Characteristics of Transgender Women Living with HIV Receiving Medical Care in the United States

Details

• Alternative Title:
  LGBT Health
• Personal Author:
  Mizuno, Yuko ; Frazier, Emma L. ; Huang, Ping ; Skarbinski, Jacek
• Description:
  Purpose:
  
  Little has been reported from population-based surveys on the characteristics of transgender persons living with HIV. Using Medical Monitoring Project (MMP) data, we describe the characteristics of HIV-infected transgender women and examine their care and treatment needs.
  
  Methods:
  
  We used combined data from the 2009 to 2011 cycles of MMP, an HIV surveillance system designed to produce nationally representative estimates of the characteristics of HIV-infected adults receiving medical care in the United States, to compare demographic, behavioral, and clinical characteristics, and met and unmet needs for supportive services of transgender women with those of non-transgender persons using Rao-Scott chi-square tests.
  
  Results:
  
  An estimated 1.3% of HIV-infected persons receiving care in the United States self-identified as transgender women. Transgender women were socioeconomically more marginalized than non-transgender men and women. We found no differences between transgender women and non-transgender men and women in the percentages prescribed antiretroviral therapy (ART). However, a significantly lower percentage of transgender women compared to non-transgender men had 100% ART dose adherence (78.4% versus 87.4%) and durable viral suppression (50.8% versus 61.4%). Higher percentages of transgender women needed supportive services. No differences were observed in receipt of most of supportive services, but transgender women had higher unmet needs than non-transgender men for basic services such as food and housing.
  
  Conclusion:
  
  We found little difference between transgender women and non-transgender persons in regards to receipt of care, treatment, and most of supportive services. However, the noted disparities in durable viral suppression and unmet needs for basic services should be explored further.
  
  
• Subjects:
  Adolescent Adult Anti-Retroviral Agents Article Counseling Cross-Sectional Studies Domestic Violence Female HIV HIV Infections Humans Male Medical Monitoring Project Medication Adherence Mental Health Middle Aged Patient Care Management Sexual Behavior Social Support Socioeconomic Factors Substance-Related Disorders Transgender Persons Transgender Women United States Young Adult

  More +
• Source:
  LGBT Health. 2(3):228-234
• Pubmed ID:
  26788671
• Pubmed Central ID:
  PMC6711156
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States ; PS09-937/PS/NCHHSTP CDC HHS/United States
• Volume:
  2
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2d0366e1eef9c3b88ab87e1b41a8e2ef42525912698aabc587aea0a649381758
• Download URL:
  https://stacks.cdc.gov/view/cdc/81050/cdc_81050_DS1.pdf
• File Type:
  [PDF - 369.10 KB ]