Brown University School of Public Health, Providence, Rhode Island.
Brown University Global Health Initiative, Providence, Rhode Island.
AIDS Educ Prev. 2021 Dec;33(6):495-510. doi: 10.1521/aeap.2021.33.6.495.
Transgender women and cisgender men who have sex with men (trans-WSM and cis-MSM) comprise the majority of new HIV infections in the Philippines. There is limited research in the Philippines on the relationship between having a provider responsive to the needs of these populations and recent engagement in HIV medical services such as HIV testing and treatment. We used multivariate logistic regression to examine the relationship between having a responsive medical provider and engagement in HIV medical services in the past 12 months among an online sample of 318 trans-WSM and cis-MSM in the Philippines. Participants without a responsive medical provider had lower adjusted odds of recent HIV medical service engagement than those who did (aOR = 0.32, 95% CI [0.16, 0.62], = .00). In stratified analyses, this relationship was significant for trans-WSM but not cis-MSM. Increasing access to responsive providers in the Philippines could bolster recent engagement with HIV medical services.
跨性别女性和与男性发生性行为的顺性别男性（跨性别男同性恋者和顺性别男同性恋者）构成了菲律宾新的 HIV 感染的大多数。在菲律宾，关于这些人群的需求得到提供者响应的情况与最近参与艾滋病毒医疗服务（如艾滋病毒检测和治疗）之间的关系的研究有限。我们使用多变量逻辑回归来检验在菲律宾的一个在线样本中，有响应的医疗提供者和在过去 12 个月中参与艾滋病毒医疗服务之间的关系，该样本包括 318 名跨性别男同性恋者和顺性别男同性恋者。没有响应的医疗提供者的参与者与有响应的医疗提供者的参与者相比，最近参与艾滋病毒医疗服务的调整后几率较低（aOR = 0.32，95%CI [0.16，0.62]，p =.00）。在分层分析中，这种关系在跨性别男同性恋者中是显著的，但在顺性别男同性恋者中不显著。增加菲律宾响应性提供者的可及性可以增强最近参与艾滋病毒医疗服务的机会。
