Abstract：
Transgender and nonbinary (TG/NB) persons are listed as one of the key populations in the context of HIV, due to increased risk of HIV infection in this group. HIV prevention, which includes a variety of available methods, should therefore be included in the comprehensive health care for TG/NB persons. One such method is the pre-exposure prophylaxis (PrEP), whose high effectiveness in preventing HIV transmission has already been demonstrated in numerous studies conducted in the cisgender population. However, the available empirical data on its use in TG/NB persons are limited in many respects. This issue is also practically absent in the Polish literature; as a consequence, there are significant gaps in recommendations for professionals involved i n the prevention of HIV among TG/NB persons and professionals involved in the comprehensive health care for TG/NB persons. This article 1) outlines the issue of the use of PrEP among TG/NB persons, including the associated challenges for professionals (specialising in physical, as well as mental health); 2) demonstrates the possible applicability of PrEP in TG/NB populations based on available research findings; 3) summarises good practices in counselling and PrEP-related psychoeducational activities, as part of the comprehensive health care for TG/NB individuals.
摘要：
变性人和非二元（TG/NB）人被列为艾滋病毒背景下的关键人群之一，由于该组中HIV感染的风险增加。艾滋病毒预防,其中包括各种可用的方法，因此，应纳入TG/NB患者的综合医疗保健。一种这样的方法是暴露前预防（PrEP），在顺式人群中进行的大量研究已经证明了其在预防艾滋病毒传播方面的高效性。然而,关于其在TG/NB人群中使用的现有经验数据在许多方面是有限的。这个问题在波兰文学中也几乎不存在；因此，在TG/NB人群中,与HIV预防相关的专业人员和与TG/NB人群综合保健相关的专业人员的建议存在显著差距.本文1)概述了TG/NB人员使用PrEP的问题，包括专业人士的相关挑战(专门从事物理，以及心理健康）；2）根据现有的研究结果证明PrEP在TG/NB人群中的可能适用性；3）总结咨询和PrEP相关心理教育活动的良好做法，作为TG/NB个人全面医疗保健的一部分。
