Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, PA, USA.
Risk Communication Laboratory, Temple University College of Public Health, Philadelphia, PA, USA.
AIDS Behav. 2021 Sep;25(9):2728-2742. doi: 10.1007/s10461-021-03183-2. Epub 2021 Feb 11.
For transgender (trans) women, community belonging may play an important role in shaping perceptions of HIV Pre-exposure Prophylaxis (PrEP). A cluster analysis was performed using data obtained from a survey administered to 128 trans women residing in Philadelphia, PA and the San Francisco Bay area, CA. Six items assessing feelings of community belongingness among trans women produced three distinct clusters. Associations were examined between cluster membership and perceptual items including beliefs about PrEP, experiences with healthcare, patient self-advocacy, and perceived trusted sources for PrEP information. Clusters were demographically comparable apart from age. There were significant differences noted between trust in various communication channels and perceptions of PrEP; the least community-connected cluster had less trust and more negative perceptions of PrEP. Analyses suggest that psychographic differences exist based on perceived community belongingness in this population, and this in turn may be consequential in determining how information about PrEP is communicated and diffused to trans women for whom PrEP may be indicated.
对于跨性别（跨性别）女性来说，社区归属感可能在塑造对 HIV 暴露前预防（PrEP）的认知方面发挥重要作用。使用从居住在宾夕法尼亚州费城和加利福尼亚州旧金山湾区的 128 名跨性别女性进行的调查中获得的数据，进行了聚类分析。评估跨性别女性社区归属感的六个项目产生了三个不同的聚类。在聚类成员与包括对 PrEP 的信念、医疗保健体验、患者自我倡导和 PrEP 信息的感知信任来源在内的感知项目之间进行了关联检验。聚类在年龄以外的人口统计学方面具有可比性。在对各种沟通渠道的信任度和对 PrEP 的看法方面存在显著差异；与社区联系最少的聚类对 PrEP 的信任度较低，看法也较负面。分析表明，基于该人群对社区归属感的认知，存在心理差异，这反过来可能对决定如何向可能需要 PrEP 的跨性别女性传达和传播有关 PrEP 的信息产生影响。
