Recruiting, Linking, and Retaining High-risk Transgender Women into HIV Prevention and Care Services: An Overview of Barriers, Strategies, and Lessons Learned.
Recruiting, Linking, and Retaining High-risk Transgender Women into HIV Prevention and Care Services: An Overview of Barriers, Strategies, and Lessons Learned.
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DOI：
10.1080/15532739.2015.1081085
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Fletcher JB
中科院分区：
文献类型：
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作者：
Reback CJ;Ferlito D;Kisler KA;Fletcher JB
尽管美国的跨性别妇女艾滋病毒感染率高，艾滋病毒感染和传播的风险高，但她们不太可能意识到自己的艾滋病毒状况，或将艾滋病毒感染视为严重的健康威胁。此外，住房不稳定、法律的就业机会少、缺乏社会支持以及对社会服务提供者的不信任等问题同时存在，这些因素限制了跨性别妇女被艾滋病毒预防和护理服务机构招聘、留用或与之挂钩的兴趣或能力。本文提供了一个概述的障碍，防止许多高风险的跨性别妇女被招募，联系，并保留在艾滋病毒预防和护理服务，以及获得艾滋病毒检测服务，并讨论了克服这些障碍的几种策略。与高风险跨性别妇女合作的最佳做法包括雇用当地跨性别社区的跨性别妇女，设计有文化针对性的招聘和留住战略，包括创建活的“社区地图”，以确保成功的社区外联，建立一个针对跨性别妇女的CAB，与包括消费者在内的社区利益攸关方进行对话，对工作人员和社区合作者进行广泛的文化敏感性培训，使他们对高风险跨性别妇女参与者的具体需求保持敏感。
Despite disproportionately high HIV prevalence rates and high risk for HIV acquisition and transmission, trans women in the United States are less likely than other high-risk populations to be aware of their HIV status or to perceive HIV infection as a serious health threat. Furthermore, concurrently high rates of unstable housing, few legal employment opportunities, lack of social support, and distrust of social service providers limit trans women's interest or ability to be recruited by, retained within, or linked into HIV prevention and care services. This article provides an overview of the barriers that prevent many high-risk trans women from being recruited, linked, and retained within HIV prevention and care services as well as accessing HIV testing services, and discusses several strategies for overcoming these barriers. Best practices in working with high-risk trans women include hiring trans women indigenous to the local trans communities, designing culturally specific recruitment and retention strategies including the creation of living “community maps” to ensure successful community outreach, the construction of a trans women-specific CAB to create dialogue with community stakeholders including consumers, and extensive cultural sensitivity training for staff and community collaborators to sensitize them to the specific needs of high-risk trans women participants.