Innovative approaches addressing the elevated human immunodeficiency virus (HIV) risk among men who have sex with men (MSM) or transgender women (TGW) migrants in South Africa are urgently needed. We sought to present the acceptability, feasibility and preliminary efficacy of ‘Externalize and Mobilize!’, a multi-session arts- and theatre-based HIV prevention group intervention for MSM and TGW migrants in South Africa. Fourteen participants—MSM (n = 7; 50%), genderqueer/nonbinary persons (n = 4; 29%) and TGW (n = 3; 21%)—in Cape Town were recruited and enrolled in the intervention and administered pre- and post-intervention assessments of HIV knowledge, HIV risk-reduction self-efficacy, stigma and resilience. The intervention, delivered over 4 days, was completed by all 14 participants. Scores on HIV knowledge and HIV risk-reduction self-efficacy were statistically significantly higher at post-intervention compared with pre-intervention. Additionally, participants responded affirmatively (i.e. ‘Agree’ or ‘Strongly agree’) on all items assessing intervention acceptability. Findings demonstrate the high acceptability, feasibility and preliminary efficacy of an arts- and theatre-based intervention for increasing HIV knowledge and HIV risk-reduction self-efficacy among MSM and TGW migrants in South Africa. This study provides further support for the use of creative and innovative interventions to address entrenched HIV disparities in South Africa.

中文翻译：

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针对南非男男性行为者和跨性别女性移民的基于艺术和戏剧的艾滋病毒预防干预试点研究：可接受性、可行性和初步效果

迫切需要采取创新方法来解决南非男男性行为者 (MSM) 或跨性别女性 (TGW) 移民中人类免疫缺陷病毒 (HIV) 风险升高的问题。我们试图展示“外部化和动员！”的可接受性、可行性和初步效果，这是一项针对南非 MSM 和 TGW 移民的多期艺术和戏剧型艾滋病毒预防小组干预措施。开普敦招募了 14 名参与者——MSM（n = 7；50%）、性别酷儿/非二元性别者（n = 4；29%）和 TGW（n = 3；21%），并参加了干预措施，并在干预前进行了管理。以及对艾滋病毒知识、艾滋病毒风险降低自我效能、耻辱感和复原力的干预后评估。所有 14 名参与者均完成了为期 4 天的干预。与干预前相比，干预后的艾滋病毒知识和降低艾滋病毒风险自我效能得分在统计上显着更高。此外，参与者对评估干预可接受性的所有项目都做出了肯定的回答（即“同意”或“强烈同意”）。研究结果表明，以艺术和戏剧为基础的干预措施对于增加南非 MSM 和 TGW 移民的艾滋病毒知识和降低艾滋病毒风险自我效能具有较高的可接受性、可行性和初步效果。这项研究为利用创造性和创新性干预措施解决南非根深蒂固的艾滋病毒不平等问题提供了进一步支持。