Lippman Sheri A, Moran Lissa, Sevelius Jae, Castillo Leslie S, Ventura Angel, Treves-Kagan Sarah, Buchbinder Susan
Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94158-2549, USA.
University of California, Berkeley, School of Public Health, Berkeley, CA, USA.
AIDS Behav. 2016 Apr;20(4):928-38. doi: 10.1007/s10461-015-1236-2.
An estimated one in four transgender women (trans women) in the U.S. are infected with HIV. Rates of HIV testing are not commensurate with their risk, necessitating alternative strategies for early detection and care. We explored the feasibility and acceptability of HIV self-testing (HIVST) with 50 HIV-negative adult trans women in San Francisco. Participants received three self-test kits to perform once a month. Acceptability and behavioral surveys were collected as were 11 in-depth interviews (IDIs). Among 50 participants, 44 reported utilizing HIVST at least once; 94 % reported the test easy to use; 93 % said results were easy to read; and 91 % would recommend it to others. Most participants (68 %) preferred HIVST to clinic-based testing, although price was a key barrier to uptake. IDIs revealed a tension between desires for privacy versus support found at testing sites. HIVST for trans women was acceptable and feasible and requires careful consideration of linkage to support services.
据估计，美国四分之一的跨性别女性感染了艾滋病毒。艾滋病毒检测率与其风险不相称，因此需要采取替代策略进行早期检测和护理。我们在旧金山对50名艾滋病毒阴性的成年跨性别女性进行了艾滋病毒自我检测（HIVST）的可行性和可接受性研究。参与者每月收到三个自我检测试剂盒，进行一次检测。我们收集了可接受性和行为调查，以及11次深入访谈（IDI）。在50名参与者中，44人报告至少使用过一次HIVST；94%的人报告检测易于使用；93%的人表示结果易于阅读；91%的人会向他人推荐。大多数参与者（68%）更喜欢HIVST而不是基于诊所的检测，尽管价格是采用的关键障碍。深入访谈揭示了对隐私的渴望与检测地点提供的支持之间的矛盾。跨性别女性的HIVST是可以接受且可行的，并且需要仔细考虑与支持服务的联系。
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