Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People
Identifieur interne : 000059 ( Main/Exploration ); précédent : 000058; suivant : 000060Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People
Auteurs : Tonia Poteat [États-Unis] ; Ayden Scheim [Canada] ; Jessica Xavier [États-Unis] ; Sari Reisner ; Stefan Baral [États-Unis]Source :
- Journal of Acquired Immune Deficiency Syndromes (1999) [ 1525-4135 ] ; 2016.
Abstract
Transgender populations have been underrepresented in HIV epidemiologic studies and consequently in HIV prevention, care, and treatment programs. Since 2012, there has been a dramatic increase in research focused on transgender people. Studies highlight the burden of HIV and risk determinants, including intersecting stigmas, as drivers of syndemics among transgender populations. This review synthesizes the most recent global epidemiology of HIV infection and describes current gaps in research and interventions to inform prioritization of HIV research for transgender populations.
A systematic review was conducted of the medical literature published between January 1, 2012 and November 30, 2015. The data focused on HIV prevalence, determinants of risk, and syndemics among transgender populations.
Estimates varied dramatically by location and subpopulation. Transfeminine individuals have some of the highest concentrated HIV epidemics in the world with laboratory-confirmed prevalence up to 40%. Data were sparse among trans masculine individuals; however, they suggest potential increased risk for trans masculine men who have sex with men (MSM). No prevalence data were available for transgender people across Sub-Saharan Africa or Eastern Europe/Central Asia. Emerging data consistently support the association of syndemic conditions with HIV risk in transgender populations.
Addressing syndemic conditions and gender-specific challenges is critical to ensure engagement and retention in HIV prevention by transgender populations. Future research should prioritize: filling knowledge gaps in HIV epidemiology; elucidating how stigma shapes syndemic factors to produce HIV and other deleterious effects on transgender health; and understanding how to effectively implement HIV interventions for transgender people.
Url:
DOI: 10.1097/QAI.0000000000001087
PubMed: 27429185
PubMed Central: 4969059
Affiliations:
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Chan School of Public Health, Boston, MA.</nlm:aff><wicri:noCountry code="subfield">MA.</wicri:noCountry></affiliation></author><author><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD;</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27429185</idno><idno type="pmc">4969059</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969059</idno><idno type="RBID">PMC:4969059</idno><idno type="doi">10.1097/QAI.0000000000001087</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000096</idno><idno type="wicri:Area/Pmc/Curation">000096</idno><idno type="wicri:Area/Pmc/Checkpoint">000048</idno><idno type="wicri:Area/Ncbi/Merge">000460</idno><idno type="wicri:Area/Ncbi/Curation">000460</idno><idno type="wicri:Area/Ncbi/Checkpoint">000460</idno><idno type="wicri:doubleKey">1525-4135:2016:Poteat T:global:epidemiology:of</idno><idno type="wicri:Area/Main/Merge">000059</idno><idno type="wicri:Area/Main/Curation">000059</idno><idno type="wicri:Area/Main/Exploration">000059</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People</title><author><name sortKey="Poteat, Tonia" sort="Poteat, Tonia" uniqKey="Poteat T" first="Tonia" last="Poteat">Tonia Poteat</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD;</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Scheim, Ayden" sort="Scheim, Ayden" uniqKey="Scheim A" first="Ayden" last="Scheim">Ayden Scheim</name><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Epidemiology and Biostatistics, Western University, London, Canada;</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Western University, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Xavier, Jessica" sort="Xavier, Jessica" uniqKey="Xavier J" first="Jessica" last="Xavier">Jessica Xavier</name><affiliation wicri:level="2"><nlm:aff wicri:cut="; and" id="aff3">U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville, Maryland</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>U.S. Department of Health and Human Services, Health Resources and Services Administration, Rockville</wicri:cityArea></affiliation></author><author><name sortKey="Reisner, Sari" sort="Reisner, Sari" uniqKey="Reisner S" first="Sari" last="Reisner">Sari Reisner</name><affiliation><nlm:aff id="aff4">Boston Children's Hospital/Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, MA.</nlm:aff><wicri:noCountry code="subfield">MA.