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北卡罗来纳州与男男性行为者和跨性别女性发生性关系的黑人和拉丁裔男性对伴侣服务的看法、经验和偏好。

Perceptions, experiences, and preferences for partner services among Black and Latino men who have sex with men and transwomen in North Carolina.

机构信息

Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Ethn Health. 2022 Aug;27(6):1241-1255. doi: 10.1080/13557858.2021.1899137. Epub 2021 Mar 18.

Abstract

OBJECTIVES

In the United States, sexually transmitted infections (STIs) disproportionately affect men who have sex with men (MSM) and transwomen of color. Partner services can prevent STI transmission by facilitating testing and treatment for partners of individuals diagnosed with an STI. Understanding client perspectives towards partner services is critical to their acceptance and uptake. This study examined perceptions, experiences, and preferences for partner services among Black and Latino MSM and transwomen in North Carolina.

DESIGN

We conducted seven audio-recorded focus groups in English (= 5) and Spanish (= 2). The audio was transcribed verbatim and we inductively analyzed data using field notes, systematic coding, and thematic comparison.

RESULTS

Black MSM reported the most exposure and experiences with partner services, and most perceived partner services negatively. Feeling supported and having flexibility characterized positive experiences with partner services among Black MSM; feeling judged or harassed characterized negative experiences. Black transwomen had less exposure to partner services and had a mix of positive reactions to the approach, along with concerns about client confidentiality. Most Latino participants were unaware of partner services and expressed openness to their potential. All participants preferred self-notifying and wanted flexible, discreet, supportive partner services with linkages to other wellness resources.

CONCLUSION

Building off positive partner services experiences and responding to client preferences can enhance trust, acceptability, and service use.

摘要

目的

在美国,性传播感染(STIs)在男男性行为者(MSM)和跨性别有色人种女性中不成比例地高发。伴侣服务可以通过为被诊断患有 STI 的个体的伴侣提供检测和治疗来预防 STI 的传播。了解客户对伴侣服务的看法对于其接受和使用至关重要。本研究调查了北卡罗来纳州的黑人 MSM 和跨性别女性对伴侣服务的看法、经验和偏好。

设计

我们以英语(=5)和西班牙语(=2)进行了七次录音焦点小组讨论。音频被逐字转录,我们使用现场笔记、系统编码和主题比较进行了归纳分析。

结果

黑人 MSM 报告的伴侣服务接触和经验最多,大多数人对伴侣服务的看法负面。黑人 MSM 对伴侣服务的积极体验是感到支持和灵活;负面体验是感到评判或骚扰。黑人跨性别女性对伴侣服务的接触较少,对这种方法有不同的反应,同时也对客户的保密性表示担忧。大多数拉丁裔参与者不了解伴侣服务,并表示愿意接受其潜在的服务。所有参与者都希望能够自行通知,并希望获得灵活、谨慎、支持性的伴侣服务,并与其他健康资源建立联系。

结论

借鉴积极的伴侣服务经验,并满足客户的偏好,可以增强信任、可接受性和服务的使用。

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J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219880582. doi: 10.1177/2325958219880582.
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Partner Notification: A Community Viewpoint.性伴通知:社区视角
J Int AIDS Soc. 2019 Jul;22 Suppl 3(Suppl Suppl 3):e25291. doi: 10.1002/jia2.25291.

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