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跨性别女性使用家庭 HIV 检测试剂盒进行伴侣检测的体验。

Transgender Women's Experiences Using a Home HIV-Testing Kit for Partner-Testing.

机构信息

HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University, 1051 Riverside Dr, New York, NY, 10032, USA.

Department of Psychology, Syracuse University, Syracuse, NY, USA.

出版信息

AIDS Behav. 2020 Sep;24(9):2732-2741. doi: 10.1007/s10461-020-02829-x.


DOI:10.1007/s10461-020-02829-x
PMID:32193729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7725406/
Abstract

HIV partner-testing (PT) may represent a unique and empowering HIV prevention strategy for groups that face structural and institutional barriers to HIV testing and care, including transgender women. We report on in-depth interviews (IDIs) with N = 10 transgender women who used HIV self-test kits for three months to screen potential sexual partners in a randomized controlled trial (iSUM; "I'll Show You Mine") that took place in New York City and San Juan, Puerto Rico. Participants were assigned to intervention (supplied with 10 self-test kits immediately) or control groups (received 6 test kits after 3 months). We conducted IDIs with the first N = 10 transgender women to enroll in the intervention group after three months in the study (after participants used kits with partners) to understand their experiences. Themes discussed in IDIs included: partners' reaction to HIV testing, participants' reactions to partners' test results or refusal to test, partners' own reaction to their test results, and decision-making around test use. Data were independently analyzed by two coders. Overwhelmingly, participants' experiences with PT was positive. Participants reported kits were convenient and acceptable to most partners. Transgender women felt that PT could pose additional risk for them; one woman experienced violence related to kit use. Furthermore, the availability of kits appeared to encourage participants and their partners to think about their HIV status and, in some cases, modify sexual behavior. Work suggests that HIV PT could be a viable risk-reduction strategy for transgender women.

摘要

艾滋病毒伴侣检测 (PT) 可能代表了一种独特且赋权的艾滋病毒预防策略,适用于那些面临结构性和制度性艾滋病毒检测和护理障碍的群体,包括跨性别女性。我们报告了在一项随机对照试验 (iSUM;“我将向你展示我的”) 中,对 10 名使用艾滋病毒自检试剂盒筛查潜在性伴侣的跨性别女性进行的深入访谈 (IDIs)。该试验在纽约市和波多黎各圣胡安进行。参与者被分配到干预组(立即提供 10 份自检试剂盒)或对照组(3 个月后收到 6 份测试包)。在研究进行三个月后,我们对干预组中首批 10 名入组的跨性别女性进行了 IDIs(在参与者与伴侣使用试剂盒后),以了解她们的经历。IDIs 中讨论的主题包括:伴侣对艾滋病毒检测的反应、参与者对伴侣检测结果或拒绝检测的反应、伴侣对自己检测结果的反应以及围绕检测使用的决策。数据由两名编码员独立分析。绝大多数情况下,参与者的 PT 体验是积极的。参与者报告说,试剂盒对大多数伴侣来说既方便又可接受。跨性别女性认为 PT 可能对她们构成额外的风险;一名女性因试剂盒使用而经历了暴力。此外,试剂盒的提供似乎鼓励了参与者及其伴侣思考他们的艾滋病毒状况,并在某些情况下改变性行为。研究表明,艾滋病毒 PT 可能是跨性别女性可行的降低风险策略。

相似文献

[1]
Transgender Women's Experiences Using a Home HIV-Testing Kit for Partner-Testing.

AIDS Behav. 2020-9

[2]
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[3]
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[4]
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[5]
Use of HIV Self-Testing Kits to Screen Clients Among Transgender Female Sex Workers in New York and Puerto Rico.

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[6]
'If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV': HIV self-testing perceptions, delivery strategies, and post-test experiences among pregnant women and their male partners in Central Uganda.

Glob Health Action. 2018

[7]
Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study.

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[8]
HIV self-testing in Peru: questionable availability, high acceptability but potential low linkage to care among men who have sex with men and transgender women.

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[9]
'. . . if you bring the kit home, you [can] get time and test together with your partner': Pregnant women and male partners' perceptions regarding female partner-delivered HIV self-testing in Uganda - A qualitative study.

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[10]
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引用本文的文献

[1]
HIV testing among transgender and other gender diverse persons in the United States: A scoping review.

J Acquir Immune Defic Syndr. 2025-7-17

[2]
Effects of HIV Self-Testing on Testing Promotion and Risk Behavior Reduction Among Transgender Women in China: Randomized Controlled Trial.

J Med Internet Res. 2024-10-29

[3]
Social network-based approaches to HIV testing: a systematic review and meta-analysis.

J Int AIDS Soc. 2024-9

[4]
Factors associated with prior testing for HIV, Syphilis, and Hepatitis B and C among transgender women and travestis in Brazil.

Rev Bras Epidemiol. 2024

[5]
Mapping evidence on health promotion in HIV testing among men who have sex with men and transgender women using the social-ecological model and the vulnerability theoretical framework: a scoping review.

BMC Public Health. 2023-10-7

[6]
Transgender Women's Experiences Using SMARTtest, a Smartphone Application to Facilitate Self- and Partner-HIV/Syphilis Testing Using the INSTI Multiplex.

Arch Sex Behav. 2023-7

[7]
Law, human rights and gender in practice: an analysis of lessons from implementation of self-care interventions for sexual and reproductive health.

Sex Reprod Health Matters. 2021

[8]
Self-Testing as a Hope to Reduce HIV in Transgender Women-Literature Review.

Int J Environ Res Public Health. 2022-7-30

[9]
Effective strategies to promote HIV self-testing for men who have sex with men: Evidence from a mathematical model.

Epidemics. 2021-12

[10]
Experiences of Transgender Women Who Used a Dual HIV/Syphilis Rapid Self-test to Screen Themselves and Potential Sexual Partners (the SMARTtest Study).

AIDS Behav. 2022-4

本文引用的文献

[1]
Use of HIV Self-Testing Kits to Screen Clients Among Transgender Female Sex Workers in New York and Puerto Rico.

AIDS Behav. 2020-2

[2]
Use of Rapid HIV Self-Test to Screen Potential Sexual Partners: Results of the ISUM Study.

AIDS Behav. 2020-6

[3]
Methods, system errors, and demographic differences in participant errors using daily text message-based short message service computer-assisted self-interview (SMS-CASI) to measure sexual risk behavior in a RCT of HIV self-test use.

Mhealth. 2019-6-18

[4]
Exploring social harms during distribution of HIV self-testing kits using mixed-methods approaches in Malawi.

J Int AIDS Soc. 2019-3

[5]
Open-ended interview questions and saturation.

PLoS One. 2018-6-20

[6]
Barriers and Facilitators to Oral PrEP Use Among Transgender Women in New York City.

AIDS Behav. 2018-11

[7]
Mixed-Method Evaluation of Social Media-Based Tools and Traditional Strategies to Recruit High-Risk and Hard-to-Reach Populations into an HIV Prevention Intervention Study.

AIDS Behav. 2018-1

[8]
'. . . if you bring the kit home, you [can] get time and test together with your partner': Pregnant women and male partners' perceptions regarding female partner-delivered HIV self-testing in Uganda - A qualitative study.

Int J STD AIDS. 2017-11

[9]
A qualitative study of secondary distribution of HIV self-test kits by female sex workers in Kenya.

PLoS One. 2017-3-27

[10]
Promoting Partner Testing and Couples Testing through Secondary Distribution of HIV Self-Tests: A Randomized Clinical Trial.

PLoS Med. 2016-11-8

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