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Health Education Research, Vol. 14, No. 2, 177-183, April 1999
© 1999 Oxford University Press

Transgender HIV prevention: implementation and evaluation of a workshop

Walter O. Bockting, B. R. Simon Rosser and Karen Scheltema

Program in Human Sexuality, Department of Family Practice and Community Health, Medical School, University of Minnesota, 1300 South Second Street, Suite 180, Minneapolis, MN 55454-1015, USA

Virtually no HIV prevention education has specifically targeted the transgender community. To fill this void, a transgender HIV prevention workshop was developed, implemented and evaluated. A 4 h workshop, grounded in the Health Belief Model and the Eroticizing Safer Sex approach, combined lectures, videos, a panel, discussion, roleplay and exercises. Evaluation using a pre-, post- and follow-up test design showed an increase in knowledge and an initial increase in positive attitudes that diminished over time. Due to the small sample size (N = 59) and limited frequency of risk behavior, a significant decrease in unsafe sexual or needle practices could not be demonstrated. However, findings suggested an increase in safer sexual behaviors such as (mutual) masturbation. Peer support improved significantly. Future prevention education should make special efforts to target the more difficult-to-reach, high-risk subgroups of the transgender population.


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