIV services with a provider (p = 0.001) and having discussed HIV services with a sexual partner (p = 0.008). Implementing LAI-PrEP in the Philippines requires addressing systemic improvements across personal, interpersonal, social and structural levels in healthcare access, including efforts to create healthcare settings and environments with providers who are trained and competent in transgender health and can address the social and structural drivers of trans health inequities, including HIV and barriers to LAI-PrEP.
Identifiants
pubmed: 37306123
doi: 10.1002/jia2.26080
pmc: PMC10258862
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e26080Subventions
Organisme : FIC NIH HHS
ID : D43 TW010565
Pays : United States
Organisme : NIDA NIH HHS
ID : R36 DA048682
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH087217
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI042853
Pays : United States
Organisme : FIC NIH HHS
ID : R21 TW012010
Pays : United States
Informations de copyright
© 2023 The Authors. Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of the International AIDS Society.
Références
PLoS One. 2018 Dec 5;13(12):e0207663
pubmed: 30517178
AIDS Care. 2019 Oct;31(10):1234-1240
pubmed: 31043069
AIDS Behav. 2021 Jul;25(7):2301-2315
pubmed: 33515132
AIDS Behav. 2020 Nov;24(11):3003-3005
pubmed: 32451938
AIDS Patient Care STDS. 2013 Apr;27(4):248-54
pubmed: 23565928
N Engl J Med. 2021 Aug 12;385(7):595-608
pubmed: 34379922
AIDS Behav. 2017 May;21(5):1278-1287
pubmed: 27531461
Healthc Policy. 2011 Dec;7(Spec Issue):94-107
pubmed: 23205038
Am J Public Health. 2018 Jan;108(1):58-60
pubmed: 29211538
AIDS Educ Prev. 2020 Jun;32(3):212-228
pubmed: 32749880
PLoS One. 2021 Mar 9;16(3):e0248248
pubmed: 33690677
Glob Public Health. 2016 Aug-Sep;11(7-8):1060-75
pubmed: 26963756
Br J Math Stat Psychol. 2014 Feb;67(1):117-32
pubmed: 23647492
J Int AIDS Soc. 2016 Oct 18;19(7(Suppl 6)):21105
pubmed: 27760683
BMC Public Health. 2022 Jan 6;22(1):17
pubmed: 34991548
AIDS Behav. 2018 Nov;22(11):3649-3657
pubmed: 29713838
Implement Sci. 2012 Nov 26;7:116
pubmed: 23181780
PLoS One. 2014 Jan 31;9(1):e87527
pubmed: 24498125
J Acquir Immune Defic Syndr. 2022 Jul 1;90(S1):S235-S246
pubmed: 35703776
Am J Public Health. 2010 Apr 1;100 Suppl 1:S216-23
pubmed: 19762673
AIDS. 2017 Mar 13;31(5):731-734
pubmed: 28060019
PLoS One. 2013 Oct 08;8(10):e76650
pubmed: 24116132