Evidence map›Paper›PMID 39955619›Full record

ArticleAIDS care2025

Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.

Neil Mehta, Madeline Noh, Madina Agénor, Gabriel R Murchison, Jaclyn M W Hughto, Kimberly M Nelson, Allegra R Gordon

Abstract read
In one paragraph

Article in AIDS care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Neil MehtaDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Brown University, Providence, RI, USA.
Madeline NohDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Brown University, Providence, RI, USA.
Madina AgénorDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Brown University, Providence, RI, USA.
Gabriel R MurchisonDepartment of Social & Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA.
Jaclyn M W HughtoDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Brown University, Providence, RI, USA.
Kimberly M NelsonDepartment of Community Health Sciences, Boston University School of Public Health, Boston University, Boston, MA, USA.
Allegra R GordonDepartment of Community Health Sciences, Boston University School of Public Health, Boston University, Boston, MA, USA.

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
Social Media and Substance Use Risk and Resilience Among US Emerging AdultsK01DA054357 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GORDON, ALLEGRA RABOFF · 2021 to 2025
$891k
Stigma, Romantic Relationships, and Alcohol Use Among Transgender and Nonbinary Young AdultsK99AA030601 · NIAAA · YALE UNIVERSITY · PI MURCHISON, GABRIEL R · 2023 to 2024
$261k
NIAAA NIH HHS K99 AA030601NIAID NIH HHS P30 AI042853NIDA NIH HHS K01 DA054357
6 · The paper itself

Abstract

Transgender and nonbinary young adults in the United States (U.S.) experience disproportionately high rates of HIV and face unique barriers to accessing HIV testing, a key component of HIV prevention. Gender-affirming practices in healthcare settings may improve care access and reduce care avoidance among transgender and nonbinary people. To our knowledge, no study has examined the association between gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary U.S. young adults. This study analyzed national cross-sectional, online data from transgender and nonbinary U.S. young adults aged 18-30 years (N = 225) to assess the association between the gender affirmation sub-scale of the Transgender and Gender Diverse Healthcare Discrimination and Adverse Experiences Scale (range: 0-20) and past-year HIV testing using multivariable logistic regression. We found that a one-point increase in the gender affirmation sub-scale score was positively associated with past-year HIV testing (odds ratio = 1.15; 95% confidence interval: 1.06, 1.26), adjusting for age, geographic region, gender identity, educational attainment, employment status, having a usual source of care, and health insurance status. Our findings provide additional evidence that access to gender-affirming healthcare settings is important in facilitating utilization of preventive services among transgender and nonbinary U.S. young adults.

Indexed as

HIV InfectionsHIV TestingTransgender PersonsAdolescentAdultCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleUnited StatesYoung Adultgender affirmationHIV testingSDG 10: Reduced inequalitiesSDG 3: Good health and well-beingTransgenderyoung adults

Identifiers

PMID39955619
PMCPMC12167691

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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.