Characterizing the HIV Prevention and Care Continua in a Sample of Transgender Youth in the U.S.

被引：0
作者：
Sari L. Reisner
Laura Jadwin-Cakmak
Jaclyn M. White Hughto
Miguel Martinez
Liz Salomon
Gary W. Harper
机构：
[1] Boston Children’s Hospital and Harvard Medical School,Division of General Pediatrics
[2] Harvard T.H. Chan School of Public Health,Department of Epidemiology
[3] The Fenway Institute,Department of Health Behavior & Health Education
[4] Fenway Health,Center for Sexuality & Health Disparities
[5] University of Michigan School of Public Health,Division of Adolescent and Young Adult Medicine
[6] University of Michigan,undefined
[7] Chronic Disease Epidemiology,undefined
[8] Yale School of Public Health,undefined
[9] Children’s Hospital Los Angeles,undefined
来源：
AIDS and Behavior | 2017年 / 21卷
关键词：
Transgender; HIV; Prevention; Adolescents;
D O I：
暂无
中图分类号：
学科分类号：
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
收藏
页码：3312 / 3327
页数：15
相关论文
共 239 条
  • [1] McNairy ML(2014)A paradigm shift: focus on the HIV prevention continuum Clin Infect Dis. 59 S12-S15
  • [2] El-Sadr WM(2014)Vital signs: HIV diagnosis, care, and treatment among persons living with HIV–United States MMWR 63 1113-1117
  • [3] Bradley H(2014)Towards an integrated primary and secondary HIV prevention continuum for the United States: a cyclical process model J Int AIDS Soc 19 21263-135
  • [4] Hall HI(2014)The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities AIDS Pat Care STDS 28 128-250
  • [5] Wolitski RJ(2013)Estimating population size and demographic characteristics of lesbian, gay, bisexual, and transgender youth in middle school J Adolesc Health 52 248-976
  • [6] Horn T(2014)Sex and gender in the US health surveillance system: a call to action Am J Public Health 104 970-17
  • [7] Sherwood J(2008)Estimating HIV prevalence and risk behaviors of transgender persons in the United States: a systematic review AIDS Behav 12 1-222
  • [8] Remien RH(2013)Worldwide burden of HIV in transgender women: a systematic review and meta-analysis Lancet Infect Dis 13 214-114
  • [9] Nash D(2008)Rapid HIV testing in transgender communities by community-based organizations in three cities Public Health Rep 3 101-887
  • [10] Auerbach J(2016)A global research synthesis of HIV and STI biobehavioural risks in female-to-male transgender adults Glob Public Health 11 866-696
12345678910