title: HIV Pre-exposure Prophylaxis Indication and Readiness Among HIV-Uninfected Transgender Women in Ho Chi Minh City, Vietnam.
abstract: Few studies have considered acceptability of HIV pre-exposure prophylaxis (PrEP) among transgender women in Southeast Asia. We assessed PrEP indications and readiness among a sample of HIV-uninfected transgender women in Ho Chi Minh City, Vietnam. Of 168 HIV-uninfected transgender women, 72.6 % met criteria for PrEP based on United States CDC guidelines. PrEP indication was inversely associated with PrEP interest (76.0 % interested among those for whom PrEP was indicated; 89.1 % among those for whom it was not; aOR 0.16, 95 % CI 0.04-0.67, P = 0.01). PrEP readiness, defined as having heard of, being interested in taking, and believing that PrEP is efficacious, was low (7.7 %). The results of this study indicate potential need for PrEP among transgender women in Ho Chi Minh City, but very low awareness of PrEP in the community. Future PrEP implementation programs should include counseling on HIV risk and eligibility for PrEP to ensure that PrEP is available to those who may benefit the most from it.
authors.affiliation: Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Oldenburg
authors.affiliation: Center for Applied Research on Men and Health, 51-53 Vo Van Tan St. District 3, Ho Chi Minh City, Vietnam.
authors.forename: Bao
authors.initials: B
authors.lastname: Le
authors.affiliation: Center for Applied Research on Men and Health, 51-53 Vo Van Tan St. District 3, Ho Chi Minh City, Vietnam.
authors.forename: Trang
authors.initials: T
authors.lastname: Toan
authors.affiliation: Center for Applied Research on Men and Health, 51-53 Vo Van Tan St. District 3, Ho Chi Minh City, Vietnam.
authors.forename: Dinh Duc
authors.initials: DD
authors.lastname: Thien
authors.affiliation: Center for Applied Research on Men and Health, 51-53 Vo Van Tan St. District 3, Ho Chi Minh City, Vietnam.
authors.forename: Hoang Thi
authors.initials: HT
authors.lastname: Huyen
authors.affiliation: University of Pittsburgh, Pittsburgh, USA.
authors.forename: Mackey R
authors.initials: MR
authors.lastname: Friedman
authors.affiliation: University of Pittsburgh, Pittsburgh, USA.
authors.forename: Ron
authors.initials: R
authors.lastname: Stall
authors.affiliation: Center for Applied Research on Men and Health, 51-53 Vo Van Tan St. District 3, Ho Chi Minh City, Vietnam. doctordonn@gmail.com.|Thai Red Cross AIDS Research Centre, Bangkok, Thailand. doctordonn@gmail.com.
authors.forename: Donn
authors.initials: D
authors.lastname: Colby
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care; D065129:Pre-Exposure Prophylaxis; D063106:Transgender Persons; D014744:Vietnam; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: HIV; Pre-exposure prophylaxis; Transgender women; Vietnam