Abstract
Purpose of reviewTransgender (trans) populations are heavily impacted by HIV, yet face structural, social, and individual barriers to engagement in HIV prevention and care. In this review, we summarize the data on barriers and facilitators and discuss evidence-informed strategies to facilitate access to and engagement in HIV prevention and care by trans communities.Recent findingsIntersectional stigma and discrimination at structural, community, individual levels present substantial impediments to HIV prevention and optimal care. Access to gender-affirming health care is a priority for trans communities. Where trans communities are highly networked, these networks may provide a strong infrastructure for disseminating HIV innovations and reaching individuals who are not engaged in HIV services. Efforts to engage trans people in HIV prevention and care must address stigma, provide gender-affirming services, and build on community strengths and priorities to ensure trans populations achieve maximum benefit from advances in HIV prevention and care.SummaryCombination approaches that respond to the complex drivers of HIV in trans communities represent promising strategies for engaging trans people and their partners in HIV prevention and care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 393-400 |
| Number of pages | 8 |
| Journal | Current opinion in HIV and AIDS |
| Volume | 14 |
| Issue number | 5 |
| DOIs | |
| State | Published - Sep 1 2019 |
Keywords
- HIV care
- HIV prevention
- gender affirmation
- stigma
- transgender
ASJC Scopus subject areas
- Infectious Diseases
- Oncology(nursing)
- Hematology
- Oncology
- Virology
- Immunology