Use of HIV Self-Testing Kits to Screen Clients Among Transgender Female Sex Workers in New York and Puerto Rico

被引:17
|
作者
Giguere, Rebecca [1 ,2 ]
Lopez-Rios, Javier [1 ,2 ,3 ]
Frasca, Timothy [1 ,2 ]
Lentz, Cody [1 ,2 ]
Balan, Ivan C. [1 ,2 ]
Dolezal, Curtis [1 ,2 ]
Rael, Christine Tagliaferri [1 ,2 ]
Brown, William, III [1 ,2 ,4 ,5 ,6 ,7 ]
Sheinfil, Alan Z. [1 ,2 ,8 ]
Torres, Catherine Cruz [9 ]
Crespo, Raynier [9 ]
Febo, Irma [9 ]
Carballo-Dieguez, Alex [1 ,2 ]
机构
[1] NY State Psychiat Inst, HIV Ctr Clin & Behav Studies, Div Gender Sexual & Hlth, 1051 Riverside Dr,Unit 15, New York, NY 10032 USA
[2] Columbia Univ, 1051 Riverside Dr,Unit 15, New York, NY 10032 USA
[3] CUNY, Dept Community Hlth & Social Sci, Grad Sch Publ Hlth & Hlth Policy, New York, NY 10021 USA
[4] Univ Calif San Francisco, Ctr AIDS Prevent Studies, Dept Med, San Francisco, CA 94143 USA
[5] Univ Calif San Francisco, Dept Med, Ctr Vulnerable Populat, Zuckerberg San Francisco Gen Hosp, San Francisco, CA 94143 USA
[6] Univ Calif San Francisco, Ctr Trauma, San Francisco, CA 94143 USA
[7] Univ Calif San Francisco, Bakar Computat Hlth Sci Inst, San Francisco, CA 94143 USA
[8] Syracuse Univ, Dept Psychol, Syracuse, NY USA
[9] Univ Puerto Rico, Dept Pediat, Med Sci Campus, San Juan, PR 00936 USA
基金
美国医疗保健研究与质量局;
关键词
Transgender; Sex work; Self-testing; HIV prevention; WOMEN; PREVENTION; ACCEPTABILITY; YOUNG; CARE; POPULATIONS; STRATEGIES; ATTITUDES; RISK;
D O I
10.1007/s10461-019-02730-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Transgender female sex workers (TFSW) are highly affected by HIV, with a global prevalence of 27%. HIV self-testing (HIVST) to screen sexual partners has helped men who have sex with men and female sex workers make informed sexual decisions and avoid HIV exposure. This is the first report on TFSW's experiences screening clients using HIVST. Ten TFSW were each given ten HIVST kits and returned after 3 months to complete an online questionnaire and undergo an interview. Eight of them reported using HIVST with potential partners. Among fifty potential partners who were asked in person to test, 42 (84%) were clients. Thirty-four out of fifty (68%) accepted and 16 (32%) refused. Very few violent incidents occurred, and participants felt empowered by offering HIVST to others. Nevertheless, HIVST market cost was prohibitive for future use. HIVST use with clients could be feasible for TFSW if the cost were lowered or subsidized.
引用
收藏
页码:506 / 515
页数:10
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