Schnall Rebecca, Radix Asa, Kuhns Lisa M, Janulis Patrick, Paredes Christian, Garofalo Robert
Columbia University School of Nursing, New York, New York.
Callen Lorde Community Health Center. New York, New York.
AIDS Educ Prev. 2025 Jul;37(3):173-186. doi: 10.1521/aeap.2025.37.3.173.
Transgender youth in the U.S. have unique health needs but often face barriers to accessing and receiving health care services, which contribute to disparate health outcomes including high risk for HIV acquisition. This article reports on a pilot randomized clinical trial of MyPEEPS Mobile for young transgender men (YTM) versus delayed intervention on condomless receptive anal and vaginal acts at 3 and 6 months after baseline. Participants rated the app as highly usable. Retention rates at 3 and 6 months were 89%. There were lower rates of condomless anal or vaginal sex acts during the intervention periods, but this reduction was not significantly different versus nonintervention periods. There was a higher likelihood of nPEP and PrEP use and HIV/STI testing during intervention periods, but this increase was not significantly different than nonintervention periods. Findings from the study support the feasibility of MyPEEPS Mobile for HIV prevention in YTM.
美国的跨性别青少年有独特的健康需求，但在获取和接受医疗保健服务方面往往面临障碍，这导致了不同的健康结果，包括感染艾滋病毒的高风险。本文报告了一项针对年轻跨性别男性（YTM）的MyPEEPS Mobile试点随机临床试验，与基线后3个月和6个月对无保护接受肛交和阴道性行为的延迟干预进行对比。参与者对该应用程序的可用性评价很高。3个月和6个月时的保留率为89%。干预期间无保护肛交或阴道性行为的发生率较低，但与非干预期间相比，这种降低没有显著差异。干预期间使用暴露后预防（nPEP）和暴露前预防（PrEP）以及进行艾滋病毒/性传播感染检测的可能性更高，但与非干预期间相比，这种增加没有显著差异。该研究的结果支持了MyPEEPS Mobile在预防YTM感染艾滋病毒方面的可行性。
