De Luca Amalia, Zalazar Virginia, Salusso Diego, Frontini Emilia, Fabian Solange, Cardozo Nadir Fernana, Cesar Carina, Cahn Pedro, Sued Omar, Aristegui Inés
541285Fundación Huésped, Research Department, Buenos Aires, Argentina.
Asociación Civil Gondolin, Buenos Aires, Argentina.
Int J STD AIDS. 2023 Jan;34(1):25-30. doi: 10.1177/09564624221132624. Epub 2022 Oct 26.
Evidence among key populations supports acceptability of HIV self-testing (HIVST) due to its privacy and convenience. However, insufficient research has been done among transgender women (TGW), especially in Latin America. Consequently, the aim of this study was to explore the acceptability, perceptions and recommendations for HIVST implementation among TGW in Buenos Aires.
A focus group was conducted in July 2019. Particpants were invited to touch and learn about a displayed HIVST kit. The following main topics were explored: acceptability, reasons for seeking self-testing, preferences for training, distribution, periodicity and recommendations for HIVST implementation.
The sample consisted of 12 TGWs; mean age of 26 years (IQR = 22-28); 66% had history of sex-work. The main motivations for seeking HIVST were convenience, privacy, and usage to reduce stigma and discrimination by health-care providers. Recommendations for HIVST were: distribution from primary health centers and trans-sensitive centers; affordable price; assistance by peer health promoters; and the provision of clear written and video instructions.
Tailored implementation of HIVST can increase HIV testing rates, early detection, and linkage to HIV-care in this high-prevalence group. This study provided community-driven suggestions to inform and adapt an HIVST feasibility pilot study and future implementation in Argentina.
关键人群中的证据支持HIV自我检测（HIVST）的可接受性，因为其具有隐私性和便利性。然而，针对跨性别女性（TGW）的研究不足，尤其是在拉丁美洲。因此，本研究的目的是探讨布宜诺斯艾利斯的跨性别女性对HIVST实施的可接受性、看法和建议。
2019年7月进行了一次焦点小组讨论。邀请参与者触摸并了解展示的HIVST试剂盒。探讨了以下主要主题：可接受性、自我检测的原因、培训偏好、分发、频率以及HIVST实施的建议。
样本包括12名跨性别女性；平均年龄26岁（四分位间距=22-28）；66%有性工作史。寻求HIVST的主要动机是方便、隐私以及用于减少医疗保健提供者的耻辱和歧视。HIVST的建议是：从初级卫生中心和对跨性别者友好的中心分发；价格合理；由同伴健康促进者提供帮助；以及提供清晰的书面和视频说明。
针对HIVST的量身定制实施可以提高这一高流行群体的HIV检测率、早期检测率以及与HIV护理的联系。本研究提供了社区驱动的建议，以指导和调整阿根廷的HIVST可行性试点研究及未来实施。
