The Center for Sexuality and Health Disparities, University of Michigan, 400 N Ingalls Street, Ann Arbor, MI, 48109, USA.
Department of Systems, Population and Leadership, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
AIDS Behav. 2020 May;24(5):1517-1530. doi: 10.1007/s10461-019-02741-z.
Transgender youth have low rates of engagement in HIV prevention, shaped in part by experiences of transphobia and lack of access to culturally competent care. Project Moxie tested the feasibility of an intervention that provides home-based HIV self-testing coupled with video-chat counseling. A diverse sample of 202 binary and nonbinary transgender youth (TY) were recruited online, and randomized 2:1 to receive the intervention or a control condition of only home-based HIV self-testing. TY were willing to order HIV self-testing kits and report their results. Half of those in the intervention arm opted to use the video-chat counseling and, among those who did, levels of satisfaction were high. Project Moxie demonstrates the ability to recruit TY online and provide them with access to home HIV testing. Further work is required to develop online interventions for youth who do not wish to receive counseling through video-chat formats.
跨性别青年参与 HIV 预防的比例较低，这在一定程度上是由于受到跨性别恐惧症的影响，以及无法获得文化上适宜的护理。Moxie 项目测试了一种提供家庭 HIV 自检和视频聊天咨询的干预措施的可行性。通过在线招募了 202 名二元和非二元跨性别青年（TY）的多样化样本，并随机分为 2:1 的比例，分别接受干预或仅接受家庭 HIV 自检的对照条件。TY 愿意订购 HIV 自检试剂盒并报告其结果。干预组中有一半人选择使用视频聊天咨询，而在使用该咨询的人中，满意度很高。Moxie 项目展示了在线招募 TY 并为他们提供家庭 HIV 检测的能力。还需要进一步努力，为那些不希望通过视频聊天形式接受咨询的青年开发在线干预措施。
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