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Publication Profiles

An evaluation of nine culturally tailored interventions designed to enhance engagement in HIV care among transgender women of colour in the United States

Citation

Rebchook GM, Chakravarty D, Xavier JM, et al. An evaluation of nine culturally tailored interventions designed to enhance engagement in HIV care among transgender women of colour in the United States. J Int AIDS Soc. 2022;25 Suppl 5(Suppl 5):e25991. doi:10.1002/jia2.25991

Implementation stage:

Implementation

Implementation outcomes reported:

Adoption

Continuum target addressed:

Engagement in treatment (including retention and re-engagement), ART initiation, Viral suppression

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers examined whether nine programs designed specifically for transgender women of color were associated with improvements in HIV treatment, staying in care, and reducing HIV in the blood.

Plain Language Abstract

Transgender women of color with HIV encounter major barriers to care. Nine United States organizations implemented distinct culturally tailored programs using combinations of outreach, navigation, case management, peer support, group or individual sessions, drop-in spaces, and incentives. Researchers enrolled 858 transgender women of color and followed care outcomes every six months for 24 months. Seventy-nine percent received at least one intervention activity, with a median of more than six service hours. Compared with baseline, participants had higher odds of receiving HIV treatment at 12 and 24 months (1.42 and 1.49) and of reducing HIV in the blood to a very low level, known as viral suppression, among all participants (1.49 and 1.54). Care visits and retention improved significantly only at 12 months. Because this was a pre-post evaluation of nine different programs without a comparison group, changes cannot be attributed solely to the interventions. The authors described the approaches as promising and supported continued development and evaluation rather than claiming definitive effectiveness.

Key Takeaways

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