Journal
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
Volume 20, Issue 5, Pages 387-397Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.jana.2009.06.002
Keywords
community-based health care; HIV; HIV prevention; male-to-female transgender persons; primary care
Categories
Funding
- National Institute of Mental Health (NIMH) [T32 MH19139]
- HIV Center for Clinical and Behavioral Studies [P30 MH 43520]
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Male-to-male transgender individuals, or trans-fie gender women (TW), are at high risk for HIV infection and face multiple barriers to HIV care. Advocates agree that numerous factors need to be addressed concurrently to prevent HIV infection in TW, including primary health care. This article examines how a community-based clinic that offers free or low-cost care addresses the health care needs of TW. A total of 20 TW who attended a health care clinic dedicated to community-based health were interviewed regarding best practices for HIV prevention and primary care. In-depth interviews were conducted, transcribed, coded, and analyzed. Factors reported to be effective for HIV prevention and primary care included (a) access to health care in settings not dedicated to serving transgender and/or gay communities, (b) a friendly atmosphere and staff sensitivity, and (c) holistic care including hormone therapy. Community-based health care settings can be ideal locales for HIV prevention and primary care for TW.
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