Facilitators and barriers in HIV testing and continuum of care among migrant transgender women who are sex workers residing in Florence, Italy

被引：5

作者：

Lagi, Filippo ^{[1
,8
]}

Gatteschi, Claudia ^{[2
]}

Tilli, Marta ^{[3
]}

Zocco, Nicoletta ^{[4
]}

Avarello, Angelo ^{[1
]}

Bellini, Sabrina ^{[5
]}

Contanessi, Sara ^{[4
]}

Zigliani, Maria Rosa ^{[5
]}

Stagnitta, Maria ^{[4
]}

Mariano, Lorenzo ^{[4
]}

Gazzarri, Elena ^{[4
]}

Belloni, Laura ^{[6
]}

Fisher, Alessandra Daphne ^{[7
]}

Bartoloni, Alessandro ^{[1
,3
]}

Sterrantino, Gaetana ^{[3
]}

Ierardi, Francesca ^{[2
]}

机构：

[1] Careggi Univ Hosp, Infect & Trop Dis Unit, Florence, Italy

[2] Reg Hlth Agcy Tuscany, Florence, Italy

[3] LILA Toscana, Lega Italiana Lotta AIDS, Florence, Italy

[4] CAT Cooperat Sociale Firenze, Florence, Italy

[5] LIllinoisA Toscana, Lega Italiana Lotta AIdahoS, Florence, Italy

[6] Careggi Univ Hosp, Reg Ctr Crit Relationships, Florence, Italy

[7] Careggi Univ Hosp, Androl Womens Endocrinol & Gender Incongruence Uni, Florence, Italy

[8] Careggi Univ Hosp, Infect & Trop Dis unit, largo Brambilla 3, I-50134 Florence, Italy

来源：

INTERNATIONAL JOURNAL OF TRANSGENDER HEALTH | 2024年 / 25卷 / 02期

关键词：

access to care; HIV; illness experience; Italy; qualitative research; sex worker; transgender; HEALTH-CARE; PREEXPOSURE PROPHYLAXIS; PREVENTION; ACCESS; RISK; SERVICES; INFECTION; HIV/AIDS; LIVES;

D O I：

10.1080/26895269.2023.2209072

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

BackgroundAn increased risk of contracting HIV infection, suboptimal adherence, and a loss to follow-up have been observed in migrants, particularly if those individuals are transgender or sex workers. A clear picture of the HIV epidemic among migrants is complex due to the lack of specific national data.AimsWe developed a qualitative study that describes the barriers and facilitators (cultural, social, and personal) in HIV testing and the continuum of care for a group of migrant transgender women who are sex workers.MethodsA semi-structured interview was conducted with a group of migrant transgender women who are sex workers living with HIV or with unknown HIV serostatus residing in the Florentine metropolitan area.ResultsWe included 12 participants: 3 had unknown HIV serostatus and 9 were living with HIV in follow-up at the Clinic of Infectious and Tropical Diseases, Careggi University hospiral, Florence, Italy. Among barriers, the perceived stigma due to their identity as migrants and transgender people, the language lack of ability and the legal position in the host country played a significant role. Moreover, the interviewees claimed having no alternative to sex work: for those individuals, changing their lifestyle condition is perceived as difficult or impossible due to social prejudices. Conversely, the interviewees considered support services, such as cultural mediators/interpreters and street units, as facilitators to HIV testing, access to care, and continuum of care. Having regular and accessible ART and the availability of a more consistent health care system, represent reasons for HIV-positive migrants living with HIV to move to Italy.ConclusionsKnowledge of this population's personal experience regarding the barriers and factors that facilitate access to the HIV care system is essential for planning public health interventions capable of responding to the real needs of patients.

引用

页码：268 / 282

页数：15

共 44 条

[1] Experience of stigma and discrimination and the implications for healthcare seeking behavior among people living with HIV/AIDS in resource-limited setting [J].