Medical care Use and HIV-Related Behaviors of Ebony and Latina Transgender feamales in 3 US urban centers: outcomes Through the Transgender HIV Behavioral Survey
Damian J. Denson
Division of HIV/AIDS Prevention, NCHHSTP, CDC, Atlanta, GA
Of 227 transgender females enrolled, most had been economically and socially disadvantaged: 73% had a yearly earnings of lower than $15,000; 62% lacked health insurance coverage; 61% had been unemployed; and 46% reported being homeless in past times year. Many (80%) had visited doctor and over half (58%) had tested for HIV into the previous year. Twenty-nine per cent of these whom reported having an HIV test into the previous two years self-reported being HIV good. All the test reported hormone usage (67%) in past times year and hormone use that is most had been under medical guidance (70%). Forty-nine per cent reported condomless anal intercourse in past times year and 16% reported ever inserting drugs.
These findings expose the socioeconomic challenges and behavioral dangers usually related to high HIV risk reported by black colored and Latina transgender females. Despite low medical health insurance protection, the outcomes suggest possibilities to engage transgender women in HIV prevention and care given their high reported frequency of accessing medical care providers.
In the us, about 0.6% associated with the populace, or 1.4 million people, recognize as trans-gender. 1 Transgender women are at risky for HIV disease. A meta-analysis of studies carried out among transgender feamales in 5 high-income nations (like the usa) projected a pooled HIV prevalence of 22%. 2 In addition, a youthful review that is systematic studies in the us showed that the greatest quotes of HIV prevalence had been among black colored transgender females. 3
Much like other populations in danger for HIV, transgender females participate in risk behaviors such as condomless anal sex 4,5 and needle sharing when inserting illicit medications. 5,6 nonetheless, for transgender females these actions happen in just a context of stigma and discrimination exceeding that experienced by other populations at elevated danger, including men who possess sex with males.