Evidence map›Paper›PMID 30084305›Full record

ArticleGlobal public health2019

Barriers and facilitators to PrEP for transwomen in Brazil.

Erin C Wilson, Emilia M Jalil, Cristiane Castro, Nilo Martinez Fernandez, Luciana Kamel, Beatriz Grinsztejn

Abstract read
In one paragraph

Article in Global public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 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

39 citing papers in PubMed, 2 syntheses or guidelines 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

6 authors.

Erin C WilsonSan Francisco Department of Public Health, San Francisco, CA, USA.ORCID 0000-0002-0237-495X
Emilia M JalilInstituto Nacional de Infectologia (INI) Evandro Chagas, Fundacao Oswaldo Cruz, Fiocruz, Brazil.
Cristiane CastroInstituto Nacional de Infectologia (INI) Evandro Chagas, Fundacao Oswaldo Cruz, Fiocruz, Brazil.
Nilo Martinez FernandezInstituto Nacional de Infectologia (INI) Evandro Chagas, Fundacao Oswaldo Cruz, Fiocruz, Brazil.
Luciana KamelInstituto Nacional de Infectologia (INI) Evandro Chagas, Fundacao Oswaldo Cruz, Fiocruz, Brazil.
Beatriz GrinsztejnInstituto Nacional de Infectologia (INI) Evandro Chagas, Fundacao Oswaldo Cruz, Fiocruz, Brazil.

Funding

San Francisco Vaccine and Prevention UnitUM1AI069496 · NIAID · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI Susan Buchbinder, Diane V Havlir · 2012 to 2026
$30.5M
NIAID NIH HHS UM1 AI069496
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is an important biomedical intervention that may help reduce the risk of HIV transmission among transwomen. To date, little research is available to inform interventions to increase uptake and adherence to PrEP among transwomen, especially in places outside the U.S. We conducted a qualitative study in 2015 with 34 adult transwomen in Rio de Janeiro, Brazil and assessed awareness, interest, barriers and facilitators to PrEP uptake and adherence for transwomen. Almost one third of participants had heard of PrEP, and most were interested and thought it would be beneficial for transwomen in their community. Barriers to PrEP included fear of being HIV positive resulting in low HIV testing and concerns about the ability to adhere to a daily PrEP regimen. The most prominent barrier to uptake was past experiences of transgender-identity related discrimination in the universal health care system that reduced willingness to seek PrEP or health care in general. Participants recommended technological solutions to PrEP health education information that could address uptake and adherence. This study informs efforts to increase PrEP use among transwomen in Brazil.

Indexed as

Pre-Exposure ProphylaxisAdultBrazilDelivery of Health CareFemaleFocus GroupsHIV InfectionsHumansMaleQualitative ResearchSocial DiscriminationSurveys and QuestionnairesTransgender PersonsBrazilHIV preventionPre exposure prophylaxistransgender women

Identifiers

PMID30084305
PMCPMC6367049

What OpenQuestion holds

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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.