MMWR Supplement on National HIV Behavioral Surveillance Among Transgender Women—Seven Urban Areas, United States, 2019-2020

The analyses presented in the MMWR Supplement “National HIV Behavioral Surveillance Among Transgender Women—Seven Urban Areas, 2019-2020” highlight findings from the Centers for Disease Control and Prevention’s National HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans) project conduct...

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Veröffentlicht in:Public health reports (1974) 2024-05, Vol.139 (3), p.269-270
Hauptverfasser: Hayes, B. Kaye, Shanker, Adrian
Format: Artikel
Sprache:eng
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Zusammenfassung:The analyses presented in the MMWR Supplement “National HIV Behavioral Surveillance Among Transgender Women—Seven Urban Areas, 2019-2020” highlight findings from the Centers for Disease Control and Prevention’s National HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans) project conducted during 2019-2020. Each article in the supplement presents findings related to unique aspects of the lived experience and health of transgender women in the United States. However, taken together, the analyses elucidate a vivid picture of the challenging health care experiences of transgender women in the United States. To accelerate health equity, leaders of health care institutions should better recognize transgender patients’ health disparities and work to remediate barriers to primary and preventive care. Transgender people’s health can thrive both when they are free to express who they are and when they are able to access affirming health care services. The data presented in this supplement support scientific and journalistic evidence that not all transgender people experience health equity. Transgender women disparately experience social marginalization and discrimination.1 Among the 1608 participants in the NHBS-Trans survey, 60% reported experiencing physical violence, verbal abuse, or rape during the past 12 months2; 70% reported experiencing some type of transgender-specific discrimination; >30% were either fired from employment or had trouble getting a job1; and 14% had been evicted or denied housing3 during the past 12 months because of their gender identity. Nearly 18% had been incarcerated in the past 12 months.4 Such experiences contribute to economic hardship: 63% of transgender women were living at or below the federal poverty level; 40% had experienced severe food insecurity during the past 12 months1; and 40% had experienced homelessness during the past 12 months.3 Of those experiencing homelessness (n = 630), 24% were homeless on 365 of the previous 365 nights.3 Economic deprivation and employment discrimination can increase the need for alternate means of survival that increase the risk for HIV, sexually transmitted infections, and violence. Transgender women are disparately affected by HIV: 42% of NHBS-Trans participants had confirmed HIV diagnoses,4 yet only 32% of transgender women who were seronegative reported recently using any form of preexposure prophylaxis.
ISSN:0033-3549
1468-2877
DOI:10.1177/00333549241231190