After years of campaigning and controversy, the Department of Health recently announced that they will begin routine commissioning of pre-exposure prophylaxis (PrEP) in England, meaning that free at the point of access PrEP is available in all regions of the UK. This is an important step forward in the UK’s aim to reach zero transmissions by 2030. Global data have shown that transgender women (TGW) are disproportionately affected by HIV.1 This can be attributed to a plethora of intersecting risk factors and vulnerabilities, many of which stem from the systemic and enacted discrimination, stigma and marginalisation that TGW experience.2 Given their increased risk, PrEP could be a valuable tool for TGW, especially given that risk factors such as involvement in sex work, sexual violence, and diminished sexual agency often preclude condom use.2 However, …

中文翻译：

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英国跨性别女性的暴露前预防可接受性

经过多年的运动和争议，卫生部最近宣布，他们将开始在英格兰例行进行暴露前预防（PrEP）的常规调试，这意味着在英国所有地区均可免费获得PrEP。这是英国到2030年实现零传播的目标的重要一步。全球数据显示，跨性别妇女（TGW）受HIV感染的比例不成比例。1这可归因于众多交叉的风险因素和脆弱性，其中许多2鉴于风险增加，PrEP可能是TGW的宝贵工具，特别是考虑到诸如从事性工作，性暴力和性代理减少等风险因素，PrEP可能是TGW的宝贵工具。通常会禁止使用安全套。