Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
Department of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
AIDS Behav. 2020 Feb;24(2):506-515. doi: 10.1007/s10461-019-02730-2.
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.
跨性别女性性工作者（TFSW）受 HIV 影响极大，全球患病率为 27%。HIV 自我检测（HIVST）用于筛查性伴侣，有助于男男性行为者和女性性工作者做出知情的性决策，避免 HIV 暴露。这是关于 TFSW 使用 HIVST 筛查客户的首次报告。我们给了十名 TFSW 每人十套 HIVST 试剂盒，三个月后让她们返回完成在线问卷并接受访谈。其中八人报告说与潜在伴侣一起使用了 HIVST。在亲自要求五十名潜在伴侣检测的人中，有 42 人（84%）是客户。五十人中共有 34 人（68%）接受了检测，16 人（32%）拒绝了检测。只有极少数暴力事件发生，参与者通过向他人提供 HIVST 感到被赋权。尽管如此，如果降低或补贴 HIVST 的市场成本，那么 TFSW 未来可能会使用 HIVST 与客户进行检测。