</wicri:noCountry></affiliation></author><author><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD;</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of Acquired Immune Deficiency Syndromes (1999)</title><idno type="ISSN">1525-4135</idno><idno type="eISSN">1944-7884</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Introduction:</title><p>Transgender populations have been underrepresented in HIV epidemiologic studies and consequently in HIV prevention, care, and treatment programs. Since 2012, there has been a dramatic increase in research focused on transgender people. Studies highlight the burden of HIV and risk determinants, including intersecting stigmas, as drivers of syndemics among transgender populations. This review synthesizes the most recent global epidemiology of HIV infection and describes current gaps in research and interventions to inform prioritization of HIV research for transgender populations.</p><sec><title>Methods:</title><p>A systematic review was conducted of the medical literature published between January 1, 2012 and November 30, 2015. The data focused on HIV prevalence, determinants of risk, and syndemics among transgender populations.</p></sec><sec><title>Results:</title><p>Estimates varied dramatically by location and subpopulation. Transfeminine individuals have some of the highest concentrated HIV epidemics in the world with laboratory-confirmed prevalence up to 40%. Data were sparse among trans masculine individuals; however, they suggest potential increased risk for trans masculine men who have sex with men (MSM). No prevalence data were available for transgender people across Sub-Saharan Africa or Eastern Europe/Central Asia. Emerging data consistently support the association of syndemic conditions with HIV risk in transgender populations.</p></sec><sec><title>Discussion:</title><p>Addressing syndemic conditions and gender-specific challenges is critical to ensure engagement and retention in HIV prevention by transgender populations. Future research should prioritize: filling knowledge gaps in HIV epidemiology; elucidating how stigma shapes syndemic factors to produce HIV and other deleterious effects on transgender health; and understanding how to effectively implement HIV interventions for transgender people.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cuypere, Gd" uniqKey="Cuypere G">GD Cuypere</name></author><author><name sortKey="Hemelrijck, Mv" uniqKey="Hemelrijck M">MV Hemelrijck</name></author><author><name sortKey="Michel, A" uniqKey="Michel A">A Michel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reed, B" uniqKey="Reed B">B Reed</name></author><author><name sortKey="Rhodes, S" uniqKey="Rhodes S">S Rhodes</name></author><author><name sortKey="Schofield, P" uniqKey="Schofield P">P Schofield</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Glen, F" uniqKey="Glen F">F 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Sevelius</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilson, Ec" uniqKey="Wilson E">EC Wilson</name></author><author><name sortKey="Chen, Y H" uniqKey="Chen Y">Y-H Chen</name></author><author><name sortKey="Arayasirikul, S" uniqKey="Arayasirikul S">S Arayasirikul</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reisner, Sl" uniqKey="Reisner S">SL Reisner</name></author><author><name sortKey="Bradford, J" uniqKey="Bradford J">J Bradford</name></author><author><name sortKey="Hopwood, R" uniqKey="Hopwood R">R Hopwood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reback, Cj" uniqKey="Reback C">CJ Reback</name></author><author><name sortKey="Ferlito, D" uniqKey="Ferlito D">D Ferlito</name></author><author><name sortKey="Kisler, Ka" uniqKey="Kisler K">KA Kisler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Poteat, T" uniqKey="Poteat T">T Poteat</name></author><author><name sortKey="German, D" uniqKey="German D">D German</name></author><author><name sortKey="Flynn, C" uniqKey="Flynn C">C Flynn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sevelius, Jm" uniqKey="Sevelius J">JM Sevelius</name></author><author><name sortKey="Keatley, J" uniqKey="Keatley J">J Keatley</name></author><author><name sortKey="Calma, N" uniqKey="Calma N">N Calma</name></author><author><name sortKey="Arnold, E" uniqKey="Arnold E">E Arnold</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Poteat, T" uniqKey="Poteat T">T Poteat</name></author><author><name sortKey="German, D" uniqKey="German D">D German</name></author><author><name sortKey="Kerrigan, D" uniqKey="Kerrigan D">D Kerrigan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Maryland</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Reisner, Sari" sort="Reisner, Sari" uniqKey="Reisner S" first="Sari" last="Reisner">Sari Reisner</name></noCountry><country name="États-Unis"><region name="Maryland"><name sortKey="Poteat, Tonia" sort="Poteat, Tonia" uniqKey="Poteat T" first="Tonia" last="Poteat">Tonia Poteat</name></region><name sortKey="Baral, Stefan" sort="Baral, Stefan" uniqKey="Baral S" first="Stefan" last="Baral">Stefan Baral</name><name sortKey="Xavier, Jessica" sort="Xavier, Jessica" uniqKey="Xavier J" first="Jessica" last="Xavier">Jessica Xavier</name></country><country name="Canada"><region name="Angleterre"><name sortKey="Scheim, Ayden" sort="Scheim, Ayden" uniqKey="Scheim A" first="Ayden" last="Scheim">Ayden Scheim</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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