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Activity Number: 163 - Issues in LGBT Discrimination
Type: Contributed
Date/Time: Monday, July 31, 2017 : 10:30 AM to 12:20 PM
Sponsor: ASA LGBT Concerns Committee
Abstract #322896
Title: Characterizing the Burden of HIV and Specific Vulnerabilities Among Transgender Women Compared to Men Who Have Sex with Men Across Eight Sub-Saharan African Countries
Author(s): Benjamin Ackerman* and Tonia Poteat and Stefan Baral and Sosthenes Ketende
Companies: Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Bloomberg School of Public Health
Keywords: LGBT ; transgender ; HIV ; survey ; discrimination ; factor analysis

Transgender women are at high risk of acquiring HIV; however, limited data have previously been collected to quantify their risk across Sub-Saharan Africa. We identified potential risk factors of HIV infection among trans women, and characterized differences in HIV risks between trans women and gay men and other men who have sex with men (MSM) in eight Sub-Saharan African Nations (Burkina Faso, Côte d'Ivoire, The Gambia, Lesotho, Malawi, Senegal, Swaziland and Togo). Surveys gathered information on sexual orientation, gender identity, discrimination, mental health, sexual behavior and engagement in HIV-related treatment and care, and were accompanied by laboratory-confirmed HIV tests. HIV risk among trans women compared to cis-gender MSM was estimated using a mixed effect logistic regression model. Survey questions addressing stigma were summarized in three scales through factor analysis and included as covariates. We conclude that trans women experience greater amounts of stigma and a higher burden of HIV than cisgender MSM, indicating a need for dedicated epidemiologic assessment and differentiated implementation of HIV prevention, treatment and care programs.

Authors who are presenting talks have a * after their name.

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