Factors Associated with Use of HIV Prevention and Health Care Among Transgender Women — Seven Urban Areas, 2019–2020

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Lee, Kathryn ; Trujillo, Lindsay ; Olansky, Evelyn ; Robbins, Taylor ; Brune, Christine Agnew ; Morris, Elana ; Finlayson, Teresa ; Kanny, Dafna ; Wejnert, Cyprian ; Barak, Narquis ; Brady, Kathleen A. ; Braunstein, Sarah ; Davis, Jasmine ; Glick, Sara ; Harrington, Andrea ; Lopez, Jasmine ; Ma, Yingbo ; Martin, Aleks ; Mustaafaa, Genetha ; Nassau, Tanner ; Olaes, Gia ; Reuer, Jennifer ; Rivera, Alexis ; Robinson, William T. ; Sey, Ekow Kwa ; Sicro, Sofia ; Taylor, Brittany ; Trujillo, Dillon ; Wilson, Erin ; Wortley, Pascale
• Corporate Authors:
  National HIV Behavioral Surveillance among Transgender Women Study Group
• Description:
  Transgender women* are disproportionately affected by HIV. Among 1,608 transgender women who participated in CDC's National HIV Behavioral Surveillance (NHBS) during 2019-2020, 42% received a positive HIV test result (1). This report provides results from seven U.S. urban areas where the 2019-2020 NHBS questionnaire was administered. Thirty-eight percent of participants reported having previously received a positive test result for HIV. Detrimental socioeconomic factors, including low income (44%), homelessness (39%), and severe food insecurity in the past 12 months (40%), were common and associated with lower receipt of HIV Prevention and treatment services. Having a usual health care source or a provider with whom the participant was comfortable discussing gender-related health issues was associated with improved HIV Prevention and treatment outcomes, including HIV tTesting, preexposure prophylaxis (PrEP) use, and viral suppression. These findings illustrate the benefit of gender-affirming approaches used by health care providers (2), and highlight the challenging socioeconomic conditions faced by many transgender women. Ensuring access to gender-affirming health care approaches and addressing the socioeconomic challenges of many transgender women could improve access to and use of HIV Prevention and care in this population and will help achieve the goals of the Ending the HIV Epidemic in the United States initiative (3).
• Subjects:
  Delivery Of Health Care Epidemics Female HIV Infections Humans Pre-Exposure Prophylaxis Transgender Persons
• Source:
  MMWR Morbidity Mortal Weekly Rep. 71(20):673-679
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.mm7120a1
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Pubmed ID:
  35588092
• Pubmed Central ID:
  PMC9129907
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Pages in Document:
  7 pdf pages
• Volume:
  71
• Issue:
  20
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:9495d6771e6d023564fb3af5a42f9dab75d6f2923898aa20f5e7919909ed7ee22c8ec94da55ca7fcc20f6a2c7c93b60c06a86a71ad3a2497ca487d36e7e751fe
• Download URL:
  https://stacks.cdc.gov/view/cdc/118010/cdc_118010_DS1.pdf
• File Type:
  [PDF - 389.66 KB ]