Life Chaos is Associated with Reduced HIV Testing, Engagement in Care, and ART Adherence Among Cisgender Men and Transgender Women upon Entry into Jail

Takada, Sae; Ettner, Susan L.; Harawa, Nina T.; Garland, Wendy; Shoptaw, Steven; Cunningham, William E.

doi:10.1007/s10461-019-02570-0

Cited by 14 publications

(12 citation statements)

References 67 publications

(28 reference statements)

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“…Thus, it is important to encourage clients and patients to make regular visits for HIV testing, for example every three or six months [ 95 ]. Healthcare professionals can identify patients who show signs of life chaos, such as difficulty keeping appointments or reluctance to make the next appointment, and offer support services by, for example, scheduling or reminding them of appointments or arranging transportation, thus making health care a source of stability [ 96 ].…”

Section: Resultsmentioning

confidence: 99%

Self-Testing as a Hope to Reduce HIV in Transgender Women—Literature Review

Budzyńska

Patryn

Kozioł

et al. 2022

IJERPH

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So far, the rate of HIV-positive people who do not know their sero-status is about 14% and the percentage is higher among transgender women (TGW). They represent one of the most vulnerable groups to infection. HIV self-testing (HIVST) may be a way to reduce transmission of the virus. The aim of this analysis and in-depth review was to collect available data on factors that may influence the use and dissemination of HIVST among TGW. This review was conducted in accordance with PRISMA guidelines for systematic reviews and meta-analyses. All data from 48 papers were used. From the available literature, HIVST is a convenient and preferred method of testing due to its high confidentiality and possibility of being performed at home. However, there are barriers that limit its use, including marginalization of transgender people, stigma by medical personnel, lack of acceptance of sexual partners, and even cultural standards. Therefore, there is a need for activities that promote and inform on the possibility of using HIVST as well as enable easier access to it.

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Section: Resultsmentioning

confidence: 99%

Self-Testing as a Hope to Reduce HIV in Transgender Women—Literature Review

Budzyńska

Patryn

Kozioł

et al. 2022

IJERPH

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“…Nearly all studies' participants were convenience samples recruited from clinics or community-based organizations. Three studies reported data from criminal justice-involved participants [25][26][27]. Forty-one studies (82%) received a low risk-ofbias score; nine (18%) received a moderate risk-of-bias score; and no studies received a high risk-of-bias score (Supplement E, http://links.lww.com/QAD/C363).…”

Section: Resultsmentioning

confidence: 99%

HIV care outcomes among transgender persons with HIV infection in the United States, 2006–2021

Becasen

Morris

Denard

et al. 2021

Aids

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Objectives: HIV prevalence is an estimated 14% among transgender women (TW) and 3% among transgender men (TM). HIV care is vital for viral suppression but is hindered by transphobia and HIV stigma. We assessed HIV care outcomes among transgender persons (TG) with HIV in the United States.Design: Systematic review and meta-analysis of peer-reviewed journal articles.Methods: We searched multiple electronic databases and Centers for Disease Control and Prevention's HIV Prevention Research Synthesis database for 2006-September 2020. Eligible reports were US-based studies that included TG and reported HIV care outcomes. Random-effects models were used to calculate HIV care outcome rates. The protocol is registered with PROSPERO (CRD42018079564).Results: Few studies reported outcomes for TM; therefore, only TW meta-analysis results are reported. Fifty studies were identified having low-to-medium risk-of-bias scores. Among TW with HIV, 82% had ever received HIV care; 72% were receiving care, and 83% of those were retained in HIV care. Sixty-two percent were currently virally suppressed. Among those receiving HIV care or antiretroviral therapy (ART), 67% were virally suppressed at last test. Sixty-five percent were linked to HIV care 3 months or less after diagnosis. Seventy-one percent had ever been prescribed ART. Approximately 66% were taking ART, and 66% were ART-adherent. Only 56% were currently adherent the previous year.Conclusions: HIV care outcomes for TW were not ideal, and research gaps exists for TM. High heterogeneity was observed; therefore, caution should be taken interpreting the findings. Integrating transgender-specific health needs are needed to improve outcomes of transgender persons across the HIV care continuum.

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“…We found that the majority of participants experienced food insecurity during the lockdown time. Food insecurity among MSM has been shown to be associated with lower rates of HIV testing (Nyirenda et al, 2018 ; Takada et al, 2020 ; Weinhardt et al, 2017 ; Wiss et al, 2021 ), higher new HIV infection (Amon Exavery et al, 2020 ), and potential violence in the community (Adhikari et al, 2020 ). It is important to improve the access to food secure care programs.…”

Section: Discussionmentioning

confidence: 99%

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

Wang

Kinsler

Cumberland

et al. 2022

Community Ment Health J

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This study aimed to examine the depression and anxiety among men of color (primarily African American and Latinx) who have sex with men after the lockdown due to the COVID-19 pandemic. Outcomes included 21-item Beck Depression Inventory (BDI), 7-item Generalized Anxiety Disorder (GAD), and a 10-item COVID-related anxiety measure using a modified H1N1-related anxiety question. Independent variables were food insecurity and belief in government efficiency. Data were analyzed by Regression models with random cluster effects. Food insecurity experiences were significantly associated with higher depression (p < 0.001), higher anxiety (p < 0.001), and higher pandemic-related anxiety (p < 0.001). Higher levels of belief in government efficiency were significantly associated with lower depression (p < 0.05), less anxiety (p < 0.05), and less pandemic-related anxiety (p-value < 0.001). These findings emphasize the importance of establishing trust between government and at-risk communities when issuing public health policies, especially during unforeseen circumstances, as well as to ensure basic human rights, such as food security.

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Life Chaos is Associated with Reduced HIV Testing, Engagement in Care, and ART Adherence Among Cisgender Men and Transgender Women upon Entry into Jail

Cited by 14 publications

References 67 publications

Self-Testing as a Hope to Reduce HIV in Transgender Women—Literature Review

Self-Testing as a Hope to Reduce HIV in Transgender Women—Literature Review

HIV care outcomes among transgender persons with HIV infection in the United States, 2006–2021

Mental Health among African American and Latinx Men who have sex with men after the COVID-19 Lockdown in Los Angeles – Findings from the HOPE cohort

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