Trans communities across the world are disproportionately burdened by HIV and STIs. Structural, institutional, social, and individual factors have been implicated as drivers of HIV/STI vulnerability. This plenary presentation will summarize the global epidemiology of HIV/STIs and their multi-level drivers among trans populations. Relationships between stigma, sex work, and co-occurring syndemics of substance use, violence, HIV/STIs will be described. Data on effective behavioral and biomedical interventions to prevent HIV/STI acquisition among transgender adolescents and adult will be reviewed. The impact of gender-affirming medical interventions on HIV/STI acquisition risk will be discussed as well as the latest data on pre-exposure prophylaxis uptake, adherence, and drug-drug interactions. More research is needed on HIV/STI epidemiology among trans masculine and gender non-binary individuals, and gaps remain in basic data from trans communities in sub-Saharan Africa and Eastern Europe/Central Asia. Where epidemiologic data exist, implementation science studies are needed to inform how best to implement and scale up multi-component, high impact, prevention care and treatment interventions that address multilevel barriers to HIV/STI prevention and treatment.
Disclosure No significant relationships.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.