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Sevelius JM, Xavier J, Chakravarty D, Keatley J, Shade S, Rebchook G. Correlates of Engagement in HIV Care Among Transgender Women of Color in the United States of America. AIDS Behav 2021; 25:3-12. [PMID: 34037930 PMCID: PMC10204129 DOI: 10.1007/s10461-021-03306-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2021] [Indexed: 11/30/2022]
Abstract
HIV prevalence among transgender women of color (TWC) in the United States of America is high. We enrolled TWC living with HIV (N = 858) to evaluate 1nine HIV care interventions. We examined factors associated with four outcomes at enrollment: linkage to care, ever being on antiretroviral treatment, retention in care and viral suppression. The sample was 49% Hispanic/Latino, 42% Black; average age was 37 years; 77% were ever linked to care, 36% were ever on treatment, 22% were retained in care, and 36% were virally suppressed. Current hormone use was significantly associated with linkage, retention, and viral suppression (all aORs > 1.5), providing evidence for gender-affirming care as an important facilitator of engagement in HIV care. Greater health care empowerment was significantly associated with greater odds of all outcomes (aORs between 1.19 and 1.37). These findings identify potential intervention targets to improve the provision of care and treatment for TWC living with HIV.
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Affiliation(s)
- Jae M Sevelius
- Center for AIDS Prevention Studies, Department of Medicine, University of California, UCSF/CAPS, 550 16th Street, 3rd floor, San Francisco, CA, 94158, USA.
- Center of Excellence for Transgender Health, Department of Medicine, University of California, San Francisco, CA, USA.
| | | | - Deepalika Chakravarty
- Center for AIDS Prevention Studies, Department of Medicine, University of California, UCSF/CAPS, 550 16th Street, 3rd floor, San Francisco, CA, 94158, USA
| | - JoAnne Keatley
- Innovative Response Globally for Transgender Women and HIV (IRGT), San Francisco, CA, USA
| | - Starley Shade
- Department of Epidemiology & Biostatistics, University of California, San Francisco, CA, USA
| | - Greg Rebchook
- Center for AIDS Prevention Studies, Department of Medicine, University of California, UCSF/CAPS, 550 16th Street, 3rd floor, San Francisco, CA, 94158, USA
- Center of Excellence for Transgender Health, Department of Medicine, University of California, San Francisco, CA, USA
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