Abstract:
:Background. Transgender women (transwomen) in the United States have been shown to have high HIV risk with Black and Hispanic transwomen being particularly vulnerable. Growing research on transgender men (transmen) also shows increased HIV risk and burden, although not as much is known for this transgender population.Objectives. This systematic review estimates the prevalence of self-reported and laboratory-confirmed HIV infection, reported sexual and injection behaviors, and contextual factors associated with HIV risk of transgender persons living in the United States.Search Methods. We searched the HIV Prevention Research Synthesis database and MEDLINE, EMBASE, PsycINFO, CINAHL, and Sociological Abstracts databases from January 2006 to March 2017 and January 2006 to May 2017, respectively. Additional hand searches were conducted in December 2017 to obtain studies not found in the literature searches.Selection Criteria. Eligible reports were published US-based studies that included transgender persons and reported HIV status.Data collection and analysis. Data were double-coded and quality assessed. We used random-effects models employing the DerSimonian-Laird method to calculate overall prevalence of HIV infection, risk behaviors, and contextual factors for transwomen, transmen, and race/ethnicity subgroups.Main Results. We reviewed 88 studies, the majority of which were cross-sectional surveys. Overall laboratory-confirmed estimated prevalence of HIV infection was 9.2% (95% confidence interval [CI] = 6.0%, 13.7%; κ = 24). Among transwomen and transmen, HIV infection prevalence estimates were 14.1% (95% CI = 8.7%, 22.2%; κ = 13) and 3.2% (95% CI = 1.4%, 7.1%; κ = 8), respectively. Self-reported HIV infection was 16.1% (95% CI = 12.0%, 21.2%; κ = 44), 21.0% (95% CI = 15.9%, 27.2%; κ = 30), and 1.2% (95% CI = 0.4%, 3.1%; κ = 7) for overall, transwomen, and transmen, respectively. HIV infection estimates were highest among Blacks (44.2%; 95% CI = 23.2%, 67.5%; κ = 4). Overall, participation in sex work was 31.0% (95% CI = 23.9%, 39.0%; κ = 39). Transwomen (37.9%; 95% CI = 29.0%, 47.7%; κ = 29) reported higher participation in sex work than transmen (13.1%; 95% CI = 6.6%, 24.3%; κ = 10; P = .001). Most outcomes indicated high heterogeneity in the overall and subgroup analyses.Conclusions. The availability of more data allowed us to calculate estimates separately for transwomen and transmen. HIV prevalence estimates for US transwomen were lower than previous estimates, but estimates for HIV prevalence and participation in sex work were higher when compared with transmen. Evidence gaps remain for transmen and the syndemic relationship of HIV, risky behaviors, and contextual factors specific to the transgender experience.Public Health Implications. This study highlights gender disparities for HIV and risky sexual behavior, as well as evidence gaps that exist for transmen. Tailored programs and services for the transgender population need to be developed to encourage use of and access to HIV prevention services.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Becasen JS,Denard CL,Mullins MM,Higa DH,Sipe TAdoi
10.2105/AJPH.2018.304727subject
Has Abstractpub_date
2019-01-01 00:00:00pages
e1-e8issue
1eissn
0090-0036issn
1541-0048journal_volume
109pub_type
杂志文章,meta分析abstract:OBJECTIVES:We assessed the feasibility of collecting race/ethnicity data from patients using their own preferred racial/ethnic terms. METHODS:The 424 patients described their race/ethnicity using their own categories, and we compared their descriptions with their responses to the questions (1) "Do you consider yoursel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062620
更新日期:2006-03-01 00:00:00
abstract::For more than 40 years, the tobacco industry prevailed in lawsuits brought by injured smokers, despite overwhelming epidemiological evidence that smoking caused lung cancer. Tobacco lawyers were able to create doubt about causation. They sought to persuade jurors that "everybody knew" smoking was harmful but "nobody k...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.063917
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:We analyzed the relationship between physician migration from developing source countries to more developed host countries (brain drain) and the developmental and global health profiles of source countries. METHODS:We used a cross-section of 141 countries that lost emigrating physicians to the 4 major desti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.095844
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students. METHODS:Eighteen high schools--6 metropolitan and 12 rural--were randomly assi...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2009.190025
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:We explored insurers' perceptions regarding barriers to reimbursement for oral rapid HIV testing and other preventive screenings during dental care. METHODS:We conducted semistructured interviews between April and October 2010 with a targeted sample of 13 dental insurance company executives and consultants,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301825
更新日期:2014-05-01 00:00:00
abstract::An outbreak of giardiasis occurred following a family party for 25 persons. Nine who had eaten fruit salad became ill, compared with one who had not eaten the salad (Relative Risk = 7.4, 95% CI = 1.4, 169.3). The fruit salad preparer had a diapered child and a pet rabbit at home who were both positive for Giardia lamb...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1259
更新日期:1990-10-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract::In the period July through October, 1986, 78 laboratory-confirmed cases of cryptosporidiosis were identified in New Mexico. To determine possible risk factors for development of this disease, we conducted a case-control study; 24 case-patients and 46 neighborhood controls were interviewed. Seventeen (71 per cent) of t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.39
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:This study was undertaken to assess the completeness of vital statistics and case reports of acquired immunodeficiency syndrome (AIDS) in measuring human immunodeficiency virus (HIV)-related mortality in women 15 through 44 years of age. METHODS:We used vital records to determine the number of deaths attribu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1500
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a maternal-child home visitation program on birth spacing for first-time Latina mothers, focusing on adolescents and women who identified as Mexican or Puerto Rican. METHODS:This was a retrospective cohort study. One thousand Latina women enrolled in the Pennsylvania Nurse-Family P...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301505
更新日期:2014-02-01 00:00:00
