TransPrEP: Results from the Pilot Study of a Social Network-Based Intervention to Support PrEP Adherence Among Transgender Women in Lima, Peru

被引:0
作者
Jesse Clark
Sari Reisner
Amaya Perez-Brumer
Leyla Huerta
Hugo Sanchez
Kathleen Moriarty
Maria Mamani Luque
Hideaki Okochi
Ximena Salazar
Matthew Mimiaga
Jorge Sanchez
Monica Gandhi
Kenneth H. Mayer
Javier R. Lama
机构
[1] UCLA Geffen School of Medicine,Dalla Lana School of Public Health
[2] The Fenway Institute,Centro de Investigaciones Tecnológicas Biomédicas y Medioambientales
[3] Boston Children’s Hospital,undefined
[4] University of Toronto,undefined
[5] Feminas,undefined
[6] Epicentro,undefined
[7] Asociacion Civil Impacta Salud y Educacion,undefined
[8] University of California,undefined
[9] Instituto de Estudios de Salud Sexual y Derechos Humanos,undefined
[10] Brown University School of Public Health,undefined
[11] Universidad Nacional San Marcos,undefined
[12] Beth Israel Deaconess Medical Center,undefined
[13] Harvard Medical School,undefined
来源
AIDS and Behavior | 2021年 / 25卷
关键词
Pre-exposure prophylaxis (PrEP); Transgender women; Adherence; Latin america;
D O I
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中图分类号
学科分类号
摘要
We conducted a pilot randomized controlled trial of a social network-based intervention to promote PrEP adherence among transgender women (TW) in Lima, Peru. We enrolled 89 TW from six social networks and cluster-randomized them 1:1 to standard of care (n = 44) or the TransPrEP intervention (n = 45). Core workshops discussed strategies to support PrEP adherence and defined group adherence objectives. Maintenance workshops discussed participants’ experiences taking PrEP and collective adherence goals. At 3-month follow-up, we evaluated 40 participants and obtained 29 hair samples for tenofovir level measurements. Though no significant differences were observed, 36.4% (4/11) of participants of TransPrEP participants and 10.0% (1/10) of control participants had tenofovir levels > 0.023 ng/mg, consistent with ≥ 4 doses per week. 81.8% (9/11) of intervention and 40.0% (4/10) of control participants had any detectable tenofovir in their hair. Pilot assessment of our network-based intervention suggested a trend towards improved PrEP adherence, measured objectively, for TW in Peru.
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页码:1873 / 1883
页数:10
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