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Unmet basic needs may be related to low rates of durable viral suppression among female transsexuals with HIV

Pyoung woman with fake mustacheeople trans, female, living with HIV are less likely to have an excellent adherence to antiretroviral treatment (ART) and a durable suppression of viral load, compared to other groups, the researchers report in the online edition of Health LGBT. The study also revealed that many transgender women living with HIV are struggling with the basic necessities of life including food and housing.

The study involved people who received HIV care in the United States.

"The transgender women in care for HIV were socio-economically marginalized than" not transsexual "male and female; a higher percentage of transgender women had lower incomes, were homeless and had no health insurance, report the study authors.

Transgender women living with a high risk of contracting HIV. In the US, prevalence of HIV among trans women is raised to 28% and overall, it is estimated, about one fifth of transgender women living with HIV.

There are concerns that transgender women are less likely to get involved with HIV care because of stigma and discrimination. Few studies have explored this matter, however research that was conducted discovered that trans women had similar retention rates of care, HAART absorption and viral suppression as compared to other groups.

Researchers from the Centers for Disease Control and Prevention (CDC) wanted to study more the characteristics and needs of transgender women living with HIV, this time using population-based data.

So they examined information obtained through medical and ambulatory monitoring project - a cross-annual survey of individuals accessing HIV care - between 2009 and 2011. They compared the characteristics and needs of transgender women not transgender men and women.

About 5700 people participated in the study and 1.3 identified as transgender.

The results showed that many transsexual women have been socially marginalized.

Over 80% of women identified as "non-white"And it had an income below US20.000 a year. A fifth (twenty percent) reported homelessness and about a third had no health insurance. More than 30% reported use of recreational drugs (sic).

Lesbian Married FrameHowever, transgender women had high levels of use of ART, with more than 90% tendorecebido antiretroviral treatment in the previous year. Nearly three-quarters reported 100% adherence in the previous three days and close to 70% had viral suppression (below 200 copies per cubic milliliter of blood [Nor translator: Cause me astonishment the low efficiency of viral load testing in the US, there This is what, in Brazil, is only considered suppressed viral load of less than 40 copies of viral RNA per milliliter of blood] in its latest test, but only 50% had durable suppression (undetectable viral load in all tests in the previous year ).

Compared with women and men non-transsexuals, significantly higher proportions of transgender women had a low income, were homeless and had no health insurance. Drug use rates were higher among transgender women compared to non-transgender women.

ART absorption rates were similar among transsexual women and transgender men and not women. However, transgender women were less likely to have perfect adherence to treatment (p 0,01) and durable viral suppression (undetectable viral load) (p 0,01).

"These findings suggest the need to investigate what happens to transsexual women after HAART in order to better understand what can interfere with medication adherence and viral suppression in the long term is prescribed," the researchers comment.

"One possibility is a residual need for support services as transgender women are more likely to be marginalized socio-economically."

Transgender women, in fact, had a higher rate of host for support services, including case management (71 vs. 61), support adherence (28 20 against), prevention and counseling (50 39 vs), mental health services ( 46 versus 32) and domestic violence services (4 2 vs).

Significantly higher proportions of transgender women had neglected needs of food (13 7 vs) and housing (13 7 vs). {Editor's Note. In good Portuguese they are hungry and "live walking."}

"Notable disparities in durable viral suppression and unmet needs for basic services should be further explored," the researchers conclude. "CDC will monitor progress in order to reduce health disparities among transgendered people living with HIV."

By Michael Carter Published: July 3 2015 Translated by Claudio Souza from the original Unmet basic needs may be related to poor rates of viral suppression durable Among transgender women with HIV.

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It does not take Transsexual or Transvestite to fight transphobia, nor is it necessary to be black to combat racism ... and needless to be HIV positive to fight for the cause of HIV carriers. To engage in this fight!

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Editor's Note:

I have held several conversations with Natasha Roxy which, incidentally, goes through missing and in addition to not give the air of grace, not writes for Trans and LGBT community to which it is more accessible and, of course, the greater understanding that it has on a subject where I would be like a blind man trying to set the blue of the sky to the blind .... However, it dropped me up this text and saw that there is an "industry" even more abandoned within the "trans segment" which is the trans females. And face it .... Despite the "achievements", it is very difficult being a woman in Brazil. Sung, bullying, sexual harassment, unscrupulous employers who advertise that need to hire employees but include discretionary condition ". Good-looking"

That, to me, is already revealing factor of third intentions: Hire evil, pay less, and try to have sexually, by hook or by crook. If it is difficult for a woman said "normal" how will things look when you're black, transsexual and poor. Added to this positive HIV status and made this shit. Because, with all due respect I must express about health professionals like Dr. Sigrid Souza, responsible for Infectious Diseases at a university whose city escapes my memory, or "my doctor" Dr. Naomi who, in times that my health It was more delicate, down the jump, took the stethoscope, picked cotton, gauze and tape to make an important bandage on my abdomen, or even the nurse Camila, who, on one occasion, given my temporary weakness acted against over 50 people and gave me ahead in sample collection, and many others, I would not write if I were to name them all and describe their grandiosidades as professionals and human beings, long health professional who has prejudice and meets with prejudice , this is very true and these poor little girls living these situations.

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About Claudio Souza do Soropositivo.Org (508 articles)
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