HIV Testing and PrEP Use Among Trans and/or Non-binary Participants in the TASG Study, a Participatory Study in Germany

作     者：Koppe, Uwe Hamm, Jonas A. Spurgat, Chris Hahne, Alexander Saalfeld, Robin K. Garcia, Manuel Ricardo Bremer, Viviane Poege, Kathleen TASG study group, Teo 

作者机构：Robert Koch Inst Dept Infect Dis Epidemiol Seestr 10 D-13353 Berlin Germany Deutsch Aidshilfe DAH Berlin Germany Freelance Sex Educator & Bodyworker Hamburg Germany Friedrich Schiller Univ Jena Dept Sociol Jena Germany Freelance architect trans activist antiracist acti Munich Germany Robert Koch Inst Dept Epidemiol & Hlth Monitoring Berlin Germany 

出 版 物：《AIDS AND BEHAVIOR》 (AIDS Behav.)

年 卷 期：2025年第29卷第5期

页      面：1608-1618页

核心收录：

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 04[教育学] 

基　　金：Key Research and Development Project of Science and Technology Agency of Sichuan Province [2024ZHCG0025] 

主　　题：Trans Non-binary HIV testing PrEP 

摘      要：HIV testing and pre-exposure prophylaxis (PrEP) are recommended in Germany for individuals at increased HIV risk. However, data on HIV testing, PrEP use, and PrEP knowledge among trans and non-binary people are limited. We analysed data from the Sexuelle Gesundheit in trans und nicht-bin ren Communitys (TASG) study, a participatory study on HIV/STI and sexual health among trans and non-binary people in Germany. The study was designed, promoted, and analysed with active involvement of community members. Participants were invited to complete an anonymous online survey between 1 March and 1 July 2022. The outcomes included HIV testing within the last 5 years, PrEP use, and PrEP-specific knowledge. Predictors for HIV testing were identified using a bootstrap stepwise selection procedure. Among 2468 HIV-negative participants with information on potential HIV risks, 21.5% had potential needs for HIV testing and PrEP. Of these, only 44.3% (208/470, missing: 60) reported testing for HIV within the last 5 years. Older participants, those living in larger cities, and those with higher education levels were more likely to have tested for HIV. Additionally, only 8.3% (38/459, missing: 71) reported ever using PrEP. Among 451 participants with potential PrEP needs (missing: 79), only 57.4% knew at least one of three key PrEP-related facts at the time of the survey. Our findings highlight substantial gaps in HIV testing and prevention among trans and non-binary individuals in Germany with potential needs for these services. Reducing barriers to testing and prevention is essential to enable broader access to these critical services.