Open AccessBehavioral and Health Outcomes for HIV+ Young Transgender Women Linked To and Engaged in Medical Care
Author(s) -
Nadia Dowshen,
Meredith Matone,
Xianqun Luan,
Susan Lee,
Marvin Belzer,
M. Isabel Fernández,
David M. Rubin
Publication year - 2016
Publication title -
lgbt health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.416
H-Index - 32
eISSN - 2325-8306
pISSN - 2325-8292
DOI - 10.1089/lgbt.2014.0062
Subject(s) - psychosocial , transgender , depression (economics) , health care , unemployment , population , human immunodeficiency virus (hiv) , medicine , demography , transgender women , clinical psychology , young adult , gerontology , psychology , psychiatry , family medicine , men who have sex with men , environmental health , sociology , psychoanalysis , economics , macroeconomics , economic growth , syphilis
We describe health and psychosocial outcomes of HIV+ young transgender women (YTW) engaged in care across the United States. When compared to other behaviorally infected youth (BIY), YTW reported higher rates of unemployment (25% vs. 19%), limited educational achievement (42% vs 13%), and suboptimal ART adherence (51% vs. 30%). There was no difference in likelihood of having a detectable viral load (38% vs. 39%) between groups. However, particular isolating psychosocial factors (unstable housing, depression, and lack of social support for attending appointments) increased predicted probability of viral detection to a greater extent among YTW that may have important health implications for this marginalized youth population.