Mapping Community-Engaged Implementation Strategies with Transgender Scientists, Stakeholders, and Trans-Led Community Organizations.

IF 3.7 2区医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2023-06-01 Epub Date: 2023-04-04 DOI:10.1007/s11904-023-00656-y

Arjee Restar, Brian J Minalga, Ma Irene Quilantang, Tyler Adamson, Emerson Dusic, Leigh-Ann van der Merwe, Greg Millet, Danvic Rosadiño, Tanya Laguing, Elle Lett, Avery Everhart, Gregory Phillips, Rena Janamnuaysook, Pich Seekaew, Kellan Baker, Florence Ashley, Jeffrey Wickersham, Stephaun E Wallace, Don Operario, Kristi E Gamarel

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Abstract

Purpose of review: Pre-exposure prophylaxis (PrEP) represents one of the most effective methods of prevention for HIV, but remains inequitable, leaving many transgender and nonbinary (trans) individuals unable to benefit from this resource. Deploying community-engaged PrEP implementation strategies for trans populations will be crucial for ending the HIV epidemic.

Recent findings: While most PrEP studies have progressed in addressing pertinent research questions about gender-affirming care and PrEP at the biomedical and clinical levels, research on how to best implement gender-affirming PrEP systems at the social, community, and structural levels remains outstanding. The science of community-engaged implementation to build gender-affirming PrEP systems must be more fully developed. Most published PrEP studies with trans people report on outcomes rather than processes, leaving out important lessons learned about how to design, integrate, and implement PrEP in tandem with gender-affirming care. The expertise of trans scientists, stakeholders, and trans-led community organizations is essential to building gender-affirming PrEP systems.

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与跨性别科学家、利益相关者和跨性别领导的社区组织一起制定社区参与实施战略。

综述目的：暴露前预防（PrEP）是预防艾滋病毒最有效的方法之一，但仍然不公平，使许多跨性别和非二元（跨性别）个体无法从这一资源中受益。针对跨性别人群部署社区参与的PrEP实施战略对于结束艾滋病毒流行至关重要。最近的发现：尽管大多数PrEP研究在生物医学和临床层面解决了有关性别确认护理和PrEP的相关研究问题，但关于如何在社会、社区和结构层面最好地实施性别确认PrEP系统的研究仍然悬而未决。必须更加充分地发展社区参与实施的科学，以建立确认性别的PrEP系统。大多数已发表的针对跨性别者的PrEP研究报告的是结果，而不是过程，忽略了关于如何设计、整合和实施PrEP以及性别确认护理的重要经验教训。跨性别科学家、利益相关者和跨性别领导的社区组织的专业知识对于建立性别确认的PrEP系统至关重要。

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来源期刊

Current HIV/AIDS Reports INFECTIOUS DISEASES-

CiteScore

8.10

自引率

2.20%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.