AI Article Synopsis
- ChiCAS is a Spanish-language intervention program aimed at improving PrEP use, condom use, and hormone therapy among HIV-negative Spanish-speaking transgender Latinas in North and South Carolina.
- The study involved 144 participants who were randomly assigned to either the ChiCAS intervention or a waitlist control, with high follow-up retention of 94.4%.
- Results showed that while ChiCAS participants significantly increased their PrEP use, they did not show a rise in condom use or hormone therapy, but they did improve their knowledge around HIV, STIs, and related health topics.
Article Abstract
To evaluate Chicas Creando Acceso a la Salud (Girls Creating Access to Health; ChiCAS), a Spanish-language, small-group intervention designed to increase preexposure prophylaxis (PrEP) use, consistent condom use, and medically supervised gender-affirming hormone therapy use among Spanish-speaking transgender Latinas who have sex with men. Participants were 144 HIV-negative Spanish-speaking transgender Latinas, aged 18 to 59 years, living in North and South Carolina. From July 2019 to July 2021, we screened, recruited, and randomized them to the 2-session ChiCAS intervention or the delayed-intervention waitlist control. Participants completed assessments at baseline and 6-month follow-up. Follow-up retention was 94.4%. At follow-up, relative to control participants, ChiCAS participants reported increased PrEP use (adjusted odds ratio [AOR] = 4.64; 95% confidence interval [CI] = 1.57, 13.7; < .006). However, ChiCAS participants did not report increased use of condoms or medically supervised gender-affirming hormone therapy. ChiCAS participants reported increases in knowledge of HIV ( < .001), sexually transmitted infections ( < .001), and gender-affirming hormone therapy ( = .01); PrEP awareness ( < .001), knowledge ( < .001), and readiness ( < .001); condom use skills ( < .001); and community attachment ( < .001). The ChiCAS intervention was efficacious in increasing PrEP use among Spanish-speaking, transgender Latinas in this trial. ( 2024;114(1):68-78. https://doi.org/10.2105/AJPH.2023.307444).
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10726943 | PMC |
| http://dx.doi.org/10.2105/AJPH.2023.307444 | DOI Listing |
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