Evidence map›Paper›PMID 26963756›Full record

ArticleGlobal public health

'I am not a man': Trans-specific barriers and facilitators to PrEP acceptability among transgender women.

Jae M Sevelius, JoAnne Keatley, Nikki Calma, Emily Arnold

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global public health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 180 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 7 pooled it
67.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

180 citing papers in PubMed, 7 syntheses or guidelines pooled it, 281 citations in OpenAlex.

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  6. Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People.Journal of acquired immune deficiency syndromes (1999) · 2016
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  20. Integrating CBPR and Implementation Science to Develop a PrEP-Promotion Intervention for Black Transgender Women.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article

120 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jae M Seveliusa Department of Family & Community Medicine , Center of Excellence for Transgender Health, University of California , San Francisco , CA , USA.
JoAnne Keatleya Department of Family & Community Medicine , Center of Excellence for Transgender Health, University of California , San Francisco , CA , USA.
Nikki Calmac Trans Thrive Program, Asian & Pacific Islander Wellness Center , San Francisco , CA , USA.
Emily Arnoldb Department of Medicine , Center for AIDS Prevention Studies, University of California , San Francisco , CA , USA.
University of California, San Francisco · USSan Francisco AIDS Foundation · USThrive · US

Funding

Culturally Relevant HIV Prevention for High-Risk WomenK08MH085566 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SEVELIUS, JAE M. · 2009 to 2013
$836k
NIMH NIH HHS K08 MH085566
6 · The paper itself

Abstract

The frequent conflation of transgender ('trans') women with 'men who have sex with men (MSM)' in HIV prevention obscures trans women's unique gender identities, social and behavioural vulnerabilities, and their disproportionately high rates of HIV infection. Pre-exposure prophylaxis (PrEP) is an efficacious biomedical HIV prevention approach. However, trans women are underrepresented in PrEP research, and are often aggregated with MSM without consideration for their unique positions within sociocultural contexts. This study examined PrEP acceptability among trans women via three focus groups and nine individual interviews (total N = 30) in San Francisco. While knowledge of PrEP was low, interest was relatively high once participants were informed. Due to past negative healthcare experiences, ability to obtain PrEP from a trans-competent provider was cited as essential to PrEP uptake and adherence. Participants noted that PrEP could address situations in which trans women experience reduced power to negotiate safer sex, including sex work. Trans-specific barriers included lack of trans-inclusive marketing of PrEP, prioritisation of hormone use, and medical mistrust due to transphobia. Findings underscore the importance of disaggregating trans women from MSM in HIV prevention strategies to mitigate disparate risk among this highly vulnerable population.

Indexed as

AdultAnti-HIV AgentsFemaleFocus GroupsGender IdentityHealth PromotionHIV InfectionsHumansInterviews as TopicMaleMarketing of Health ServicesMiddle AgedPatient Acceptance of Health CarePre-Exposure ProphylaxisQualitative ResearchRisk FactorsAnti-HIV AgentsHIV preventionpre-exposure prophylaxisTransgenderwomen

Identifiers

PMID26963756
PMCPMC10204128
OpenAlexW2295284395

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.