Evidence map›Paper›PMID 35398255›Full record

ArticleAnnals of epidemiology2022

Prevention-effective adherence trajectories among transgender women indicated for PrEP in the United States: a prospective cohort study.

Erin E Cooney, Sari L Reisner, Haneefa T Saleem, Keri N Althoff, S Wilson Beckham, Asa Radix, Christopher M Cannon, Jason S Schneider, J Sonya Haw, Allan E Rodriguez and 6 more

Abstract read
In one paragraph

Article in Annals of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed.

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  5. Integrating CBPR and Implementation Science to Develop a PrEP-Promotion Intervention for Black Transgender Women.Health education & behavior : the official publication of the Society for Public Health Education · 2026
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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

16 authors.

Erin E CooneyJohns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD. Electronic address: Ecooney2@jhmi.edu.
Sari L ReisnerFenway Health, The Fenway Institute, Boston, MA; Brigham and Women's Hospital, Division of Endocrinology, Diabetes, and Hypertension, Boston, MA; Harvard Medical School, Department of Medicine, Boston, MA; Harvard TH Chan School of Public Health, Department of Epidemiology, Boston, MA.
Haneefa T SaleemJohns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD.
Keri N AlthoffJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, MD.
S Wilson BeckhamJohns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD; Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, Baltimore, MD.
Asa RadixCallen-Lorde Community Health Center, New York, NY.
Christopher M CannonWhitman-Walker Institute, Washington, DC.
Jason S SchneiderEmory University, School of Medicine, Atlanta, GA.
J Sonya HawEmory University, School of Medicine, Atlanta, GA.
Allan E RodriguezUniversity of Miami Miller School of Medicine, Division of Infectious Diseases, Department of Medicine, Miami, FL.
Andrew J WawrzyniakUniversity of Miami Miller School of Medicine, Department of Psychiatry and Behavioral Sciences, Miami, FL.
Tonia C PoteatUniversity of North Carolina School of Medicine, Center for Health Equity Research, Chapel Hill, NC.
Kenneth H MayerFenway Health, The Fenway Institute, Boston, MA; Harvard Medical School, Department of Medicine, Boston, MA.
Chris BeyrerJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, MD.
Andrea L WirtzJohns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, MD.
American Cohort To Study HIV Acquisition Among Transgender Women (LITE) Study Group

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GWENDOLYN Barbara SCOTT · 2007 to 2026
$33.8M
SWG 2: Cure Research Scientific Working GroupP30AI117970 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI Italo Mocchetti · 2015 to 2026
$29.6M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
LITE CONNECT: Addressing testing gaps and epidemiologic disparities of COVID-19 amongtransgender people in the United StatesUH3AI133669 · NIAID · JOHNS HOPKINS UNIVERSITY · PI REISNER, SARI, WIRTZ, ANDREA L · 2019 to 2022
$6.9M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
American Cohort to Study HIV Acquisition among Transgender Women in High Risk AreasUG3AI133669 · NIAID · JOHNS HOPKINS UNIVERSITY · PI REISNER, SARI, WIRTZ, ANDREA L · 2017 to 2018
$3.5M
Preferences for PrEP in Tanzanian Women at Heightened Risk of HIV InfectionK01MH114715 · NIMH · JOHNS HOPKINS UNIVERSITY · PI COLE, SAM WILSON · 2017 to 2021
$732k
PrEP Engagement Trajectories Among Transgender Women in the United StatesF31MH124582 · NIMH · JOHNS HOPKINS UNIVERSITY · PI COONEY, ERIN EILEEN · 2020 to 2022
$138k
NIAID NIH HHS P30 AI050409NIAID NIH HHS P30 AI060354NIAID NIH HHS P30 AI073961NIAID NIH HHS P30 AI094189NIAID NIH HHS P30 AI117970NIAID NIH HHS UG3 AI133669NIAID NIH HHS UH3 AI133669NICHD NIH HHS P2C HD050924NIMH NIH HHS F31 MH124582NIMH NIH HHS K01 MH114715NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

purposeAdherence to pre-exposure prophylaxis (PrEP) during periods of PrEP-indication (i.e., prevention-effective adherence) is critical for preventing HIV. We sought to describe factors associated with prevention-effective adherence trajectories among transgender women (TW) to inform PrEP implementation strategies.

methodsUsing data from The LITE American Cohort (n = 728), we performed group-based multi-trajectory modeling (GBMTM) to identify clusters of TW with similar trajectories of PrEP adherence and indication, and sociodemographic, biobehavioral, and structural correlates of each trajectory.

resultsWe identified five trajectories: (1) consistent indication/no PrEP (15.3%), (2) initial indication/no PrEP (47.1%), (3) declining indication/discontinued PrEP (9.5%), (4) consistent indication/PrEP adherent (18.5%), and (5) increasing indication/initiated PrEP (9.6%). TW diagnosed with an STI were more likely to follow a consistent indication/no PrEP trajectory compared to consistent indication/PrEP adherent trajectory (adjusted Relative Risk Ratio [aRRR], 2.54; 95% confidence interval [CI], 1.16-5.57). TW who experienced homelessness were more likely to follow PrEP discontinuation and initiation trajectories relative to PrEP adherence (aRRR, 2.71; 95% CI, 1.10-6.70 and 2.83; 95% CI, 1.13-7.05, respectively).

conclusionsOver a quarter of TW followed trajectories suggestive of prevention-effective adherence, while 15% did not initiate PrEP despite consistent indication. Findings highlight missed opportunities for PrEP engagement at STI diagnosis and suggest structural interventions addressing housing instability may improve prevention-effective adherence among TW.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisTransgender PersonsFemaleHomosexuality, MaleHumansMaleMedication AdherenceProspective StudiesUnited StatesAnti-HIV AgentsGroup-based multi-trajectory modelingHIV preventionPre-exposure prophylaxisTransgender womenUnited States

Identifiers

PMID35398255
PMCPMC9167788

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Registered trials

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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.