Evidence map›Paper›PMID 32335760›Full record

ArticleAIDS and behavior2020

Patterns of Exposure to Socio-structural Stressors and HIV Care Engagement Among Transgender Women of Color.

Anna L Hotton, Judy Perloff, Josie Paul, Channyn Parker, Kelly Ducheny, Trisha Holloway, Amy K Johnson, Robert Garofalo, James Swartz, Lisa M Kuhns

Abstract read
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In one paragraph

Article in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
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  6. Article
  7. An Evaluation of TransLife Care: A Locally Developed Structural HIV Prevention Intervention for Transgender Women in Chicago, Illinois.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Anna L HottonSection of Infectious Diseases and Global Health & The Chicago Center for HIV Elimination, The University of Chicago Medicine, 5837 S. Maryland Ave, L-038, Chicago, IL, 60637, USA. ahotton@medicine.bsd.uchicago.edu.
Judy PerloffChicago House and Social Service Agency, Chicago, IL, USA.
Josie PaulChicago House and Social Service Agency, Chicago, IL, USA.
Channyn ParkerChicago House and Social Service Agency, Chicago, IL, USA.
Kelly DuchenyHoward Brown Health, Chicago, IL, USA.
Trisha HollowayHoward Brown Health, Chicago, IL, USA.
Amy K JohnsonThe Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, USA.
Robert GarofaloThe Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, USA.
James SwartzJane Addams College of Social Work, University of Illinois at Chicago, Chicago, IL, USA.
Lisa M KuhnsThe Potocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, USA.

Funding

HRSA HHS H97HA24965HRSA HHS H97HA24969
6 · The paper itself

Abstract

Transgender women are disproportionately affected by HIV and experiences of social adversity that may interfere with engagement in care and viral suppression. We used latent class analysis to examine patterns of social adversity and their impact on HIV care continuum outcomes in an urban sample of transgender women of color. Participants (n = 224) were median age 29 and 86% non-Hispanic Black. Lack of resources, unemployment, and housing instability were reported by over 50%, and 41% reported history of incarceration. Latent class analysis identified 2 distinct classes representing higher and lower levels of social adversity. In latent class regression, membership in the higher social adversity class was associated with statistically significantly lower odds of viral suppression and HIV care engagement in univariate analysis; when adjusted for age, race, and recruitment site the association remained statistically significant for viral suppression (aOR 0.38, 95% CI 0.18-0.79; chi-square = 6.681, d.f. = 1, p = 0.010), though not for HIV care engagement. Our findings highlight the impact of socio-structural barriers on engagement in the HIV care continuum among transgender women.

Indexed as

Social StigmaAdultAgedAged, 80 and overAnti-Retroviral AgentsBlack or African AmericanContinuity of Patient CareFemaleHIV InfectionsHumansLatent Class AnalysisMaleMiddle AgedQuality of LifeTransgender PersonsViral LoadAnti-Retroviral AgentsCare engagementHIVSocioeconomic marginalizationTransgenderViral suppression

Identifiers

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.