Evidence map›Paper›PMID 28421354›Full record

ArticleAIDS and behavior2017

Perceived Barriers and Facilitators to Integrating HIV Prevention and Treatment with Cross-Sex Hormone Therapy for Transgender Women in Lima, Peru.

Sari L Reisner, Amaya G Perez-Brumer, Sarah A McLean, Javier R Lama, Alfonso Silva-Santisteban, Leyla Huerta, Jorge Sanchez, Jesse L Clark, Matthew J Mimiaga, Kenneth H Mayer

Abstract read
In one paragraph

Article in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Sari L ReisnerThe Fenway Institute, Fenway Health, 1340 Boylston St, Boston, MA, 02215, USA. sari.reisner@childrens.harvard.edu.
Amaya G Perez-BrumerDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th St, New York City, NY, 10032, USA.
Sarah A McLeanThe Fenway Institute, Fenway Health, 1340 Boylston St, Boston, MA, 02215, USA.
Javier R LamaAsociación Civil Impacta Salud y Educación, Av. Almte. Miguel Grau 1010, Barranco, Lima, Peru.
Alfonso Silva-SantistebanUniversidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, Lima, Peru.
Leyla HuertaEpicentro, Jr. Jaén 250A, Barranco, 15063, Lima, Peru.
Jorge SanchezDepartment of Global Health, University of Washington, 1510 San Juan Rd, Seattle, WA, 98195, USA.
Jesse L ClarkDepartment of Medicine, Division of Infectious Diseases, University of California Los Angeles, 100 UCLA Medical Plaza, Los Angeles, CA, 90095, USA.
Matthew J MimiagaThe Fenway Institute, Fenway Health, 1340 Boylston St, Boston, MA, 02215, USA.
Kenneth H MayerThe Fenway Institute, Fenway Health, 1340 Boylston St, Boston, MA, 02215, USA.

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
GSH Training GrantT32HD049339 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jennifer S Hirsch · 2006 to 2026
$3.4M
TransPrEP: Social Network-Based PrEP Adherence for Transgender Women in PeruR34MH104072 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CLARK, JESSE LAWTON, MIMIAGA, MATTHEW JAMES · 2014 to 2016
$672k
amfAR, The Foundation for AIDS Research 109071-57-HGMMNational Institute of Child Health and Human Development T32HD049339NICHD NIH HHS T32 HD049339NIMH NIH HHS P30 MH058107NIMH NIH HHS R25 MH083620NIMH NIH HHS R34 MH104072
6 · The paper itself

Abstract

Transgender women (TW) represent a vulnerable population at increased risk for HIV infection in Peru. A mixed-methods study with 48 TW and 19 healthcare professionals was conducted between January and February 2015 to explore barriers and facilitators to implementing a model of care that integrates HIV services with gender-affirmative medical care (i.e., hormone therapy) in Lima, Peru. Perceived acceptability of the integrated care model was high among TW and healthcare professionals alike. Barriers included stigma, lack of provider training or Peruvian guidelines regarding optimal TW care, and service delivery obstacles (e.g., legal documents, spatial placement of clinics, hours of operation). The hiring of TW staff was identified as a key facilitator for engagement in health care. Working in partnership with local TW and healthcare provider organizations is critical to overcoming existing barriers to successful implementation of an integrated HIV services and gender-affirmative medical care model for this key population in Peru.

Indexed as

Health Services AccessibilitySocial StigmaTransgender PersonsAdultDelivery of Health Care, IntegratedFemaleGonadal Steroid HormonesHIV InfectionsHumansMalePatient Acceptance of Health CarePerceptionPeruVulnerable PopulationsGonadal Steroid HormonesHIV infectionModels of careTransgender women

Identifiers

PMID28421354
PMCPMC5647197

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.