CDC: 4 in 10 transgender women in major U.S. cities have HIV
Orion RummlerThu, April 15, 2021, 12:41 PM
https://sneed.yimg.com/ny/api/res/1.2/9MhdrAVJIuvXsk7oi_ug2g--/YXBwaWQ9aGlnaGxhbmRlcjt3PTY0MDtoPTM2MA--/https://sneed.yimg.com/uu/api/res/1.2/GGtSYmq8d6jLNFHoJmKxqA--~B/aD03MjA7dz0xMjgwO2FwcGlkPXl0YWNoeW9u/https://media.zenfs.com/en/axios_articles_623/8798fffaf8157ca033c35b2bec2dcd4d
Transgender women in the U.S. are contracting HIV at extremely high rates, as they face poverty, discrimination, and gaps in gender-affirming medical treatment, a new study from the Centers for Disease Control and Prevention finds.
Why it matters: Two-thirds of Black trans women and more than one-third of Hispanic trans women surveyed across seven major cities have HIV, in what the CDC called one of the most comprehensive surveys of trans women in the U.S.
What they found: Interviews conducted in 2019 through early 2020 with 1,608 trans women living in Atlanta, Los Angeles, New Orleans, New York City, Philadelphia, San Francisco, and Seattle found that 42% of respondents with a valid HIV test result had HIV.
- 63% of participants were living at or below the federal poverty level and 17% had no health insurance.
- In the 12 months before the interviews, 42% of participants had experienced homelessness and 17% had been incarcerated.
- 34% of participants said they had engaged in sex work. Trans women are often overrepresented in sex work — which can increase HIV transmission risk — due to a lack of job opportunities and discrimination.
- 54% of trans women surveyed experienced verbal abuse or harassment due to their gender identity or presentation. 15% reported being physically forced or verbally threatened to have unwanted sexual contact.
- The agency also cites previous research that found access to gender-affirming medical treatment may improve how many trans women are accessing HIV treatment.
- “These data provide a clear and compelling picture of the severe toll of HIV among transgender women and the social and economic factors — including systemic racism and transphobia — that are contributing to this unacceptable burden,” Demetre Daskalakis, the CDC's chief of HIV prevention, said in a statement.
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