Implementation Barriers and Facilitators in a Pilot Long-Acting HIV Treatment Intervention for Trans Women Living with HIV in San Francisco.
Little is known about long-acting HIV treatment implementation with trans women. We piloted and evaluated the implementation of novel strategies to increase uptake and use of long-acting HIV treatment among trans women in San Francisco. In 2022, qualitative formative nominal groups (n = 8) and in-de...
| Publicado en: | AIDS Patient Care & STDs Vol. 39; no. 7; pp. 257 - 266 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186455039&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186455039 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: Jul2025 vid: 39 iid: 7 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 186455039 186455039 186455039 10.1089/apc.2024.0259 186455039 ppf: 257 ppct: 9 formats: tig: atl: Implementation Barriers and Facilitators in a Pilot Long-Acting HIV Treatment Intervention for Trans Women Living with HIV in San Francisco. aug: au: Wilson, Erin C. Myers, Janet Muñoz Acosta, Geovanny Sicro, Sofia Schaeffer, Emily Alleyne, Cat-Dancing Diaz, Alfonso Walker, Nicole Vinson, Janie Buchbinder, Susan Scott, Hyman Liu, Albert affil: Center for Public Health Research, San Francisco Department of Public Health, San Francisco, California, USA. sug: subj: HIV Infections Drug Therapy HIV Infections Psychosocial Factors Anti-HIV Agents Administration and Dosage Trans Women Psychosocial Factors HIV-Positive Persons Psychosocial Factors Implementation Science Human Funding Source United States California Multimethod Studies Pilot Studies Descriptive Statistics Semi-Structured Interview Patient Compliance Anti-HIV Agents Adverse Effects Belonephobia Injections Transportation Incarceration Medical Mistrust Social Determinants of Health Drug Interactions Genetic Profile Eligibility Determination Rilpivirine Administration and Dosage Health Care Delivery ab: Little is known about long-acting HIV treatment implementation with trans women. We piloted and evaluated the implementation of novel strategies to increase uptake and use of long-acting HIV treatment among trans women in San Francisco. In 2022, qualitative formative nominal groups (n = 8) and in-depth interviews with providers (n = 11) were conducted to elicit facilitators and barriers to long-acting HIV treatment delivery among trans women living with HIV and to inform a pilot delivery model. Between August 2023 and August 2024, participants were enrolled into the program. Sequential mixed methods were used to evaluate formative and implementation data to understand barriers to starting long-acting treatment. Barriers for trans women were concerns about side effects, fear of needles, and difficulty adhering to bi-monthly injections. They were also concerned about missed injections from lack of transportation and incarceration and medical mistrust. Providers were most concerned with participant adherence due to social determinants (e.g., housing) and behavioral health challenges (e.g., methamphetamine use, mental health disorders). Buttock fillers and implants, patient worries about interactions with hormones, clinical barriers (e.g., availability of genotyping data), insurance, and managing prescriptions were also potential barriers. A significant barrier to implementation was the burden on referring clinic providers for eligibility screening and many trans women who were referred declined participation or were not eligible due to contraindicated clinical histories. Our study identified barriers to implementing long-acting HIV treatment among trans women living with HIV and provides novel implementation insights for clinics and interventions serving this community. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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