Characterizing the HIV Prevention and Care Continua in a Sample of Transgender Youth in the US

被引：74

作者：

Reisner, Sari L. ^{[1
,2
,3
,4
]}

Jadwin-Cakmak, Laura ^{[5
,6
]}

Hughto, Jaclyn M. White ^{[4
,7
]}

Martinez, Miguel ^{[8
]}

Salomon, Liz ^{[4
]}

Harper, Gary W. ^{[5
,6
]}

机构：

[1] Boston Childrens Hosp, Div Gen Pediat, 300 Longwood Ave, Boston, MA 02115 USA

[2] Harvard Med Sch, 300 Longwood Ave, Boston, MA 02115 USA

[3] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA 02115 USA

[4] Fenway Hlth, Fenway Inst, Boston, MA 02215 USA

[5] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA

[6] Univ Michigan, Ctr Sexual & Hlth Dispar, Ann Arbor, MI 48109 USA

[7] Yale Sch Publ Hlth, Chron Dis Epidemiol, New Haven, CT USA

[8] Childrens Hosp Los Angeles, Div Adolescent & Young Adult Med, Los Angeles, CA 90027 USA

来源：

AIDS AND BEHAVIOR | 2017年 / 21卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Transgender; HIV; Prevention; Adolescents; OF-THE-LITERATURE; UNITED-STATES; HEALTH-CARE; SUBSTANCE USE; SEXUAL RISK; ANTIRETROVIRAL TREATMENT; GENDER AFFIRMATION; VIRAL SUPPRESSION; HORMONAL-THERAPY; WOMEN;

D O I：

10.1007/s10461-017-1938-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In the U.S., transgender and other gender minority (TG) youth are an at-risk group understudied in HIV prevention and treatment. This study sought to characterize the HIV prevention and care continua in a diverse sample of 181 sexually-active TG ages 16-24 years (mean age = 20.7 years; 76.8% trans feminine; 69.1% youth of color) recruited July-December 2015 in 14 U.S. cities. Overall, 30.9% reported living with HIV, of which 71.4% were on antiretroviral therapy (ART) and 55.0% were medication adherent; 65.6% were known to be virally suppressed. In multivariable models, medical gender affirmation was associated with lower odds of viral suppression. Medical gender affirmation and stigma in HIV care were each independently associated with elevated odds of having missed HIV care appointments. Among at-risk TG youth not living with HIV, only 8.2% had accessed pre-exposure prophylaxis (PrEP). Early biobehavioral prevention and treatment interventions are needed for TG youth.

引用

页码：3312 / 3327

页数：16

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