HIV 检测及与男男性行为的跨性别女性相关联的护理：23 个美国城市。
HIV Testing and Linkage to Care Among Transgender Women Who Have Sex with Men: 23 U.S. Cities.
机构信息
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop US8-4, Atlanta, GA, 30329, USA.
出版信息
AIDS Behav. 2020 Aug;24(8):2442-2450. doi: 10.1007/s10461-020-02804-6.
Abstract
Transgender women face unique barriers to HIV testing and linkage to care. This article describes the results of a national testing initiative conducted by 36 community-based and other organizations using a variety of recruitment and linkage-to-care strategies. A total of 2191 HIV tests were conducted with an estimated 1877 unique transgender women, and 4.6% of the transgender women had confirmed positive results. Two thirds (66.3%) were linked to care within approximately three months of follow-up, and the median time to linkage was 7 days. Transgender women tested at clinical sites were linked to care faster than those tested at non-clinical sites (median: 0 vs. 12 days; P = .003). Despite the use of a variety of linkage-to-care strategies, the proportion of transgender women successfully linked to care was below national goals. Tailored programs and interventions are needed to increase HIV testing and improve timely linkage to care in this population.
摘要
跨性别女性在接受 HIV 检测和获得护理方面面临独特的障碍。本文描述了由 36 个社区组织和其他组织使用各种招募和联系护理策略开展的一项全国性检测计划的结果。共进行了 2191 次 HIV 检测，估计有 1877 名独特的跨性别女性参与，其中 4.6%的跨性别女性检测结果呈阳性。三分之二（66.3%）在大约三个月的随访内被联系到护理，联系到护理的中位数时间为 7 天。在临床场所接受检测的跨性别女性比在非临床场所接受检测的女性更快地联系到护理（中位数：0 天与 12 天；P = .003）。尽管使用了多种联系护理策略，但成功联系到护理的跨性别女性比例仍低于国家目标。需要制定有针对性的方案和干预措施，以增加该人群的 HIV 检测，并改善及时联系护理的情况。
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