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This strategy has proven feasible and effective in both reducing barriers towards HIV medication adherence in youth living with HIV and treatment linkage in MSM [ 20 , 21 ]; however, these models have not been optimized for models using PrEP. In the multivariable analysis, age was statistically significantly associated with lost retention or low adherence to PrEP programs suggesting younger users may benefit from additional support. When approaching adherence support for TGW, the socio-cultural context around their lives must be considered. First and foremost, this research is done from the perspective of real world conditions from a resource limited, middle income country as a demonstration project; therefore, results were analyzed to maximize generalizability. Taking limited resources into consideration, integrating additional adherence support marketed towards TGW into preexisting programs is an economical approach to potentially reducing barriers to care. The majority of participants from Chonburi were TGW who also engaged in sex work. Biomedical HIV prevention research and epidemic control in Thailand: two sides of the same coin. Innovative strategies using communications technologies to engage gay men and other men who have sex with men into early HIV testing and treatment in Thailand.

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