@article{c9ea075849434343aaf003e5bd57f702,
title = "Antiretroviral Treatment Interruptions Among Black and Latina Transgender Women Living with HIV: Characterizing Co-occurring, Multilevel Factors Using the Gender Affirmation Framework",
abstract = "Black and Latina transgender women (BLTW) are disproportionately impacted by HIV but remain underrepresented in HIV and health services research. Between March 2016 and May 2017, BLTW (N = 201) were recruited in Baltimore, Maryland and Washington, DC through convenience sampling for a survey assessing multilevel determinants of HIV risk and treatment outcomes. Interviews concluded with a rapid oral HIV test. Bivariate and multivariable logistic regression modeling was performed to identify gender affirmation-related correlates of self-reported HIV treatment interruptions (HIVTIs) among BLTW living with HIV who had initiated antiretroviral therapy (ART) (n = 96). Among them, 57.3% (n = 55) reported at least one HIVTI. Unmet surgical needs (aOR = 1.6), past-year marijuana use (aOR = 14.6), and no current hormone use (aOR = 24.9) were significantly (p < 0.05) associated with HIVTIs in multivariable analysis. Unmet need for gender affirmation may inhibit ART adherence, highlighting opportunities to mitigate care interruptions in alignment with community needs and goals.",
keywords = "Antiretroviral therapy, Gender affirmation, HIV treatment interruptions, Medication adherence, Transgender",
author = "Rosen, {Joseph G.} and Mannat Malik and Cooney, {Erin E.} and Wirtz, {Andrea L.} and Thespina Yamanis and Maren Lujan and Christopher Cannon and David Hardy and Tonia Poteat",
note = "Funding Information: We are grateful to Jean-Michel Brevelle, Falina Laron, Deborah Dunn, Ruby Corado, Alexa Rodriguez, Paty Hernandez, and Wendy Aly Escobar for their support with piloting the survey, study recruitment, and data dissemination. We are also thankful for the generous collaborative partnerships offered by the leadership and staff of Casa Ruby, Whitman Walker Health, and the DC Center. We would like to thank the people living with HIV who have generously shared their time, experiences, and bodies for the purposes of this research. Funding support was provided by the Johns Hopkins University Center for AIDS Research (P30AI094189) and the District of Columbia Center for AIDS Research (AI117970), NIH funded programs, supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIMH, NIA, FIC, NIGMS, NIDDK, and OAR. This research was also supported in part by a National Institutes of Health/National Institute for Allergy and Infectious Diseases supplement to T. Poteat (P30AI094189‐01A1). Support for this research also comes from the ADELANTE grant (AI050409) from the Centers for AIDS Research program at the National Institutes of Health to T. Yamanis. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Funding Information: This publication resulted from research supported by the Johns Hopkins University Center for AIDS Research (P30AI094189) and the District of Columbia Center for AIDS Research (AI117970), NIH funded programs, supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIMH, NIA, FIC, NIGMS, NIDDK, and OAR. This research was also supported in part by a National Institutes of Health/National Institute for Allergy and Infectious Diseases supplement to T. Poteat (P30AI094189‐01A1). Support for this research also comes from the ADELANTE grant (AI050409) from the Centers for AIDS Research program at the National Institutes of Health to T. Yamanis. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Funding Information: We are grateful to Jean-Michel Brevelle, Falina Laron, Deborah Dunn, Ruby Corado, Alexa Rodriguez, Paty Hernandez, and Wendy Aly Escobar for their support with piloting the survey, study recruitment, and data dissemination. We are also thankful for the generous collaborative partnerships offered by the leadership and staff of Casa Ruby, Whitman Walker Health, and the DC Center. We would like to thank the people living with HIV who have generously shared their time, experiences, and bodies for the purposes of this research. Funding support was provided by the Johns Hopkins University Center for AIDS Research (P30AI094189) and the District of Columbia Center for AIDS Research (AI117970), NIH funded programs, supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIMH, NIA, FIC, NIGMS, NIDDK, and OAR.?This research was also supported in part by a National Institutes of Health/National Institute for Allergy and Infectious Diseases supplement to T. Poteat (P30AI094189?01A1). Support for this research also comes from the ADELANTE grant (AI050409) from the Centers for AIDS Research program at the National Institutes of Health to T. Yamanis. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Publisher Copyright: {\textcopyright} 2019, Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2019",
month = sep,
day = "1",
doi = "10.1007/s10461-019-02581-x",
language = "English (US)",
volume = "23",
pages = "2588--2599",
journal = "AIDS and behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "9",
}