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

Tossas-Milligan, Kathy; Sanchez, Hugo; Molina, Yamilé; Longino, August; Bayer, Angela; Montano, Michalina A.; Sanchez, Jorge; Duerr, Ann

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.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