Correlates of Engagement in HIV Care Among Transgender Women of Color in the United States of America.
Correlates of Engagement in HIV Care Among Transgender Women of Color in the United States of America.
复制标题
美国跨性别有色人种女性参与艾滋病毒护理的相关性。
DOI：
10.1007/s10461-021-03306-9
复制
发表时间：
2021
影响因子：
4.4
通讯作者：
SPNSTransgenderWomenofColorStudyGroup
中科院分区：
文献类型：
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作者：
Sevelius,JaeM;Xavier,Jessica;Chakravarty,Deepalika;Keatley,JoAnne;Shade,Starley;Rebchook,Greg;SPNSTransgenderWomenofColorStudyGroup
在美利坚合众国，有色人种跨性别妇女的艾滋病毒感染率很高。我们招募了TWC HIV感染者（N = 858），以评估19种HIV护理干预措施。我们研究了与入组时的四个结果相关的因素：与护理的联系，曾经接受抗逆转录病毒治疗，继续护理和病毒抑制。样本为49%西班牙裔/拉丁裔，42%黑人;平均年龄为37岁; 77%曾与护理有关，36%曾接受治疗，22%继续护理，36%病毒抑制。目前激素的使用与连接，保留和病毒抑制显著相关（所有aOR> 1.5），为性别肯定护理作为参与艾滋病毒护理的重要促进因素提供了证据。更大的医疗保健授权与所有结局的更大几率显著相关（aOR在1.19和1.37之间）。这些发现确定了潜在的干预目标，以改善为感染艾滋病毒的TWC提供的护理和治疗。
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.