Evaluation of Translife Care: An Intervention to Address Social Determinants of Engagement in HIV Care Among Transgender Women of Color

Lisa M. Kuhns; Anna L. Hotton; Judy Perloff; Josie Paul; Channyn Parker; Abigail L. Muldoon; Amy K. Johnson; Robert Garofalo

doi:10.1007/s10461-019-02548-y

Evaluation of Translife Care: An Intervention to Address Social Determinants of Engagement in HIV Care Among Transgender Women of Color

Lisa M. Kuhns^*, Anna L. Hotton, Judy Perloff, Josie Paul, Channyn Parker, Abigail L. Muldoon, Amy K. Johnson, Robert Garofalo

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

The TransLife Care (TLC) project was developed to address the structural factors that act as barriers to HIV care among transgender women of color. The purpose of this study was to evaluate the feasibility and initial efficacy of the TLC project; primary HIV care outcomes included linkage to HIV care, engagement in care, retention in care, use of ART and viral suppression among N = 120 participants. In multivariable analysis, receipt of the intervention (versus none), was associated with any HIV care visit (aOR 2.05; 95% CI 1.25–3.37; p = 0.005), more total HIV care visits (aRR 1.45; 95% CI 1.09–1.94; p = 0.011), being retained in care (aOR 1.58; 95% CI 1.03–2.44; p = 0.038), and having a viral load test done (aOR 1.95; 95% CI 1.23–3.09; p = 0.004). We conclude that a structural intervention, designed and delivered by the focus population, that directly addresses social determinants, is feasible and efficacious to promote HIV care engagement among transgender women of color.

Original language	English (US)
Pages (from-to)	13-19
Number of pages	7
Journal	AIDS and behavior
Volume	25
DOIs	https://doi.org/10.1007/s10461-019-02548-y
State	Published - Jul 2021

Keywords

HIV care engagement
Racial/ethnic minorities
Structural intervention
Transgender women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-019-02548-y

Cite this

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title = "Evaluation of Translife Care: An Intervention to Address Social Determinants of Engagement in HIV Care Among Transgender Women of Color",

abstract = "The TransLife Care (TLC) project was developed to address the structural factors that act as barriers to HIV care among transgender women of color. The purpose of this study was to evaluate the feasibility and initial efficacy of the TLC project; primary HIV care outcomes included linkage to HIV care, engagement in care, retention in care, use of ART and viral suppression among N = 120 participants. In multivariable analysis, receipt of the intervention (versus none), was associated with any HIV care visit (aOR 2.05; 95% CI 1.25–3.37; p = 0.005), more total HIV care visits (aRR 1.45; 95% CI 1.09–1.94; p = 0.011), being retained in care (aOR 1.58; 95% CI 1.03–2.44; p = 0.038), and having a viral load test done (aOR 1.95; 95% CI 1.23–3.09; p = 0.004). We conclude that a structural intervention, designed and delivered by the focus population, that directly addresses social determinants, is feasible and efficacious to promote HIV care engagement among transgender women of color.",

keywords = "HIV care engagement, Racial/ethnic minorities, Structural intervention, Transgender women",

author = "Kuhns, {Lisa M.} and Hotton, {Anna L.} and Judy Perloff and Josie Paul and Channyn Parker and Muldoon, {Abigail L.} and Johnson, {Amy K.} and Robert Garofalo",

note = "Funding Information: We thank members of the TLC Team for their contribution to sample accrual and data collection. Thanks also to our community health partner, Heartland Alliance Health. Research reported in this publication was supported by Award Number H97HA24965 from the HRSA to Chicago House and Social Service Agency. The content is solely the responsibility of the authors and does not necessarily represent the official views of HRSA. Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",

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doi = "10.1007/s10461-019-02548-y",

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AU - Kuhns, Lisa M.

AU - Hotton, Anna L.

AU - Perloff, Judy

AU - Paul, Josie

AU - Parker, Channyn

AU - Muldoon, Abigail L.

AU - Johnson, Amy K.

AU - Garofalo, Robert

N1 - Funding Information: We thank members of the TLC Team for their contribution to sample accrual and data collection. Thanks also to our community health partner, Heartland Alliance Health. Research reported in this publication was supported by Award Number H97HA24965 from the HRSA to Chicago House and Social Service Agency. The content is solely the responsibility of the authors and does not necessarily represent the official views of HRSA. Publisher Copyright: © 2019, Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2021/7

Y1 - 2021/7

N2 - The TransLife Care (TLC) project was developed to address the structural factors that act as barriers to HIV care among transgender women of color. The purpose of this study was to evaluate the feasibility and initial efficacy of the TLC project; primary HIV care outcomes included linkage to HIV care, engagement in care, retention in care, use of ART and viral suppression among N = 120 participants. In multivariable analysis, receipt of the intervention (versus none), was associated with any HIV care visit (aOR 2.05; 95% CI 1.25–3.37; p = 0.005), more total HIV care visits (aRR 1.45; 95% CI 1.09–1.94; p = 0.011), being retained in care (aOR 1.58; 95% CI 1.03–2.44; p = 0.038), and having a viral load test done (aOR 1.95; 95% CI 1.23–3.09; p = 0.004). We conclude that a structural intervention, designed and delivered by the focus population, that directly addresses social determinants, is feasible and efficacious to promote HIV care engagement among transgender women of color.

AB - The TransLife Care (TLC) project was developed to address the structural factors that act as barriers to HIV care among transgender women of color. The purpose of this study was to evaluate the feasibility and initial efficacy of the TLC project; primary HIV care outcomes included linkage to HIV care, engagement in care, retention in care, use of ART and viral suppression among N = 120 participants. In multivariable analysis, receipt of the intervention (versus none), was associated with any HIV care visit (aOR 2.05; 95% CI 1.25–3.37; p = 0.005), more total HIV care visits (aRR 1.45; 95% CI 1.09–1.94; p = 0.011), being retained in care (aOR 1.58; 95% CI 1.03–2.44; p = 0.038), and having a viral load test done (aOR 1.95; 95% CI 1.23–3.09; p = 0.004). We conclude that a structural intervention, designed and delivered by the focus population, that directly addresses social determinants, is feasible and efficacious to promote HIV care engagement among transgender women of color.

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KW - Racial/ethnic minorities

KW - Structural intervention

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Evaluation of Translife Care: An Intervention to Address Social Determinants of Engagement in HIV Care Among Transgender Women of Color

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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