Engagement in Care and Housing Instability Influence HIV Screening Among Transgender Individuals in South Florida.

Autor:	Cyrus E; Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, Florida, USA., Johnson SA; Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Miami, Florida, USA., Perez-Gilbe HR; Health Sciences UCI Libraries, University of California-Irvine, Irvine, California, USA., Wuyke G; Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Miami, Florida, USA., Fajardo FJ; Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA., Garba NA; Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA., Deviéux J; Robert Stempel College of Public Health and Social Work, Department of Health Promotion and Disease Prevention, Florida International University, Miami, Florida, USA., Jimenez D; Robert Stempel College of Public Health and Social Work, School of Social Work, Florida International University, Miami, Florida, USA., Garcia S; Integrated Biostatistics and Data Management Center, Florida International University, Miami, Florida, USA., Holder CL; Herbert Wertheim College of Medicine, Florida International University, Miami, Florida, USA.
Jazyk:	angličtina
Zdroj:	Transgender health [Transgend Health] 2022 Feb 14; Vol. 7 (1), pp. 52-60. Date of Electronic Publication: 2022 Feb 14 (Print Publication: 2022).
DOI:	10.1089/trgh.2020.0066
Abstrakt:	Purpose: HIV screening is a critical step in the HIV care continuum to lowering incidence and achieving viral load suppression among at-risk populations. Few studies assess factors associated with HIV screening among transgender individuals living in the southeast region of the United States. This study was conducted to determine factors that influence HIV screening among transgender individuals in South Florida. Methods: During Fall 2016, 68 participants were recruited to complete a questionnaire as part of a pilot pre-exposure prophylaxis study. Correlations were examined between sociodemographic factors, HIV risk, and access to and engagement in care. Significant correlations were entered into one logistic regression model to estimate predictors of HIV screening and knowledge of HIV status. Results: Almost half (48.5%) of the respondents were Latinx, 38.2% Black, 10.3% non-Latinx White, and 3% other. Seventy-eight percent reported access and routine engagement in care within the past year, 25% had not screened for HIV in the past year, and of those who knew their status, 16.7% reported living with HIV. Regression analysis revealed that participants with routine engagement in care were twice as likely to screen for HIV ( p =0.02). Unstable housing was associated with no HIV screening in the past year ( p =0.05). Conclusion: Stable housing is linked to engagement in routine care that can increase the likelihood of an at-risk transgender individual screening for HIV. Further research is needed to develop interventions to improve engagement in care among transgender individuals who do not have adequate housing or access to care. Competing Interests: No competing financial interests exist. (Copyright 2022, Mary Ann Liebert, Inc., publishers.)
Databáze:	MEDLINE
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