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Abstract
Male-to-female transgender individuals, or transgender women (TW), are at high risk
for HIV infection and face multiple barriers to HIV care. Advocates agree that numerous
factors need to be addressed concurrently to prevent HIV infection in TW, including
primary health care. This article examines how a community-based clinic that offers
free or low-cost care addresses the health care needs of TW. A total of 20 TW who
attended a health care clinic dedicated to community-based health were interviewed
regarding best practices for HIV prevention and primary care. In-depth interviews
were conducted, transcribed, coded, and analyzed. Factors reported to be effective
for HIV prevention and primary care included (a) access to health care in settings
not dedicated to serving transgender and/or gay communities, (b) a friendly atmosphere
and staff sensitivity, and (c) holistic care including hormone therapy. Community-based
health care settings can be ideal locales for HIV prevention and primary care for
TW.