ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2024
Determinants of antiretroviral therapy adherence among transgender women in South Africa.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- "I believe in my ancestors, and I participate and believe:" negotiating identity, tradition, and HIV-related health among SGM communities in the Eastern Cape.SSM. Qualitative research in health · 2026Article
- Social determinants of HIV status and viral load suppression among transgender women in South Africa: a cross-sectional analysis.AIDS care · 2025Article
- Experiences of violence and abuse among transgender women in healthcare settings in Uganda: a community-engaged qualitative study.BMC health services research · 2025Article
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Abstract
backgroundTransgender women bear a huge burden of human immunodeficiency virus (HIV) in South Africa. However, they are not fully engaged in healthcare across the HIV continuum of care. In addition, transgender women face multiple facets of stigma and discrimination as well as socio-economic inequalities, which all have a negative impact on antiretroviral therapy (ART) adherence.
objectiveThe study aimed at exploring and describing the experiences of ART adherence of transgender women living with HIV in the Buffalo City Metro Municipality.
methodsThe study employed an interpretative phenomenological analysis (IPA) design. Twelve participants were enrolled using a snowballing sampling technique. Data were collected using semi-structured interviews and analysed using an IPA framework.
resultsWhile exploring determinants to ART adherence among transgender women living with HIV in Buffalo City Metro, two superordinate themes emerged: enablers to ART adherence and psychosocial factors promoting adherence. The study found that factors such as differentiated ART service delivery, ARV medicines-related factors, motivators for taking treatment and support systems facilitated ART adherence.
conclusionEmerging from this study is the need to scale up differentiated, person-centred ART service deliveries that will enhance access and adherence to treatment for transgender women.Contribution: This study provides unique insights on factors enhancing ART adherence among transgender women. There is a paucity of literature on access to HIV care services for key and vulnerable populations, and these findings will be shared in the country and in the region.
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