High and stable HIV Prevalence Among Transwomen with Low Income Recruited with Respondent Driven Sampling, San Francisco, 2010 – 2016.
Authors of this article are:
Raymond HF Wilson EC Packer T Lin J McFarland W.
A summary of the article is shown below:
BACKGROUND: Studies have documented high HIV prevalence among transwomen in the United States, however to our knowledge, no studies have documented trends in HIV prevalence in this population.METHODS: We used respondent-driven sampling (RDS) to sample transwomen in San Francisco for three HIV prevalence and behavioral surveys in 2010, 2013 and 2016. Our analysis of point estimates and trends were weighted for the sampling method.RESULTS: HIV prevalence by serological testing in the survey was 38.8% (95% CI 32.4, 45.2), 33.7% (95% CI 25.9, 41.5) and 31.6% (95% CI 12.2, 38.1) in 2010, 2013 and 2016, respectively. Disparities in higher HIV prevalence by Black, Latino, and Asian race/ethnicity and lower education level persisted through 2016.CONCLUSION: Based on a statistical test for trend HIV prevalence among transwomen has remained high and stable from 2010 to 2016. HIV infection is still highest at 31.6% compared to any other group in San Francisco. We also observed that older transwomen had significantly higher odds of living with HIV than younger women over the last two waves of data collection. Taken together, these trends suggest that there is declining incidence of new HIV infections among low-income transwomen in San Francisco. Moreover, among transwomen, HIV disproportionately affects transwomen of color.
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