While PrEP is highly effective at preventing HIV infection and has been available for more than 10 years, many people who might benefit from taking it have not received a prescription. Through focus groups with health centers across the United States, The Fenway Institute and the Bureau of Primary Health Care identified barriers and facilitators to PrEP use. A lack of provider knowledge about PrEP, discomfort discussing sexual behavior, patients’ negative perceptions of PrEP, financial and staffing limitations, medical mistrust, and low health literacy all impeded PrEP access. However, focus group participants also identified multiple strategies to ease PrEP use, including provider training and resources, visit templates that include sexual history questions, patient outreach and education through trusted community members, and use of telemedicine.
Learning Resources — Filtered by Resource Type
Advancing Health Equity for Sexual Minority Women: Recognizing Risk and Improving Preventive Care
Presented by Dr. Shail Maingi and Dr. Gabrielle Mayer, this webinar will explore the principles and practices of responsive care tailored for lesbian and bisexual women. Attendees will learn about how to optimize health outcomes, as well as strategies to enhance patient trust, engagement, and well-being.
- Filed under
- Sexual Minority Women
Glossary: Foundational LGBTQIA+ Concepts and Terminology
This introductory glossary from the Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants Toolkit includes definitions of concepts and terminology relevant to LGBTQIA+ identities and medical care.
- Filed under
- Introduction to LGBTQIA+ Health
HIV Prevention for Cisgender Women, Transgender Men, and All People Assigned Female at Birth
Cisgender women, transgender men, and all people assigned female at birth continue to be affected by HIV, both nationally and globally. In 2019, 6,897 HIV infections were diagnosed among cisgender women, and 46 were diagnosed among transgender men, with significant disparities by race. Among people assigned female at birth who have HIV, those who identify as Black or African American are disproportionately affected.
- Filed under
- Pre-Exposure Prophylaxis (PrEP)
Emerging Depression Treatments for LGBTQIA+ People
Presented by Dr. Cristina Cusin and Dr. Alex Keuroghlian, this webinar will review the current evidence on the safety and efficacy of ketamine therapy for patients with treatment resistant major depressive disorder. We will present different methods for delivering ketamine and referring patients to treatment and explore other emerging depression treatments. These treatments will be discussed through the lens of providing high-quality, culturally responsive care for LGTBQIA+ patients.
- Filed under
- Behavioral Health
Creating Welcoming and Affirming Clinical Studies for LGBTQIA+ Participants Toolkit
This toolkit focuses on the implementation stage of training sites to successfully engage and retain LGBTQIA+ participants. Within the toolkit, you will find information on foundational LGBTQIA+ concepts and terminology, best practices for affirming transgender and gender diverse participants, and recommendations for collecting SOGI data as part of participant demographics. By learning these competencies, all study staff can become skilled and confident in supporting the dignity of LGBTQIA+ participants, and ultimately, can contribute to improving health equity for LGBTQIA+ communities.
Infectious Disease Outbreaks and Impact on LGBTQIA+ People
Presented by Dr. Kevin Ard in collaboration with the National LGBTQIA+ Health Education Center, this webinar will update health centers on responding to outbreaks of syphilis and other sexually transmitted infections among MSM in their communities. Discussions will include culturally responsive, evidence-based screening, testing, treatment, and outreach in coordination with public health departments.
- Filed under
- HIV/STI Treatment and Prevention
Engaging and Affirming LGBTQIA+ Families in Health Centers
The visibility of lesbian, gay, bisexual, transgender, queer, intersex, asexual, and all sexually and gender diverse (LGBTQIA+) families is growing, reflecting the evolving landscape of contemporary society. It is estimated that 5 million American children live with a parent who identifies as LGBTQIA+, and nearly 170,000 children are being raised by same-sex couples. Among transgender adults in the U.S., 15-19% are currently a parent of a child under 18 years old. Given the large number of LGBTQIA+ families with children, it is crucial for health centers to recognize the unique and diverse configurations of families in order to meet their health care needs. Effectively providing care for LGBTQIA+ families with children requires a commitment to understanding and embracing their distinct experiences and challenges. By becoming more informed, adapting new terminology, and fostering a sense of community, health center care teams can significantly improve care experiences and health outcomes for all patients and families.
- Filed under
- Introduction to LGBTQIA+ Health
Improving Depression Care for LGBTQIA+ Older Adults at Health Centers
Presented by Lisa Krinsky and Dr. Alex Keuroghlian in collaboration with the National Center for LGBTQIA+ Health Education Center and the National Center for Equitable Care for Elders (NCECE), this webinar will focus on addressing mental health disparities in older LGBTQIA+ adults through culturally responsive care. Participants will consider approaches for promoting a supportive environment and providing tailored services to LGBTQIA+ patients as they age.
- Filed under
- LGBTQIA+ Older Adults
Low Threshold Substance Use Support for LGBTQIA+ Communities
In collaboration with the National Health Care for the Homeless Council, this webinar will discuss innovative low-barrier, patient-centered models of SUD treatment that can be integrated into health centers, and can effectively engage LGBTQIA+ communities and people experiencing homelessness. Approaches will include same-day and home induction of medications for opioid use disorder, long-acting injectables, and harm reduction principles.
- Filed under
- Organizational Change
