Acceptability and Feasibility of HIV Self-Testing Among Transgender Women in San Francisco: A Mixed Methods Pilot Study.
Acceptability and Feasibility of HIV Self-Testing Among Transgender Women in San Francisco: A Mixed Methods Pilot Study.
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DOI：
10.1007/s10461-015-1236-2
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发表时间：
2016-04
影响因子：
4.4
通讯作者：
Buchbinder S
中科院分区：
文献类型：
--
作者：
Lippman SA;Moran L;Sevelius J;Castillo LS;Ventura A;Treves-Kagan S;Buchbinder S
据估计，美国有四分之一的跨性别女性感染了艾滋病毒。艾滋病毒检测率与其风险不相称，因此需要采取其他战略进行早期检测和护理。我们在旧金山对50名HIV阴性的成年跨性别女性进行HIV自我检测（HIVST）的可行性和可接受性研究。参与者收到三个自检包，每月进行一次。接受性和行为调查收集了11个深度访谈（IDIs）。在50名参与者中，44人报告至少使用过一次艾滋病毒传播技术；94%的人报告该测试易于使用；93%的人说结果很容易阅读；91%的人会推荐给别人。大多数参与者（68%）更喜欢艾滋病毒检测而不是基于临床的检测，尽管价格是接受的主要障碍。IDIs揭示了对隐私的渴望与在测试站点得到的支持之间的紧张关系。变性妇女感染艾滋病毒是可以接受和可行的，需要仔细考虑与支助服务的联系。
An estimated one in four transgender women (trans women) in the U.S. are infected with HIV. Rates of HIV testing are not commensurate with their risk, necessitating alternative strategies for early detection and care. We explored the feasibility and acceptability of HIV self-testing (HIVST) with 50 HIV-negative adult trans women in San Francisco. Participants received three self-test kits to perform once a month. Acceptability and behavioral surveys were collected as were 11 in-depth interviews (IDIs). Among 50 participants, 44 reported utilizing HIVST at least once; 94 % reported the test easy to use; 93 % said results were easy to read; and 91 % would recommend it to others. Most participants (68 %) preferred HIVST to clinic-based testing, although price was a key barrier to uptake. IDIs revealed a tension between desires for privacy versus support found at testing sites. HIVST for trans women was acceptable and feasible and requires careful consideration of linkage to support services.