Gender-affirming HIV care as a tool to end the HIV epidemic.
Gender-affirming HIV care as a tool to end the HIV epidemic.
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DOI：
10.1016/s2352-3018(23)00087-5
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发表时间：
2023-06
期刊：
影响因子：
16.1
通讯作者：
Restar, Arjee
中科院分区：
文献类型：
--
作者：
Wirtz, Andrea L.;Restar, Arjee
跨性别女性在全球范围内承担着不成比例的艾滋病毒感染负担，并为推进艾滋病毒预防和护理以结束这一流行病做出了重大贡献。 1 然而，很少有研究拥有足够的样本量和适合跨性别女性或涉及跨性别调查员的措施，而这些是生成针对特定人群的推论并为跨性别女性制定艾滋病毒策略提供信息所必需的。 Cloete 博士及其同事报告了南非第一个专门针对跨性别女性的生物行为调查中的艾滋病毒感染率和艾滋病毒护理指标。 2 这项研究增加了越来越多的全球证据，表明可以而且应该专门针对跨性别女性进行严格的研究。 3–6 博士。 Cloete 及其同事采用受访者驱动抽样 (RDS) 来接触并招募南非三个大都市区的 880 多名性活跃的跨性别女性。 2 RDS 方法具有双重好处，即利用社交网络和社区信任对不存在抽样框架的人群进行抽样，并提供近似基于人群的患病率估计的统计方法。虽然 RDS 的好处已有充分记录，但它并不总是成功地应用于接触跨性别女性。相反，跨性别女性成功参与这项研究可能归因于严格的研究方法与社区参与的实施策略的结合，即跨性别学者、领导者和跨性别领导的组织在所有研究阶段的共同参与。 7 以这些合作伙伴的科学和社区专业知识为基础，社区参与的研究增强了社区关注的科学研究问题；确保
Transgender (trans) women have borne a disproportionate burden of HIV infection globally and have contributed substantially to advancing HIV prevention and care to end the epidemic. 1 Yet, few studies have sufficient sample sizes and measures appropriate for trans women or involved trans investigators, which are needed to generate population-specific inferences and inform HIV strategies for trans women. Dr. Cloete and colleagues report HIV prevalence and HIV care indicators from one of the first biobehavioral surveys exclusively for trans women in South Africa. 2 This research adds to a growing body of global evidence that demonstrates that rigorous research exclusively for trans women can and should be done. 3–6Dr. Cloete and colleagues employed respondent-driven sampling (RDS) to reach and recruit over 880 sexually active trans women in three metropolitan areas of South Africa. 2 RDS methodology has a dual benefit of leveraging social networks and community trust to sample populations for whom no sampling frame exists and providing statistical methods that approximate population-based prevalence estimates. While RDS’benefits are welldocumented, it has not always been applied successfully in reaching trans women. Rather, the successful engagement of trans women in this research is likely attributed to the coupling of rigorous research methods with a community-engaged implementation strategy, ie, the joint involvement of trans scholars, leaders, and trans-led organizations in all study phases. 7 Building on the scientific and community expertise of these partners, community-engaged research enhances scientific research questions are salient to communities; ensures that the