HIV epidemics among transgender women.
Recent data on the high burden of HIV among transgender women have stimulated interest in addressing HIV in this vulnerable population. This review situates the epidemiologic data on HIV among transgender women in the context of the social determinants of health and describes opportunities for effective interventions.Transgender women experience unique vulnerability to HIV that can be attributed to multilevel, intersecting factors that also influence the HIV treatment and care continuum. Stigma and discrimination, lack of social and legal recognition of their affirmed gender, and exclusion from employment and educational opportunities represent fundamental drivers of HIV risk in transgender women worldwide.Interventions to improve engagement in HIV prevention, testing, care, and treatment among transgender women should build on community strengths and address structural factors as well as psychosocial and biologic factors that increase HIV vulnerability and prevent access to HIV services.
Duke Scholars
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Related Subject Headings
- Virology
- Transgender Persons
- Humans
- HIV Infections
- Female
- Epidemics
- 4202 Epidemiology
- 3207 Medical microbiology
- 3202 Clinical sciences
- 1117 Public Health and Health Services
Citation
Published In
DOI
EISSN
ISSN
Publication Date
Volume
Issue
Start / End Page
Related Subject Headings
- Virology
- Transgender Persons
- Humans
- HIV Infections
- Female
- Epidemics
- 4202 Epidemiology
- 3207 Medical microbiology
- 3202 Clinical sciences
- 1117 Public Health and Health Services