Cohort II
2017 - 2019

Ana María del Río-González | Mariano Kanamori Nishimura
Julie Levison | Claudia Martinez

 
 

Ana Maria del Rio Gonzalez

Ana María del Río-González, PhD
George Washington University

CFAR Mentor:
María Cecilia Zea, PhD
   (DC CFAR)

Collaborating Partner:
Gabriela García
   (NOVASalud, Inc)

Factors Associated with PrEP Intentions and Use Among Latina Immigrant Transgender Women in the DC Metropolitan Area

Transgender women in general, and Latina immigrant transgender women in particular, are at high risk for HIV acquisition. Pre-Exposure Prophylaxis (PrEP) is an effective biomedical HIV prevention strategy, but uptake and adherence have been low. Multiple public health efforts are currently underway to scale up its uptake. The proposed exploratory mixed methods study uses the Integrative Model and an intra-categorical intersectionality approach, to identify individual and social-structural factors associated with intentions to use and actual use of PrEP among Latina immigrant transgender women, ages 18 and older, living in the DC metropolitan area.

The specific aims are: (1) To gain a culturally-grounded understanding of individual and social-structural factors associated with PrEP intentions and use among Latina immigrant transgender women in DC.; (2) to assess levels of PrEP awareness, intentions and use among Latina immigrant transgender women, as well as changes in these levels over a 6-month period, and to examine how individual and social-structural factors are associated with these changes, and (3) to synthesize the qualitative and quantitative results, and assess the validity of the findings.

To achieve these aims, the proposed study involves 3 phases. Phase I includes in-depth interviews with 12 Latina immigrant transgender women in the DC metropolitan area (6 who have used PrEP, 6 who haven't) and 10 key-informants who serve Latina transgender women in the area, to assess their perceptions regarding how different individual and social-structural factors can facilitate or hinder PrEP intentions and use among the population of interest (Aim 1). For Phase II, 50 Latina immigrant transgender women (regardless of PrEP use) will attend three study visits over a 6-month period. Each study visit will include completion of a quantitative survey and a qualitative semi-structured interview, assessing PrEP awareness, uptake intentions and use, as well as the individual and social-structural factors identified in Phase I (Aim 2). The last phase involves three focus groups with 6-8 participants (total n = 18 to 24) from phases I and II, to member-check the validity of the synthesized results (Aim 3).


• PUBLICATIONS:
   PubMed list of Dr. del Río-González' Adelante publications