Correlates of Engagement in HIV Care Among Transgender Women of Color in the United States of America
| Autor: | Jae Sevelius, Jessica Xavier, Greg Rebchook, Deepalika Chakravarty, JoAnne Keatley, Starley B. Shade |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Social Psychology media_common.quotation_subject Psychological intervention Human immunodeficiency virus (HIV) HIV Infections Skin Pigmentation medicine.disease_cause Transgender Persons Transgender women Article 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Health care Medicine Humans 030212 general & internal medicine Empowerment media_common 030505 public health business.industry Public health Public Health Environmental and Occupational Health Continuity of Patient Care United States Health psychology Infectious Diseases Anti-Retroviral Agents Female 0305 other medical science business Demography |
| Zdroj: | AIDS Behav |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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