HIV testing among transgender and nonbinary persons in Michigan, United States: results of a community‐based survey

Autor: Ashley Lacombe‐Duncan, Leonardo Kattari, Shanna K. Kattari, Ayden I. Scheim, Flyn Alexander, Sophie Yonce, Brayden A. Misiolek
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of the International AIDS Society, Vol 25, Iss S5, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 1758-2652
DOI: 10.1002/jia2.25972
Popis: Abstract Introduction Transgender (trans) and nonbinary people (TNB) are disproportionately impacted by HIV. HIV testing is critical to engage TNB people in HIV prevention and care. Yet, scant literature has examined social and structural factors associated with HIV testing among TNB people of diverse genders and in geographies with potentially lower trans acceptance. We: (1) characterized the prevalence of never having been tested for HIV; and (2) identified associated factors, among TNB people in Michigan, United States. Methods Data were from a community‐based participatory cross‐sectional survey (n = 539 sexually experienced TNB people). The prevalence of never having had an HIV test was reported overall and compared across socio‐demographic, clinical, social and structural factors using bivariable and multivariable logistic regression analyses. Results and discussion Approximately one‐quarter (26.2%) of participants had never had an HIV test (20.8% transfeminine; 30.0% transmasculine; 17.8% nonbinary assigned male at‐birth; and 32.0% nonbinary assigned female at‐birth). In a multivariable socio‐demographic model, older age (adjusted odds ratio [aOR] for 1‐year increase: 0.93, 95% CI: 0.90, 0.96, p
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