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- Title
"That's My Girl; I love her": The Promise of Compassionate, Inclusive Healthcare for Black Transgender Women to Support PrEP Use.
- Authors
Quinn, Katherine G.; Randall, Liam; Petroll, Andrew E.; John, Steven A.; Wesp, Linda; Amirkhanian, Yuri; Kelly, Jeffrey A.
- Abstract
There are significant disparities in HIV pre-exposure prophylaxis (PrEP) use that disproportionately impact Black transgender women. Medical mistrust and discriminatory experiences in healthcare settings have been identified as critical barriers to equitable PrEP implementation. This qualitative study examines Black transgender women's experiences in healthcare to better understand how patient-provider relationships can help overcome the challenges brought on by medical mistrust. We interviewed 42 Black transgender women about their experiences with healthcare and PrEP access. Data were analyzed using inductive thematic content analysis to develop the following themes: (1) historical and ongoing marginalization and exclusion from healthcare remains a barrier to PrEP use; (2) Many providers continue to be unprepared to prescribe PrEP; (3) Providers can act as important advocates and sources of support; and (4) Compassionate, trusting patient-provider relationships can facilitate PrEP use. Our results highlight the importance of supportive and positive patient-provider relationships and demonstrate how providers can build trusting relationships with Black transgender women to help overcome barriers to healthcare and PrEP use.
- Subjects
HEALTH services accessibility; RESEARCH funding; QUALITATIVE research; CONTENT analysis; INTERVIEWING; COMPASSION; DECISION making; DESCRIPTIVE statistics; PRE-exposure prophylaxis; THEMATIC analysis; PHYSICIAN-patient relations; TRUST; TRANS women; HEALTH equity; BLACK LGBTQ+ people
- Publication
AIDS & Behavior, 2024, Vol 28, Issue 9, p2899
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-024-04370-7