title: Behavioral and Health Outcomes for HIV+ Young Transgender Women (YTW) Linked To and Engaged in Medical Care.
abstract: 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.
authors.affiliation: 1 Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.|2 PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.|3 Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Nadia
authors.initials: N
authors.lastname: Dowshen
authors.affiliation: 2 PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Meredith
authors.initials: M
authors.lastname: Matone
authors.affiliation: 2 PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Xianqun
authors.initials: X
authors.lastname: Luan
authors.affiliation: 1 Craig-Dalsimer Division of Adolescent Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.|2 PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Susan
authors.initials: S
authors.lastname: Lee
authors.affiliation: 4 Division of Adolescent Medicine, Children's Hospital Los Angeles, Los Angeles, California.|5 Department of Pediatrics and Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California.
authors.forename: Marvin
authors.initials: M
authors.lastname: Belzer
authors.affiliation: 6 College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, Florida.
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Fernandez
authors.affiliation: 2 PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.|3 Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: David
authors.initials: D
authors.lastname: Rubin
mesh_terms: D000124:Achievement; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D006798:Housing; D006801:Humans; D055118:Medication Adherence / Q000523:psychology; D008603:Mental Health / Q000706:statistics & numerical data; D012944:Social Support; D063106:Transgender Persons / Q000523:psychology; D014189:Transsexualism / Q000453:epidemiology / Q000523:psychology; D016896:Treatment Outcome; D014478:Unemployment; D014481:United States; D019562:Viral Load; D055815:Young Adult; D008297:Male; D016903:Drug Monitoring
chemical_list: D019380:Anti-HIV Agents
keywords: HIV/AIDS; LGBT youth; access to care; gender identity; transgender