HIV Care Engagement Among Trans Women of Color in San Francisco Bay Area Demonstration Projects: Findings from the Brandy Martell Project and TransAccess.

In the San Francisco Bay Area (SFBA), trans women of color are disproportionately affected by HIV and have poor HIV care outcomes. The Brandy Martell Project and TransAccess were two demonstration projects aimed at increasing HIV care engagement and retention among trans women of color in the SFBA....

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Published in:AIDS & Behavior Vol. 25; pp. 31 - 40
Main Authors: Wilson, E. C., Turner, C., Arayasirikul, S., Woods, T., Tryon, J., Franza, K., Lin, R.
Format: research tables/charts Journal Article
Published: Springer Nature Jul2021 Supplement 1
Online Access:View this record in EBSCOhost
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      dt: Jul2021 Supplement 1
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      pub: Springer Nature
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        atl: HIV Care Engagement Among Trans Women of Color in San Francisco Bay Area Demonstration Projects: Findings from the Brandy Martell Project and TransAccess.
      aug:
        au:
          Wilson, E. C.
          Turner, C.
          Arayasirikul, S.
          Woods, T.
          Tryon, J.
          Franza, K.
          Lin, R.
        affil: Department of Public Health, Center for Public Health Research, San Francisco, San Francisco, CA, USA
      sug:
        subj:
          Trans Women United States
          HIV Infections Therapy
          Women's Health
          HIV-Positive Persons
          Consumer Participation
          Transgender Persons
          African Americans
          Human
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Data Analysis Software
          United States
          Patient Navigation
          Odds Ratio
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: In the San Francisco Bay Area (SFBA), trans women of color are disproportionately affected by HIV and have poor HIV care outcomes. The Brandy Martell Project and TransAccess were two demonstration projects aimed at increasing HIV care engagement and retention among trans women of color in the SFBA. Both projects took place in clinics with a long history of providing trans health care and social services. Both also relied on peer navigation to address systems barriers and promote HIV care linkage and engagement. Our analysis was to identify associations between intervention exposure and primary HIV care visits, ART prescription, and retention in HIV care. Using GEE, we estimated the association between intervention exposure measures (receipt of intervention, intervention dose, intervention provider, and peer dose) and any primary HIV care visit or ART prescription over the 12-month period. Overall, the Brandy Martell Project and TransAccess interventions had significantly positive associations with HIV care outcomes measured. Peer navigation also had a significantly positive association with HIV care outcomes. These interventions demonstrate promise for engaging and retaining trans women of color in HIV care, and call for future investment in this highly underserved community.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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