abstract::Previous studies of stress in childhood have used instruments containing items describing events/conditions thought by adults to be stressful for children. In interviews with 5th- and 6th-grade children, we asked them to describe circumstances that would make or had made them feel bad, nervous, or worried. After prete...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.2.117
更新日期:1984-02-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence and factors associated with physical and nonphysical violence in a sample of general practitioners (GPs). METHODS:We used a cross-sectional design to collect data from December 2014 to March 2015 with a structured self-administered questionnaire from 1015 GPs in Hubei Province, Cent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304519
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:We estimated the effectiveness of child restraints in preventing death during motor vehicle collisions among children 3 years or younger. METHODS:We conducted a matched cohort study using Fatality Analysis Reporting System data from 1996 to 2005. We estimated death risk ratios using conditional Poisson regr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.131128
更新日期:2009-02-01 00:00:00
abstract::Objectives. To document the collective effort of diaper banks in the United States and to estimate the percentage of low-income children whose diaper need is met through these efforts.Methods. For each state, we compared the number of children younger than 4 years in families living at or below 200% of the federal pov...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305377
更新日期:2020-01-01 00:00:00
abstract::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:This research used food frequency data to investigate dietary patterns associated with fat intake. METHODS:Data from the 1987 National Health Interview Survey of 20,143 adults were used to determine correlations between fat (adjusted for kilocalories) and both nutrient and food group intakes. Median food an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.359
更新日期:1994-03-01 00:00:00
abstract::Results from a random sample survey of US Air Force personnel show that 4.6 per cent exhibit alcohol dependence, indicated by symptoms of withdrawal and impaired control over drinking. An additional 9.3 per cent can be identified as nondependent alcohol abusers, indicated by serious adverse effects of drinking (such a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.10.1125
更新日期:1981-10-01 00:00:00
abstract::Data from the southwestern United States sample of the Hispanic Health and Nutrition Examination Survey were employed to compare the patterns of alcohol use among Mexican American mothers and children in female-headed households with use patterns among mothers and children in couple-headed households. Single female he...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.suppl.36
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether nutrient-rich whole grains reduce mortality risk. METHODS:The study included 38,740 Iowa women, aged 55 to 69 years. A food frequency questionnaire was used to obtain data on grain intake. RESULTS:Median whole grain intake quintiles ranged from a median of 0.2 to more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.322
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of functional health literacy to self-reported health and use of health services. METHODS:Patients presenting to two large, urban public hospitals in Atlanta, Ga, and Torrance, Calif, were administered a health literacy test about their overall health and use of health c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.1027
更新日期:1997-06-01 00:00:00
abstract::Objectives. To examine exposure to psychological attempts to change a person's gender identity from transgender to cisgender (PACGI) among transgender people in the United States, lifetime and between the years 2010 and 2015, by US state.Methods. We obtained data from the 2015 US Transgender Survey, a cross-sectional ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305237
更新日期:2019-10-01 00:00:00
abstract::Two cross-sectional surveys were conducted in 1985 and 1986 to measure the prevalence of coronary heart disease (CHD) risk factors in Blacks and Whites. A home interview was followed by a survey center visit. Participation rates were 78 per cent and 90 per cent for the home interview and 65 per cent and 68 per cent fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1546
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between enrollment in the Special Supplemental Nutrition Program for women, Infants, and Children (WIC) and delivery of small-for-gestational-age infants. METHODS:WIC records were linked with birth certificates for 1992 full-term births; 41,234 WIC records and 18,34 non-W...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1374
更新日期:1998-09-01 00:00:00
abstract::This commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.90.11.1728
更新日期:2000-11-01 00:00:00
abstract::We present the first reported cases of individuals with mental retardation who have subsequently become infected with human immunodeficiency virus (HIV). The implications of this finding for agencies which provide services to persons with mental retardation are described. Where conflicts arise, the authors propose tha...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.4.491
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and incidence of gender identity disorder (GID) diagnoses among veterans in the Veterans Health Administration (VHA) health care system and examined suicide risk among veterans with a GID diagnosis. METHODS:We examined VHA electronic medical records from 2000 through 2011 for 2 o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301507
更新日期:2013-10-01 00:00:00
abstract::Latinos are the largest minority population in the United States. Although usually classified as a single ethnic group by researchers, Latinos are heterogeneous from cultural, socioeconomic, and genetic perspectives. From a cultural and social perspective, Latinos represent a wide variety of national origins and ethni...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2005.068668
更新日期:2005-12-01 00:00:00
abstract::Cigarette smoking histories, reported depth of inhalation, number of pipe and cigars (PC) smoked, serum thiocyanate (SCN) and expired air carbon monoxide (CO) levels were examined in PC male smokers enrolled in the Multiple Risk Factor Intervention Trial (MRFIT). Serum SCN levels for all PC smokers were higher than fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.11.1412
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether severe psychological distress (SPD) and serious mental illnesses (SMIs) are associated with a specific set of chronic medical conditions (CMCs) and the association between SPD-SMIs and increasing levels of medical multimorbidity and complexity (i.e., from 1 to 3 or more CMCs). ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302165
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1218
更新日期:2000-08-01 00:00:00