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

TitleCharacterizing the HIV Prevention and Care Continua in a Sample of Transgender Youth in the U.S.
Publication TypePublication
Year of Publication2017
AuthorsReisner SL, Jadwin-Cakmak L, Hughto JMWhite, Martinez M, Salomon L, Harper GW
JournalAIDS Behav
Volume21
Issue12
Pagination3312-3327
Date Published2017 Dec
ISSN1573-3254
KeywordsAdolescent, Anti-Retroviral Agents, Continuity of Patient Care, Female, Health Services Accessibility, HIV Infections, Humans, Male, Pre-Exposure Prophylaxis, Risk Factors, Social Stigma, Transgender Persons, Transsexualism, United States, Young Adult
Abstract

<p>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.</p>

DOI10.1007/s10461-017-1938-8
Alternate JournalAIDS Behav
PubMed ID29138982
PubMed Central IDPMC5705332
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
U01 HD 040533 / / National Institutes of Health /
F31 MD011203 / MD / NIMHD NIH HHS / United States
U01 HD 040474 / / National Institutes of Health /