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      Acceptability and Feasibility of HIV Self-Testing Among Transgender Women in San Francisco: A Mixed Methods Pilot Study.

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          Abstract

          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.

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          Author and article information

          Journal
          AIDS Behav
          AIDS and behavior
          Springer Nature
          1573-3254
          1090-7165
          Apr 2016
          : 20
          : 4
          Affiliations
          [1 ] Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94158-2549, USA. sheri.lippman@ucsf.edu.
          [2 ] Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94158-2549, USA.
          [3 ] University of California, Berkeley, School of Public Health, Berkeley, CA, USA.
          [4 ] San Francisco Department of Public Health, Bridge HIV, San Francisco, CA, USA.
          10.1007/s10461-015-1236-2 NIHMS734067
          10.1007/s10461-015-1236-2
          4799740
          26511864

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