| Title: |
HIV prevalence and HIV clinical outcomes of transgender and gender-diverse people in England. |
| Authors: |
Kirwan, PD; Hibbert, M; Kall, M; Nambiar, K; Ross, M; Croxford, S; Nash, S; Webb, L; Wolton, A; Delpech, VC |
| Publisher Information: |
Wiley; MRC Biostatistics Unit; //doi.org/10.1111/hiv.12987; HIV Med |
| Publication Year: |
2022 |
| Collection: |
Apollo - University of Cambridge Repository |
| Subject Terms: |
HIV; gender identity; patient care; prevalence; transgender people; Adult; Female; HIV Infections; Humans; Male; Surveys and Questionnaires; Transgender Persons |
| Description: |
OBJECTIVES: We provide the first estimate of HIV prevalence among trans and gender-diverse people living in England and compare outcomes of people living with HIV according to gender identity. METHODS: We analysed a comprehensive national HIV cohort and a nationally representative self-reported survey of people accessing HIV care in England (Positive Voices). Gender identity was recorded using a two-step question co-designed with community members and civil society. Responses were validated by clinic follow-up and/or self-report. Population estimates were obtained from national government offices. RESULTS: In 2017, HIV prevalence among trans and gender-diverse people was estimated at 0.46-4.78 per 1000, compared with 1.7 (95% credible interval: 1.6-1.7) in the general population. Of 94 885 people living with diagnosed HIV in England, 178 (0.19%) identified as trans or gender-diverse. Compared with cisgender people, trans and gender-diverse people were more likely to be London residents (57% vs. 43%), younger (median age 42 vs. 46 years), of white ethnicity (61% vs. 52%), under psychiatric care (11% vs. 4%), to report problems with self-care (37% vs. 13%), and to have been refused or delayed healthcare (23% vs. 11%). Antiretroviral uptake and viral suppression were high in both groups. CONCLUSIONS: HIV prevalence among trans and gender-diverse people living in England is relatively low compared with international estimates. Furthermore, no inequalities were observed with regard to HIV care. Nevertheless, trans and gender-diverse people with HIV report poorer mental health and higher levels of discrimination compared with cisgender people. |
| Document Type: |
article in journal/newspaper |
| File Description: |
Print-Electronic; application/octet-stream |
| Language: |
English |
| Relation: |
https://www.repository.cam.ac.uk/handle/1810/340249 |
| DOI: |
10.17863/CAM.87675 |
| Availability: |
https://www.repository.cam.ac.uk/handle/1810/340249; https://doi.org/10.17863/CAM.87675 |
| Rights: |
All Rights Reserved ; http://www.rioxx.net/licenses/all-rights-reserved |
| Accession Number: |
edsbas.308DB667 |
| Database: |
BASE |