Barreras J L, Linnemayr S L, MacCarthy S
a Bienestar Human Services, Inc. , Los Angeles , CA , USA.
b RAND Corporation, Economics, Sociology, and Statistics , Santa Monica , CA , USA.
AIDS Care. 2019 Oct;31(10):1221-1227. doi: 10.1080/09540121.2019.1601669. Epub 2019 Apr 2.
Latino men who have sex with men (LMSM) and Latina transgender women (LTGW) often lack access to HIV prevention information and strategies such as pre-exposure prophylaxis (PrEP). We explored knowledge gaps and culturally sensitive messaging about PrEP among HIV-negative LMSM and LTGW in Los Angeles. We recruited participants from a Latinx LGBT community-based organization. We conducted nine focus groups ( = 91 participants) with 52 LMSM and 39 LTGW. We used a rapid assessment process to create narrative reports that we analyzed using thematic analysis. Key quotes were transcribed verbatim; they were reviewed by the team, then uploaded to Dedoose to identify themes across sites and between groups. Three themes emerged for both LMSM and LTGW: knowledge gaps regarding PrEP remain; people who have knowledge about PrEP often served as its champions; highlighting positive aspects of culture could help improve PreP's uptake and sustained use. Only LMSM worried that PrEP could impact condom use. Some issues were more pronounced among LTGW (e.g., more limited access to PrEP); others were unique to LTGW (e.g., worry about drug-hormones interactions). Collaborative research, programs, and policies, informed by LMSM and LTGW themselves, are needed to narrow existing knowledge gaps and promote PrEP uptake and sustained utilization.
与男性发生性关系的拉丁裔男性（LMSM）和拉丁裔跨性别女性（LTGW）往往无法获得如暴露前预防（PrEP）等艾滋病病毒预防信息和策略。我们在洛杉矶对艾滋病病毒阴性的LMSM和LTGW群体中关于PrEP的知识差距和具有文化敏感性的信息进行了探索。我们从一个基于拉丁裔LGBT社区的组织招募参与者。我们对52名LMSM和39名LTGW开展了9个焦点小组（共91名参与者）。我们采用快速评估流程来撰写叙事报告，并通过主题分析进行分析。关键引语逐字转录；团队对其进行审核，然后上传到Dedoose以确定不同场所和不同群体之间的主题。LMSM和LTGW群体都出现了三个主题：关于PrEP的知识差距依然存在；了解PrEP的人往往成为其倡导者；强调文化的积极方面有助于提高PrEP的接受度和持续使用率。只有LMSM担心PrEP会影响避孕套的使用。一些问题在LTGW中更为突出（例如，获得PrEP的途径更有限）；其他问题则是LTGW所特有的（例如，担心药物与激素的相互作用）。需要开展由LMSM和LTGW自身提供信息的合作研究、项目和政策，以缩小现有的知识差距，促进PrEP的接受度和持续使用率。
