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HIV risk and preventive interventions in transgender women sex workers

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dc.contributor.author Poteat, Tonia
dc.contributor.author Wirtz, Andrea L.
dc.contributor.author Radix, Anita
dc.contributor.author Borquez, Annick
dc.contributor.author Silva-Santisteban, Alfonso
dc.contributor.author Deutsch, Madeline B.
dc.contributor.author Khan, Sharful Islam
dc.contributor.author Winter, Sam
dc.contributor.author Operario, Don
dc.date.accessioned 2019-02-06T14:59:06Z
dc.date.available 2019-02-06T14:59:06Z
dc.date.issued 2014
dc.identifier.uri https://hdl.handle.net/20.500.12866/5536
dc.description.abstract Worldwide, transgender women who engage in sex work have a disproportionate risk for HIV compared with natal male and female sex workers. We reviewed recent epidemiological research on HIV in transgender women and show that transgender women sex workers (TSW) face unique structural, interpersonal, and individual vulnerabilities that contribute to risk for HIV. Only six studies of evidence-based prevention interventions were identified, none of which focused exclusively on TSW. We developed a deterministic model based on findings related to HIV risks and interventions. The model examines HIV prevention approaches in TSW in two settings (Lima, Peru and San Francisco, CA, USA) to identify which interventions would probably achieve the UN goal of 50% reduction in HIV incidence in 10 years. A combination of interventions that achieves small changes in behaviour and low coverage of biomedical interventions was promising in both settings, suggesting that the expansion of prevention services in TSW would be highly effective. However, this expansion needs appropriate sustainable interventions to tackle the upstream drivers of HIV risk and successfully reach this population. Case studies of six countries show context-specific issues that should inform development and implementation of key interventions across heterogeneous settings. We summarise the evidence and knowledge gaps that affect the HIV epidemic in TSW, and propose a research agenda to improve HIV services and policies for this population. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:1474-547X
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Male en_US
dc.subject Social Support en_US
dc.subject Peru/epidemiology en_US
dc.subject Risk Factors en_US
dc.subject Health Services Accessibility en_US
dc.subject Condoms/statistics & numerical data en_US
dc.subject HIV Infections/epidemiology/prevention & control en_US
dc.subject Prejudice en_US
dc.subject San Francisco/epidemiology en_US
dc.subject Sex Workers/statistics & numerical data en_US
dc.subject Social Stigma en_US
dc.subject Transgender Persons/statistics & numerical data en_US
dc.title HIV risk and preventive interventions in transgender women sex workers en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S0140-6736(14)60833-3
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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