Journal
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
Volume 28, Issue 5, Pages 723-736Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jana.2017.05.003
Keywords
entry to HIV care; HIV Care Continuum; HIV testing; HIV treatment; trans women
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Funding
- National Institutes of Health/National Institute of Nursing Research [F31 NR013864-01, T32 NR07066]
- Indiana University School of Nursing Research Incentive Fund
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Trans women in the United States are disproportionately affected by HIV infection. To improve HIV services for this population, more information is needed about their experiences in early stages of the HIV Care Continuum. Trans women in states such as Indiana, which has moderate HIV incidence but little public health investment in HIV prevention and treatment, experience special challenges. Our qualitative descriptive study describes the circumstances influencing HIV testing and entry to care by 18 trans women living with HIV in Central Indiana. In-depth interviews regarding participants' HIV care experiences were analyzed using standard content analysis. Participants discussed three main topics: (a) HIV testing circumstances, (b) facilitators and barriers to entering care, and (c) motivators for entering care after a delay. Findings indicate that social relationships play a significant role in trans women's care experiences and that stigma, discrimination, and adverse life circumstance are powerful deterrents to care. Practice and policy implications are discussed. Copyright (C) 2017 Association of Nurses in AIDS Care
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