Methods:We recruited participants from a Latinx LGBT community-based organization. We conducted nine focus groups (n = 91 participants) with 52 LMSM and 39 LTGW. We used a rapid assessment process to create narrative reports that we analyzed using thematic analysis. Key quotes were transcribed verbatim; they were reviewed by the team, then uploaded to Dedoose to identify themes across sites and between groups.
Results: The following three themes emerged from our analysis of the focus group discussions: information gaps regarding PrEP remain; people who have knowledge about PrEP often served as its champion; understanding Latinx subgroup differences and highlighting positive aspects of culture (e.g. Latinx people as hardworking and committed to their families) could help improve the uptake and continued utilization of PrEP. Only LMSM raised concerns regarding how PrEP could impact condom use. Some issues were more pronounced among LTGW (e.g., more limited access to PrEP), while others were unique to LTGW (e.g., drug interactions between PrEP and hormones).
Conclusions and Implications: LMSM and LTGW bear an especially heavy HIV burden and face many obstacles in accessing information about effective prevention methods. To improve the uptake and continued utilization of PrEP or other important resources, the meaningful participation of LMSM and LTGW in the design and implementation of research, programs, and policies will prove critical to ensuring these efforts address aspects of Latinx cultures that can act as barriers to PrEP as well as identify sensitive framing of other cultural norms as potential sources of resilience.