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Transgender People and HIV

Education Packet 

Transgender People and HIV – This packet is a compilation of several recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. So please feel free to distribute all or part of this packet as either a printout or PDF.
 

HIV-Specific Resources 

Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (updated) (CDC) – This 119-page report presents detailed information about new HIV diagnoses, deaths, and prevalence among transgender persons.  Breakdowns are also provided by age, gender, race/ethnicity, transmission category, and geographic region. The report includes a Special Focus Profile that highlights HIV trends and distribution in transgender persons.  Some of the report’s tables – 4a, 4b, 17a, and 17b – also present information specifically about transgender persons. In addition, other tables that focus on different characteristics provide data breakdowns by gender. 

HIV Infection, Risk, Prevention, and Testing Behaviors Among Transgender Women: National HIV Behavioral Surveillance – 7 U.S. Cities, 2019-2020 (CDC) – This report examines HIV prevalence, HIV testing rates, sexual behaviors, receipt of HIV prevention, and gender-affirming medical treatment among transgender women surveyed in the following major U.S. cities: Atlanta, Georgia; Los Angeles, California; New Orleans, Louisiana; New York City, New York; Philadelphia, Pennsylvania; San Francisco, California; and Seattle, Washington.  

HIV and Transgender People (CDC) – This fact sheet includes information about new HIV diagnoses among transgender men and women, with breakdowns by race/ethnicity; why transgender people are at higher risk for HIV infection; and steps CDC is taking to address HIV among transgender people. Also available in Spanish

HIV and Transgender Communities (CDC) – This issue brief includes sections on HIV prevalence and new diagnoses, HIV risk, HIV prevention initiatives and research, and activities to raise awareness and support community engagement related to HIV and transgender people. 

Transgender Clients: Ryan White HIV/AIDS Program, 2018 (Health Resources and Services Administration) – This fact sheet summarizes selected demographic characteristics of transgender clients in the Ryan White HIV/AIDS Program (RWHAP). About 2% of the approximately 519,000 RWHAP clients in 2018 were transgender. Among transgender clients, 11.5% have unstable housing, more than three-quarters (76%) lived at or below the federal poverty level, and 82% were virally suppressed. More detailed information is provided about these and other demographic characteristics. 

HIV Prevention and Care for the Transgender Population (CDC) – The Transforming Health initiative and associated website provides information and materials for healthcare providers, whole-care teams, social service providers, and transgender people, with the goal of reducing new HIV infections and improving the health of transgender people who are living with HIV. The site has links to the following resources:

TargetHIV: Transgender People (HRSA RWHAP) – This resource page provides data on viral suppression among transgender people served by the RWHAP, as well as links to related news and resources, including:

Transgender HIV/AIDS Health Services Best Practices – Updated 2015 (San Francisco Department of Public Health) – This 38-page manual provides background information and introduces key concepts related to transgender HIV services; outlines ten best practices in culturally competent care for transgender patients and clients; provides recommendations for how these practices can be operationalized and success measured; and refers readers to additional training, literature, and resources.


Infographics on Transgender People and HIV from AIDSVu 

 

Selected Resources from AETCs 

National HIV Curriculum: HIV in Sexual and Gender Minority Populations (AIDS Education and Training Center, University of Washington, and other partners, 2020) – This is the seventh lesson in the Curriculum’s Key Populations module. It includes detailed information on many topics, including:

  • Background
  • Terminology
  • Medical Care for LGBT Persons
  • Cisgender Men Who Have Sex with Men (MSM)
  • Cisgender Women Who Have Sex with Women (WSW)
  • Transgender Women
  • Transgender Men
     

2020 Updates: PrEP Failures & HIV Testing, and PrEP-Hormone Interactions (Mountain West AETC, 2020) – This presentation slide set focuses on pre-exposure prophylaxis (PrEP) failures & HIV testing, and PrEP-hormone interactions in transgender men and women. 

Implications of Communication on Providing Care to the LGBTQ Community (South Central AETC, 2020) – This slide set outlines steps for improving communication in healthcare for the LGBT+ community. 

Treatment for Transgender People with HIV: Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents (AETC National Coordinating Resource Center, 2020) – This slide set covers U.S. Department of Health and Human Services (DHHS) recommendations for treatment of transgender people with HIV. Topics include HIV-related epidemiology, barriers to care, gender affirmation, including medical gender affirmation, hormone therapy, and antiretroviral therapy. 

Trans Men – Health Screening Recommendations and Trans Women – Health Screening Recommendations (MidAtlantic AETC, 2018) – These easy-to-read pocket cards were developed to increase providers’ competency in discussing sexual and reproductive health with their transgender patients. They are applicable to both primary care and specialty care settings.
 

Other Transgender Health Resources

Caring for Transgender People with Severe Mental Illness (National LGBTQIA+ Health Education Center) – Transgender people, like the general population, can suffer from a variety of common and rare severe mental health illnesses. This brief covers recommendations on providing care for this high-risk population. 

Transgender Persons (CDC) – This is a compilation of resources and fact sheets related to transgender health. Includes links to organizations serving transgender persons, health information specifically for transgender persons, and resources about transgender health for healthcare providers and public health professionals. 

University of California-San Francisco’s Center of Excellence for Transgender Health (CoE) – CoE’s website includes many resources on transgender health in keeping with its mission to “increase access to comprehensive, effective, and affirming health care services for transgender and gender diverse communities.” These include fact sheets in English and Spanish, reports and recommendations, and courses and other resources for online learning. 

National LGBTQIA+ Health Education Center – This program of The Fenway Institute provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, transgender, queer, intersex, asexual, and all sexual and gender minority (LGBTQIA+) people. 

LGBTQIA+ – This resource has a list of articles, trainings, and online publications to help promote education and awareness of gender identity, gender expression, and sexual orientation. Compiled by the Lesbian, Gay, Bisexual, and Transgender Resource Center at the University of California-San Francisco.