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Partner-testing (PT) using HIV self-test kits empowers transgender women. Most found PT acceptable and convenient, potentially reducing HIV risk, though some faced risks.

Keywords:
HIVHIV self-testHIV testingHIV/AIDSMale partnersOraQuickPartner HIV testingSecondary distributionTrans womenTransgender womenTranswomen

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Area of Science:

  • Public Health
  • HIV Prevention
  • Transgender Health

Background:

  • Transgender women face significant barriers to HIV testing and care.
  • Partner-testing (PT) offers a potentially empowering HIV prevention strategy.
  • The iSUM trial explored HIV self-testing among transgender women.

Purpose of the Study:

  • To understand transgender women's experiences with HIV partner-testing.
  • To assess the acceptability and feasibility of using HIV self-test kits for partners.

Main Methods:

  • In-depth interviews (IDIs) with 10 transgender women in the intervention group of the iSUM trial.
  • Participants used HIV self-test kits for three months to screen sexual partners.
  • Qualitative data analysis of themes including partner reactions, test results, and decision-making.

Main Results:

  • Overwhelmingly positive participant experiences with HIV partner-testing.
  • HIV self-test kits were reported as convenient and acceptable to most partners.
  • Partner-testing encouraged discussions about HIV status and potential sexual behavior modification.
  • One participant reported experiencing violence related to kit use, highlighting potential risks.

Conclusions:

  • HIV partner-testing (PT) appears to be a viable risk-reduction strategy for transgender women.
  • The strategy can empower transgender women by facilitating HIV testing within their social networks.
  • Further research is needed to address potential risks associated with PT for this population.