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Acceptability of Three Novel HIV Prevention Methods Among Young Male and Transgender Female Sex Workers in Puerto Rico
Authors:Rebecca Giguere  Timothy Frasca  Curtis Dolezal  Irma Febo  Ross D. Cranston  Kenneth Mayer  Ian McGowan  Alex Carballo-Diéguez
Affiliation:1.Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies,Columbia University and NY State Psychiatric Institute,New York,USA;2.Department of Pediatrics, Gama Project,University of Puerto Rico Medical Sciences Campus,San Juan,USA;3.School of Medicine,University of Pittsburgh,Pittsburgh,USA;4.Fenway Health, Fenway Institute,Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School,Boston,USA
Abstract:
Sex workers need HIV-prevention methods they can control and incorporate easily in their work. We studied the acceptability of three methods: HIV self-test use with clients, oral pre-exposure prophylaxis (PrEP), and rectal microbicide gel. Four male and eight transgender female (TGF) sex workers in Puerto Rico completed a baseline survey with a quantitative measure of likelihood of use. From them, one male and four TGF also completed a 12-week study of rectal microbicide placebo gel use prior to receptive anal intercourse with male clients and evaluated via qualitative in-depth interviews and follow-up quantitative assessments how each method could be incorporated into their work. Most were interested in a rectal microbicide gel and able to use it covertly with clients. Challenges to using the HIV self-test with clients included the potential for both breach of confidentiality and confronting violent situations. Participants also expressed interest in oral PrEP, but raised concerns about side effects.
Keywords:
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