A Latent Class Analysis of Chronic Health Conditions Among HIV-Positive Transgender Women of Color

James A. Swartz*, Kelly Ducheny, Trisha Holloway, Lia Stokes, Savannah Willis, Lisa M Kuhns

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Research on the health of transgender people has focused on the risk for and health consequences of HIV and other sexually transmitted infections with little known about the prevalence of a broader range of medical conditions experienced by transgender people. This study used latent class (LC) analysis to examine a range of chronic medical conditions among 223 HIV-positive transgender women of color receiving primary care and psychosocial services in Chicago. The best-fitting model had 2 classes: low and moderate/high multimorbidity with 26% of participants classified in the moderate/high multimorbidity LC. Age group (i.e., under 35 vs 35 and older; AOR 13.8, p < 0.001), ever having AIDS (AOR 4.0, p < 0.05) and psychological distress (AOR 5.1, p < 0.05) were associated with increased probability of moderate/high multimorbidity class membership. The results suggest focusing on HIV-related care or hormonal treatment and potential cardiovascular issues could result in sub-optimal treatment for a population dis-engaged from primary care but which has a broad spectrum of largely untreated medical conditions.

Original languageEnglish (US)
Pages (from-to)52-63
Number of pages12
JournalAIDS and behavior
Volume25
DOIs
StatePublished - Jul 2021

Keywords

  • Chronic medical conditions
  • HIV/AIDS
  • Latent class analysis
  • Transgender health
  • Transgender women of color

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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