HIV Testing and Linkage to Care Among Transgender Women Who Have Sex with Men: 23 U.S. Cities

被引:0
作者
Marc A. Pitasi
Hollie A. Clark
Pollyanna R. Chavez
Elizabeth A. DiNenno
Kevin P. Delaney
机构
[1] Centers for Disease Control and Prevention,Division of HIV/AIDS Prevention
来源
AIDS and Behavior | 2020年 / 24卷
关键词
Transgender; HIV; Testing; Linkage to care;
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摘要
Transgender women face unique barriers to HIV testing and linkage to care. This article describes the results of a national testing initiative conducted by 36 community-based and other organizations using a variety of recruitment and linkage-to-care strategies. A total of 2191 HIV tests were conducted with an estimated 1877 unique transgender women, and 4.6% of the transgender women had confirmed positive results. Two thirds (66.3%) were linked to care within approximately three months of follow-up, and the median time to linkage was 7 days. Transgender women tested at clinical sites were linked to care faster than those tested at non-clinical sites (median: 0 vs. 12 days; P = .003). Despite the use of a variety of linkage-to-care strategies, the proportion of transgender women successfully linked to care was below national goals. Tailored programs and interventions are needed to increase HIV testing and improve timely linkage to care in this population.
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页码:2442 / 2450
页数:8
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[1]  
Baral S(2013)Worldwide burden of HIV in transgender women: a systematic review and meta-analysis Lancet Infect Dis 13 214-222
[2]  
Poteat T(2018)Estimating the prevalence of HIV and sexual behaviors among the US transgender population: a systematic review and meta-analysis, 2006–2017 Am J Public Health 21 2774-2783
[3]  
Stromdahl S(2017)Diagnosed HIV infection in transgender adults and adolescents: results from the National HIV Surveillance System, 2009–2014 AIDS Behav 66 883-887
[4]  
Becasen J(2017)HIV testing among transgender women and men—27 states and Guam, 2014–2015 MMWR Morb Mortal Wkly Rep 79 413-420
[5]  
Denard C(2018)Characterizing the HIV care continuum and identifying barriers and facilitators to HIV diagnosis and viral suppression among black transgender women in the United States J Acquir Immune Defic Syndr 95 726-748
[6]  
Mullins M(2018)Barriers to care among transgender and gender nonconforming adults Milbank Q 9 168-173
[7]  
Clark H(2014)HIV epidemics among transgender women Curr Opin HIV AIDS 51 819-822
[8]  
Babu A(2013)Transgender patient perceptions of stigma in health care contexts Med Care 147 222-231
[9]  
Wiewel E(2015)Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions Soc Sci Med 103 1820-1829
[10]  
Pitasi M(2013)Experiences of transgender-related discrimination and implications for health: results from the Virginia Transgender Health Initiative Study Am J Public Health 47 5-16