Characteristics of HIV-Positive Transgender Men Receiving Medical Care: United States, 2009-2014.

HIV-positive transgender people; SOCIODEMOGRAPHIC factors; HUMAN behavior; PATIENT monitoring; HEALTH equity; SAMPLING methods; MEDICAL care of HIV-positive persons; MEDICAL care; TWENTY-first century; HISTORY; PREVENTION; HIV-positive persons; HIV infections; PROFESSIONAL practice; ACQUISITION of data methodology; META-analysis; INTERVIEWING; EVIDENCE-based medicine; MEDICAL records; DESCRIPTIVE statistics; MENTAL depression; STATISTICAL sampling; POVERTY

Objectives. To present the first national estimate of the sociodemographic, clinical, and behavioral characteristics of HIV-positive transgender men receiving medical care in the United States. Methods. This analysis included pooled interview and medical record data from the 2009 to 2014 cycles of the Medical Monitoring Project, which used a 3-stage, probabilityproportional-to-size sampling methodology. Results. Transgendermen accounted for 0.16% of all adults and11%of all transgender adults receiving HIV medical care in the United States from 2009 to 2014. Of these HIV-positive transgender men receiving medical care, approximately 47% lived in poverty, 69% had at least 1 unmet ancillary service need, 23% met criteria for depression, 69% were virally suppressed at their last test, and 60% had sustained viral suppression over the previous 12 months. Conclusions. Althoughthey constitute a small proportionof allHIV-positive patients, more than 1 in 10 transgender HIV-positive patients were transgender men. Many experienced socioeconomic challenges, unmet needs for ancillary services, and suboptimal health outcomes. Attention to the challenges facing HIV-positive transgender men may be necessary to achieve the National HIV/AIDS Strategy goals of decreasing disparities and improving health outcomes among transgender persons. [ABSTRACT FROM AUTHOR]

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