Characteristics of Transgender Women Living with HIV Receiving Medical Care in the United States
Characteristics of Transgender Women Living with HIV Receiving Medical Care in the United States
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DOI：
10.1089/lgbt.2014.0099
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发表时间：
2015-09-01
期刊：
影响因子：
4.8
通讯作者：
Skarbinski, Jacek
中科院分区：
文献类型：
--
作者：
Mizuno, Yuko;Frazier, Emma L.;Skarbinski, Jacek
目的：基于人口的调查很少报告感染艾滋病毒的变性人的特征。利用医学监测项目（MMP）的数据，我们描述了感染艾滋病毒的跨性别妇女的特征，并检查了她们的护理和治疗需求。我们使用了2009年至2011年MMP周期的综合数据，MMP是一个艾滋病毒监测系统，旨在对美国接受医疗护理的艾滋病毒感染成年人的特征进行全国代表性估计，比较人口统计学，行为，和临床特征，满足和未满足的需求，变性妇女与非变性人使用Rao-Scott卡方tests.Results的支持服务：估计有1.3%的艾滋病毒感染者接受护理在美国自我认定为变性妇女。变性妇女在社会经济上比非变性男子和妇女更加边缘化。我们发现，在接受抗逆转录病毒治疗（ART）的比例方面，跨性别女性和非跨性别男性和女性之间没有差异。然而，与非变性男性相比，变性女性100% ART剂量依从性（78.4%对87.4%）和持久病毒抑制（50.8%对61.4%）的百分比显着降低。需要支助服务的变性妇女比例较高。没有观察到差异，在接受大部分的支持性服务，但变性妇女有较高的未满足的需求比非变性男子的基本服务，如食品和housing.Conclusion：我们发现变性妇女和非变性人之间的差异不大，在接受护理，治疗，和大部分的支持性服务。然而，应进一步探讨在持久抑制病毒和基本服务需求未得到满足方面存在的差距。
Purpose: Little has been reported from population-based surveys on the characteristics of transgender persons living with HIV. Using Medical Monitoring Project (MMP) data, we describe the characteristics of HIV-infected transgender women and examine their care and treatment needs.Methods: We used combined data from the 2009 to 2011 cycles of MMP, an HIV surveillance system designed to produce nationally representative estimates of the characteristics of HIV-infected adults receiving medical care in the United States, to compare demographic, behavioral, and clinical characteristics, and met and unmet needs for supportive services of transgender women with those of non-transgender persons using Rao-Scott chi-square tests.Results: An estimated 1.3% of HIV-infected persons receiving care in the United States self-identified as transgender women. Transgender women were socioeconomically more marginalized than non-transgender men and women. We found no differences between transgender women and non-transgender men and women in the percentages prescribed antiretroviral therapy (ART). However, a significantly lower percentage of transgender women compared to non-transgender men had 100% ART dose adherence (78.4% vs. 87.4%) and durable viral suppression (50.8% vs. 61.4%). Higher percentages of transgender women needed supportive services. No differences were observed in receipt of most of supportive services, but transgender women had higher unmet needs than non-transgender men for basic services such as food and housing.Conclusion: We found little difference between transgender women and non-transgender persons in regards to receipt of care, treatment, and most of supportive services. However, the noted disparities in durable viral suppression and unmet needs for basic services should be explored further.