"That's My Girl; I love her": The Promise of Compassionate, Inclusive Healthcare for Black Transgender Women to Support PrEP Use. AIDS Behav 2024 Sep;28(9):2899-2909
Date
05/29/2024Pubmed ID
38809388Pubmed Central ID
PMC11627066DOI
10.1007/s10461-024-04370-7Scopus ID
2-s2.0-85194732550 (requires institutional sign-in at Scopus site) 1 CitationAbstract
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.
Author List
Quinn KG, Randall L, Petroll AE, John SA, Wesp L, Amirkhanian Y, Kelly JAAuthors
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinAndrew Petroll MD Professor in the Medicine department at Medical College of Wisconsin
Katherine Quinn PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAnti-HIV Agents
Empathy
Female
HIV Infections
Health Services Accessibility
Healthcare Disparities
Humans
Interviews as Topic
Male
Middle Aged
Patient Acceptance of Health Care
Pre-Exposure Prophylaxis
Qualitative Research
Transgender Persons
Trust
Young Adult
