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Antiretroviral Treatment Interruptions among Black and Latina Transgender Women Living with HIV: Characterizing Co-Occurring, Multilevel Factors Using the Gender Affirmation Framework

Citation

Rosen, Joseph G.; Malik, Mannat; Cooney, Erin E.; Wirtz, Andrea L.; Yamanis, Thespina; Lujan, Maren; Cannon, Christopher M.; Hardy, David; & Poteat, Tonia (2019). Antiretroviral Treatment Interruptions among Black and Latina Transgender Women Living with HIV: Characterizing Co-Occurring, Multilevel Factors Using the Gender Affirmation Framework. AIDS and Behavior, 23(9), 2588-99. PMCID: PMC6768710

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.

URL

http://dx.doi.org/10.1007/s10461-019-02581-x

Reference Type

Journal Article

Journal Title

AIDS and Behavior

Author(s)

Rosen, Joseph G.
Malik, Mannat
Cooney, Erin E.
Wirtz, Andrea L.
Yamanis, Thespina
Lujan, Maren
Cannon, Christopher M.
Hardy, David
Poteat, Tonia

Year Published

2019

Volume Number

23

Issue Number

9

Pages

2588-99

PMCID

PMC6768710

Reference ID

12857