(Q27756)

Statements

Using stated preference methods to design gender-affirming long-acting PrEP programs for transgender and nonbinary adults. (English)
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Integrating gender-affirming care with biomedical HIV prevention could help address the disproportionate HIV risk experienced by transgender and nonbinary (trans) adults. (English)
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This discrete choice experiment assesses and identifies the most important programming factors influencing the decisions of trans adults to use injectable long-acting HIV pre-exposure prophylaxes (LA-PrEP). (English)
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From March to April 2023 n = 366 trans adults in Washington state chose between four different choice profiles that presented hypothetical programs (each comprised of 5 attributes with 4 levels). (English)
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We analyzed ranked choice responses using a mixed rank-ordered logit model for main effects. (English)
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Respondents preferred to receive LA-PrEP from a gender-affirming care provider and a co-prescription for both oral and injectable hormones. (English)
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Trans adults strongly favored 12-month protection and injection in the upper arm. (English)
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No strong preferences emerged surrounding the type of health facility offering the gender-affirming LA-PrEP program. (English)
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Our findings show that integrating and leveraging gender-affirming health systems, inclusive of medical services such as hormone therapy, with HIV biomedical products like LA-PrEP is strongly preferred and influential to trans adults' decision to use LA-PrEP. (English)
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Leveraging choice-based design experiments provides informative results for optimizing gender-affirming LA-PrEP programming tailored to trans adults. (English)
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8 October 2024
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8 October 2024
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The authors declare no competing interests. (English)
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