The Where and How for Reaching Transgender Women and Men Who Have Sex with Men with HIV Prevention Services in Guatemala.

The Where and How for Reaching Transgender Women and Men Who Have Sex with Men with HIV Prevention Services in Guatemala.
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DOI:
10.1007/s10461-016-1655-8
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发表时间:
2017-12
期刊:
影响因子:
4.4
通讯作者:
Paz-Bailey G
Paz-Bailey G
中科院分区:
医学2区
文献类型:
--
作者:
Miller WM;Miller WC;Barrington C;Weir SS;Chen SY;Emch ME;Pettifor AE;Paz-Bailey G

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本研究旨在描述跨性别女性和男性与男性发生性关系(MSM)错过了基于场地的抽样,并说明如何使用场地的数据来优先提供服务。2010年,在危地马拉城同时使用了应答者驱动抽样(RDS)和时间-地点抽样(TLS)对男男性接触者和变性妇女进行行为监测。RDS新兵谁没有频繁的场地(n = 106)进行了比较,TLS新兵(n = 609)。在不同类型的场地招募的TLS参与者进行了比较。不经常参加活动的RDS新兵受教育程度较低,不太可能被认为是同性恋,更有可能有共同的伴侣和女性性伴侣。在非政府组织、桑拿浴室、酒店、街道和公园招募的参与者有更多的伴侣,更有可能接受性行为的金钱或同时有伴侣。针对男男性接触者和跨性别女性的预防方案应该对社交场所和经常光顾的人群进行分类,并通过场所和社交网络提高服务覆盖率。
This study aims to describe the transgender women and men who have sex with men (MSM) missed through venue-based sampling and illustrate how data on venues can be used to prioritize service delivery. Respondent-driven sampling (RDS) and time-location sampling (TLS) were used concurrently in 2010 for behavioral surveillance among MSM and transgender women in Guatemala City. RDS recruits who did not frequent venues (n = 106) were compared to TLS recruits (n = 609). TLS participants recruited at different types of venues were compared. RDS recruits who did not frequent venues were less educated, less likely to identify as gay, more likely to have concurrent partners and female sexual partners. Participants recruited at NGOs, saunas, hotels, streets and parks had more partners, were more likely to receive money for sex or have concurrent partners. Prevention programs for MSM and transgender women should characterize social venues and people that frequent them and improve service coverage through venues and social networks.
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