Despite efforts to understand key drivers of widening disparities in HIV care, one of the most affected and historically overlooked patient populations continues to be transgender women.
Chyten-Brennan was formerly medical director for transgender care at the Santa Clara Valley Medical System in San Jose, California, and he will soon start a position at Thundermist Health Center in Woonsocket, Rhode Island.
Discussing the findings, he explained that trans women and cis-SMM appeared to be comparable in terms of HIV outcomes. But after stratifying them by estrogen prescription, care retention was significantly higher for trans women receiving estrogen , and lower for trans women not receiving estrogen. Transgender women are at risk for transphobia, which many studies have documented as an important drive of housing, economic, and healthcare-setting discrimination as well as increased violence. As a group, trans women are also more likely to have public or no insurance, higher rates of mental health issues and/or substance use disorders, and gender dysphoria.Medscape Medical News
"There are providers who don't know a lot about providing care for transgender people and come with the same sort of preconceived notions and prejudices that people who are not healthcare providers bring to interactions with transgender people," explained Poteat.
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