Geographic Variation in HIV Testing Among Transgender and Nonbinary Adults in the United States.

ABSTRACT:

Background

Transgender and nonbinary (TNB) populations are disproportionately affected by HIV and few local health departments or HIV surveillance systems collect/report data on TNB identities. Our objective was to estimate the prevalence of HIV testing among TNB adults by US county and state, with a focus on the Ending the HIV Epidemic (EHE) geographies.

Methods

We applied a Bayesian hierarchical spatial small area estimation model to data from the 2015 US Transgender Survey, a large national cross-sectional Internet-based survey. We estimated the county- and state-level proportion of TNB adults who ever tested or tested for HIV in the last year by gender identity, race/ethnicity, and age.

Results

Our analysis included 26,100 TNB participants with valid zip codes who

SUBMITTER: Tordoff DM 

PROVIDER: S-EPMC9058176 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature