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Evaluation of a New Strategy to Approach the Transgender Sex Worker Populations and Their Clients for Access to a Preventive Sexual Health System Through the ORTIF Digital Teleconsultation Solution

NCT07516691

Not Yet RecruitingN/A

Sponsor: Assistance Publique - Hôpitaux de Paris

Conditions: HIV

Countries: France

The prevalence of HIV (Human Immunodeficiency Virus) and STIs (Sexually Transmitted Infections) is very high in the trans population, due to multifactorial components. The main risk factors for HIV in this population are unprotected receptive and insertive anal intercourse, multiple sexual partners, sex work, needles share for injecting drugs and hormones. Physical violence, sexual assault and lack of social and family support are supplementary social risk factors. Healthcare access is very limited in this socio-economic context. The population of transgender persons and their transmission chains (partners, clients, etc.) are highly exposed to HIV risk, but they are still "hidden" populations, not targeted by prevention programs. Innovative preventive strategies can improve sexual health services access for these specific populations.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: OBSERVATIONAL

Eligibility criteria

Inclusion Criteria:

'For population of E-prevent telemedicine service users :

* Individuals aged ≥18 years
* Registered on a trans escort-client dating website or having sexual relations with trans individuals in exchange for money
* Agreeing to complete at least one teleconsultation through the E-PrevenT program
* Agreeing to provide a phone number and an email address for the teleconsultation
* No verbal objection to participating in the study

For population of trans individuals invited to collaborate in the study (seeds of the RDS strategy):

* Trans or non-binary individuals aged ≥18 years
* Engaged in sexual activity in exchange for money (sex work)
* Commitment to complete sexual health training sessions (twice per year)
* No verbal objection to participating in the study

Exclusion Criteria:

* Person under guardianship, curatorship or other French legal protections schemes

Locations (1)

Paris, Ap-hp DRCI, France