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Increasing PrEP uptake and adherence among MSM and TW sex workers in Lima, Peru: what and whom do different patients trust?

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dc.contributor.author Longino, August
dc.contributor.author Montano, Michalina A.
dc.contributor.author Sanchez, Hugo
dc.contributor.author Bayer, Angela
dc.contributor.author Sanchez, Jorge
dc.contributor.author Tossas-Milligan, Kathy
dc.contributor.author Duerr, Ann
dc.contributor.author Molina, Yamilé
dc.date.accessioned 2019-08-08T15:23:43Z
dc.date.available 2019-08-08T15:23:43Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/7119
dc.description.abstract In Peru, men who have sex with men (MSM) and transgender women (TW) suffer rates of HIV 50 times greater than the general population. MSM or TW sex workers (SWs) are at especially high risk. Daily oral pre-exposure prophylaxis (PrEP) effectively prevents HIV infection if patients adhere to a daily or on-demand regimen. Necessary levels of adoption and adherence require data-driven intervention strategies for these marginalized groups. We conducted qualitative content analysis of data obtained from focus groups (FGs) with MSM and TW SWs. Both groups expressed strong skepticism about the motives behind international drug trials, and the safety of participating in them. Important differences between MSM and TW groups' beliefs about trustworthy information as well as community and public institutions also emerged. MSM SWs were less trusting of information from other MSM SWs, and preferred to receive information from institutional medical sources, while TGW SWs preferred to receive information from other TGW SWs. Successful strategies to encourage PrEP uptake and adherence must address the distrust patients feel towards international and institutional actors by providing patients with tailored, reliable information from local and community sources that they trust. en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Young Adult en_US
dc.subject Peru/epidemiology en_US
dc.subject Focus Groups en_US
dc.subject Middle Aged en_US
dc.subject Qualitative Research en_US
dc.subject Medication Adherence en_US
dc.subject HIV en_US
dc.subject Lima en_US
dc.subject men who have sex with men en_US
dc.subject Perú en_US
dc.subject PrEP en_US
dc.subject transgender women en_US
dc.subject Anti-HIV Agents/administration & dosage en_US
dc.subject HIV Infections/prevention & control en_US
dc.subject Homosexuality, Male/ethnology/psychology en_US
dc.subject Interpersonal Relations en_US
dc.subject Pre-Exposure Prophylaxis/methods en_US
dc.subject Sex Workers/statistics & numerical data en_US
dc.subject Transgender Persons/psychology en_US
dc.subject Trust en_US
dc.title Increasing PrEP uptake and adherence among MSM and TW sex workers in Lima, Peru: what and whom do different patients trust? en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/09540121.2019.1634787
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.12
dc.relation.issn 1360-0451


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