Transgender Youth Experiences and Perspectives Related to HIV Preventive Services
Transgender Youth Experiences and Perspectives Related to HIV Preventive Services
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与艾滋病预防服务相关的跨性别青年经验和观点
DOI：
10.1542/peds.2019-2204
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发表时间：
2020-04-01
期刊：
影响因子：
8
通讯作者：
Dunville, Richard
中科院分区：
文献类型：
--
作者：
Fontenot, Holly B.;Cahill, Sean R.;Dunville, Richard
背景：在美国，变性青年感染艾滋病毒的风险特别高。关于艾滋病毒预防战略的文献，这一脆弱的，往往隐藏的人口是很少的。在有效的，以人口为基础的艾滋病预防策略可能是充分发展，有必要首先加强跨性别青年艾滋病毒的风险和经验与艾滋病预防service.METHODS的上下文理解：两个为期3天，在线，异步焦点小组进行了跨性别青年来自美国各地，以更好地了解参与者的艾滋病毒风险和经验与艾滋病预防服务。参与者是通过青年组织发布的在线广告招募的。质性资料以内容分析法进行分析。平均年龄为18.6岁，青少年报告了广泛的性别认同（例如，27%是变性男性，17%是变性女性，27%使用1美元术语）和性取向。出现了四个主题：（1）在性决策中自我效能的障碍;（2）安全问题，恐惧，以及形成浪漫和/或性关系的其他挑战;（3）需要支持和教育;（4）渴望积极和文化上的经验和互动（例如，家庭、学校和卫生保健）。结论：青年讨论了与其性别认同、性健康教育和艾滋病毒预防服务有关的经验和观点。调查结果应告知干预措施的制定，以改善支持和/或服务，包括以下内容：（1）增加提供者的知识和技能，以提供肯定性别的护理，（2）消除服务障碍（例如，可获得性和可负担性以及耻辱和歧视），以及（3）扩大性健康教育，将所有性别认同，性取向，性和性行为的定义
BACKGROUND: In the United States, transgender youth are at especially high risk for HIV infection. Literature regarding HIV prevention strategies for this vulnerable, often-hidden population is scant. Before effective, population-based HIV prevention strategies may be adequately developed, it is necessary to first enhance the contextual understanding of transgender youth HIV risk and experiences with HIV preventive services.METHODS: Two 3-day, online, asynchronous focus groups were conducted with transgender youth from across the United States to better understand participant HIV risk and experiences with HIV preventive services. Participants were recruited by using online advertisements posted via youth organizations. Qualitative data were analyzed by using content analysis.RESULTS: A total of 30 transgender youth participated. The average age was 18.6 years, and youth reported a wide range of gender identities (eg, 27% were transgender male, 17% were transgender female, and 27% used $1 term) and sexual orientations. Four themes emerged: (1) barriers to self-efficacy in sexual decision-making; (2) safety concerns, fear, and other challenges in forming romantic and/or sexual relationships; (3) need for support and education; and (4) desire for affirmative and culturally competent experiences and interactions (eg, home, school, and health care).CONCLUSIONS: Youth discussed experiences and perspectives related to their gender identities, sexual health education, and HIV preventive services. Findings should inform intervention development to improve support and/or services, including the following: (1) increasing provider knowledge and skills to provide gender-affirming care, (2) addressing barriers to services (eg, accessibility and affordability as well as stigma and discrimination), and (3) expanding sexual health education to be inclusive of all gender identities, sexual orientations, and definitions of sex and sexual activity.