Transgender Women’s Experiences Using a Home HIV-Testing Kit for Partner-Testing

Autor: Cody Lentz, Rebecca Giguere, Raynier Crespo, Timothy Frasca, Catherine Cruz Torres, William Brown, Alex Carballo-Diéguez, Alan Z. Sheinfil, Iván C. Balán, Cheng-Shiun Leu, Curtis Dolezal, Sarah J. Iribarren, Javier Lopez-Rios, Christine Tagliaferri Rael, Irma Febo
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Social Psychology
Sexual Behavior
HIV Infections
Hiv testing
Transgender Persons
Article
Transgender women
law.invention
Interviews as Topic
Young Adult
03 medical and health sciences
0302 clinical medicine
Acquired immunodeficiency syndrome (AIDS)
Randomized controlled trial
law
Surveys and Questionnaires
Intervention (counseling)
medicine
Humans
Mass Screening
Serologic Tests
030212 general & internal medicine
Qualitative Research
Randomized Controlled Trials as Topic
030505 public health
Public health
Puerto Rico
Public Health
Environmental and Occupational Health
AIDS Serodiagnosis
medicine.disease
Test (assessment)
Self Care
Health psychology
Sexual Partners
Infectious Diseases
Family medicine
Female
New York City
Reagent Kits
Diagnostic
0305 other medical science
Psychology
Zdroj: AIDS Behav
ISSN: 1573-3254
1090-7165
DOI: 10.1007/s10461-020-02829-x
Popis: HIV partner-testing (PT) may represent a unique and empowering HIV prevention strategy for groups that face structural and institutional barriers to HIV testing and care, including transgender women. We report on in-depth interviews (IDIs) with N = 10 transgender women who used HIV self-test kits for three months to screen potential sexual partners in a randomized controlled trial (iSUM; "I'll Show You Mine") that took place in New York City and San Juan, Puerto Rico. Participants were assigned to intervention (supplied with 10 self-test kits immediately) or control groups (received 6 test kits after 3 months). We conducted IDIs with the first N = 10 transgender women to enroll in the intervention group after three months in the study (after participants used kits with partners) to understand their experiences. Themes discussed in IDIs included: partners' reaction to HIV testing, participants' reactions to partners' test results or refusal to test, partners' own reaction to their test results, and decision-making around test use. Data were independently analyzed by two coders. Overwhelmingly, participants' experiences with PT was positive. Participants reported kits were convenient and acceptable to most partners. Transgender women felt that PT could pose additional risk for them; one woman experienced violence related to kit use. Furthermore, the availability of kits appeared to encourage participants and their partners to think about their HIV status and, in some cases, modify sexual behavior. Work suggests that HIV PT could be a viable risk-reduction strategy for transgender women.
Databáze: OpenAIRE
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