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.
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By:
- 1Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, Columbia University and NY State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA. giguere@nyspi.columbia.edu.
- 2Division of Gender, Sexuality and Health, HIV Center for Clinical and Behavioral Studies, Columbia University and NY State Psychiatric Institute, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
- 3Department of Pediatrics, Gama Project, University of Puerto Rico Medical Sciences Campus, San Juan, PR, USA.
- 4School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
- 5Fenway Health, Fenway Institute, Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
- AIDS Behav. 2016 Apr 5.
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