Burden of HIV among young transgender women: factors associated with HIV infection and HIV treatment engagement

Harry Jin, Arjee Restar, Katie Biello, Lisa M Kuhns, Sari Reisner, Robert Garofalo, Matthew J. Mimiaga

Research output: Contribution to journalArticle

Abstract

Young transgender women (YTW) are disproportionately affected by HIV, however, little is known about the factors associated with HIV infection and treatment engagement. We examined correlates of HIV infection and the steps of the HIV treatment cascade, specifically, being aware of their HIV infection, linked to care, on ART, and adherent to ART. We analyzed the baseline data of Project LifeSkills, a randomized control trial of sexually active YTW recruited from Chicago, Illinois and Boston, Massachusetts. We conducted multivariable Poisson regressions to evaluate correlates of HIV infection and the steps of the HIV treatment cascade. Nearly a quarter (24.7%) of YTW were HIV-infected. Among HIV-infected YTW, 86.2% were aware of their HIV status, 72.3% were linked to care, 56.9% were on ART, and 46.2% were adherent to ART. Having avoided healthcare due to cost in the past 12 months and not having a primary care provider were associated with suboptimal engagement in HIV care. Our results suggest that improving linkage and retention in care by addressing financial barriers and improving access to primary care providers could significantly improve health outcomes of YTW as well as reduce forward transmission of HIV.

Original languageEnglish (US)
Pages (from-to)125-130
Number of pages6
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume31
Issue number1
DOIs
StatePublished - Jan 2 2019

Fingerprint

Transgender Persons
HIV Infections
HIV
Therapeutics
Primary Health Care
regression
costs
health
Delivery of Health Care
Costs and Cost Analysis

Keywords

  • HIV
  • HIV treatment cascade
  • access to care
  • young transgender women

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

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title = "Burden of HIV among young transgender women: factors associated with HIV infection and HIV treatment engagement",
abstract = "Young transgender women (YTW) are disproportionately affected by HIV, however, little is known about the factors associated with HIV infection and treatment engagement. We examined correlates of HIV infection and the steps of the HIV treatment cascade, specifically, being aware of their HIV infection, linked to care, on ART, and adherent to ART. We analyzed the baseline data of Project LifeSkills, a randomized control trial of sexually active YTW recruited from Chicago, Illinois and Boston, Massachusetts. We conducted multivariable Poisson regressions to evaluate correlates of HIV infection and the steps of the HIV treatment cascade. Nearly a quarter (24.7{\%}) of YTW were HIV-infected. Among HIV-infected YTW, 86.2{\%} were aware of their HIV status, 72.3{\%} were linked to care, 56.9{\%} were on ART, and 46.2{\%} were adherent to ART. Having avoided healthcare due to cost in the past 12 months and not having a primary care provider were associated with suboptimal engagement in HIV care. Our results suggest that improving linkage and retention in care by addressing financial barriers and improving access to primary care providers could significantly improve health outcomes of YTW as well as reduce forward transmission of HIV.",
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Burden of HIV among young transgender women : factors associated with HIV infection and HIV treatment engagement. / Jin, Harry; Restar, Arjee; Biello, Katie; Kuhns, Lisa M; Reisner, Sari; Garofalo, Robert; Mimiaga, Matthew J.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 31, No. 1, 02.01.2019, p. 125-130.

Research output: Contribution to journalArticle

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