ArticleAIDS care2023
Intersectional stigma and gender non-affirmation hinder HIV care engagement among transgender women living with HIV in India.
Article in AIDS care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Explaining inequity in knowledge, attitude, and services related to HIV/AIDS: a systematic review.BMC public health · 2024Pooled it
- Misinformation, Social Media, and Myths About Injectable ART: Communication Barriers to HIV Care Among Transgender Women in India.AIDS and behavior · 2026Article
- Beyond the Individual: The Weight of Social and Structural Determinants of Depression Among Transgender Women Living with HIV in France (ANRS-Trans&HIV).AIDS and behavior · 2026Observational
- Psychosocial Mechanisms Linking Intersecting Stigmas and Condomless Anal Sex Among Transgender Women in India.AIDS and behavior · 2026Article
- Article
- Breaking barriers: access to services among people living with HIV/AIDS (PLHIV) in Jharkhand - a convergent mixed methods study.BMC public health · 2026Article
- Validation of the "Gender Affirmation in Healthcare Settings" Scale Among Transgender Women Living with HIV in India: Findings from Exploratory and Confirmatory Factor Analyses.Transgender health · 2026Article
- From policy to practice: syndemic and intersectional challenges to ART adherence for transgender women under India's post-test and treat policy.Global public health · 2025Article
- Laser hair removal to antiretrovirals: findings from a person-centred care model for transgender people in India.Journal of the International AIDS Society · 2025Article
- Transgender Women in India: A Syndemic and Intersectional Framework Addressing HIV Care Gaps.American journal of public health · 2025Article
- Multilevel Syndemic Profiles Impacting Optimal ART Adherence among Trans Women Living with HIV in Mumbai and New Delhi, India: A Latent Class Analysis.International journal of transgender health · 2025Article
- Mixed methods pilot evaluation of a gender-sensitivity training for HIV care providers in Uganda: Effects on providers and clients.PLOS global public health · 2025Article
- 'Taking it one day at a time' and 'Reaching back out to help someone': How transgender women living with HIV and community stakeholders navigate violence, oppression, and health through coping and advocacy.BMC public health · 2024Article
- Experiences of transgender persons in accessing routine healthcare services in India: Findings from a participatory qualitative study.PLOS global public health · 2024Article
- Understanding geriatric models of care for older adults living with HIV: a scoping review and qualitative analysis.BMC geriatrics · 2023Article
- Disclosure, comfort, and negative experiences with HIV care providers among transgender women living with HIV in Canada: Findings from a prospective cohort study of women living with HIV in Canada.Women's health (London, England)Article
- Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
Among transgender women living with HIV (TGWLH) in India, little is understood about the mechanisms through which multiple intersecting stigmas impact HIV care engagement, or intervention strategies that might mitigate this impact. We conducted focus groups with TGWLH (N = 30) in three Indian cities and analysed data using theoretical frameworks related to HIV stigma, gender affirmation, and syndemics. Findings revealed that enacted and anticipated stigma due to transgender identity, HIV, or sex work status, and lack of gender affirmation (e.g., misgendering) in healthcare settings delayed ART initiation and promoted care disengagement. Having supportive physicians and counsellors within ART centres and peer outreach workers facilitated ART initiation, adherence, and retention. Findings also revealed that HIV stigma within TGW communities led to concealment of HIV status or syndemic conditions such as depression and alcohol use, thereby affecting care engagement. However, the TGW community itself was also described as a resilience resource, offering emotional, psychological and tangible support that decreased the impact of discrimination on care engagement. HIV care engagement efforts among Indian TGWLH could be strengthened by reducing intersecting stigmas in healthcare settings and within TGW communities, providing gender-affirming and culturally competent healthcare, addressing psychosocial syndemic conditions, and strengthening support within transgender communities.
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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.