Table 3.
Comparison of Unmet Needs for Ancillary Services Among Adults with Diagnosed HIV Between Those Who Identified as Transgender Women Versus Cisgender Men or Cisgender Women—Medical Monitoring Project, United States, 2015–2020 (N= 23,697)
|
Transgender women (n = 362) |
Cisgender men (n = 17,319) |
Cisgender women (n = 6016) |
Comparison of transgender women with cisgender men
|
Comparison of transgender women with cisgender women
|
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|---|---|---|---|---|---|---|---|---|---|---|
| n | col % (95% CI) | n | col % (95% CI) | n | col % (95% CI) | Prevalence ratio (95% CI) | p | Prevalence ratio (95% CI) | p | |
| Any ancillary care servicesa | ||||||||||
| Yes | 190 | 51.3 (44.8–57.7) | 7699 | 45.8 (44.7–46.9) | 3038 | 52.6 (50.5–54.6) | 1.12 (0.99–1.27) | 0.095 | 0.98 (0.86–1.11) | 0.695 |
| No | 169 | 48.7 (42.3–55.2) | 9506 | 54.2 (53.1–55.3) | 2934 | 47.4 (45.4–49.5) | — | — | — | — |
| HIV support services | ||||||||||
| Any HIV support services | ||||||||||
| Yes | 58 | 15.2 (10.9–19.6) | 2558 | 16.3 (15.5–17.1) | 1037 | 18.6 (17.2–20.0) | 0.94 (0.70–1.24) | 0.635 | 0.82 (0.61–1.10) | 0.144 |
| No | 301 | 84.8 (80.4–89.1) | 14,507 | 83.7 (82.9–84.5) | 4885 | 81.4 (80.0–82.8) | — | — | — | — |
| HIV case management services | ||||||||||
| Yes | 26 | 7.1 (4.0–10.1) | 994 | 6.6 (6.1–7.2) | 463 | 8.7 (7.6–9.7) | 1.07 (0.69–1.66) | 0.785 | 0.82 (0.52–1.29) | 0.350 |
| No | 331 | 92.9 (89.9–96.0) | 16,156 | 93.4 (92.8–93.9) | 5489 | 91.3 (90.3–92.4) | — | — | — | — |
| Patient navigation services | ||||||||||
| Yes | 18 | 5.1 (2.4–7.8) | 741 | 4.8 (4.3–5.3) | 338 | 6.0 (5.3–6.8) | 1.06 (0.63–1.79) | 0.833 | 0.84 (0.50–1.42) | 0.485 |
| No | 338 | 94.9 (92.2–97.6) | 16,400 | 95.2 (94.7–95.7) | 5612 | 94.0 (93.2–94.7) | — | — | — | — |
| HIV peer group support | ||||||||||
| Yes | 27 | 6.4 (3.6–9.3) | 1148 | 6.9 (6.4–7.5) | 452 | 7.8 (6.8–8.7) | 0.92 (0.60–1.43) | 0.707 | 0.83 (0.53–1.30) | 0.371 |
| No | 330 | 93.6 (90.7–96.4) | 15,982 | 93.1 (92.5–93.6) | 5495 | 92.2 (91.3–93.2) | — | — | — | — |
| Non-HIV clinical services | ||||||||||
| Any non-HIV support services | ||||||||||
| Yes | 123 | 32.1 (26.4–37.9) | 4841 | 29.3 (28.3–30.3) | 1730 | 30.2 (28.6–31.8) | 1.10 (0.92–1.31) | 0.338 | 1.06 (0.88–1.28) | 0.521 |
| No | 234 | 67.9 (62.1–73.6) | 12,339 | 70.7 (69.7–71.7) | 4234 | 69.8 (68.2–71.4) | — | — | — | — |
| Dental care | ||||||||||
| Yes | 95 | 24.9 (19.5–30.3) | 3719 | 22.9 (22.0–23.9) | 1386 | 24.7 (23.2–26.1) | 1.09 (0.87–1.35) | 0.479 | 1.01 (0.80–1.27) | 0.935 |
| No | 262 | 75.1 (69.7–80.5) | 13,466 | 77.1 (76.1–78.0 | 577 | 75.3 (73.9–76.8) | — | — | — | — |
| Mental health services | ||||||||||
| Yes | 26 | 6.5 (3.8–9.1) | 1448 | 8.7 (8.1–9.3) | 518 | 9.1 (8.1–10.0) | 0.74 (0.49–1.13) | 0.106 | 0.71 (0.47–1.07) | 0.057 |
| No | 330 | 93.5 (90.9–96.2) | 15,703 | 91.3 (90.7–91.9) | 5433 | 90.9 (90.0–91.9) | — | — | — | — |
| Subsistence services | ||||||||||
| Any subsistence services | ||||||||||
| Yes | 128 | 34.3 (28.3–40.4) | 3999 | 23.6 (22.5–24.6) | 1821 | 31.5 (29.9–33.2) | 1.46 (1.23–1.73) | <0.001 | 1.09 (0.92–1.29) | 0.349 |
| No | 229 | 65.7 (59.6–71.7) | 13,174 | 76.4 (75.4–77.5) | 4139 | 68.5 (66.8–70.1) | — | — | — | — |
| Transportation assistance | ||||||||||
| Yes | 46 | 12.6 (8.7–16.4) | 1237 | 7.4 (6.8–7.9) | 521 | 8.9 (8.0–9.8) | 1.71 (1.24–2.34) | 0.009 | 1.41 (1.04–1.91) | 0.060 |
| No | 311 | 87.4 (83.6–91.3) | 15,945 | 92.6 (92.1–93.2) | 5445 | 91.1 (90.2–92.0) | — | — | — | — |
| Shelter or housing services | ||||||||||
| Yes | 51 | 13.9 (9.9–18.0) | 1632 | 9.6 (8.9–10.3) | 812 | 14.0 (12.7–15.2) | 1.46 (1.09–1.95) | 0.033 | 1.00 (0.74–1.34) | 0.982 |
| No | 306 | 86.1 (82.0–90.1) | 15,546 | 90.4 (89.7–91.1) | 5145 | 86.0 (84.8–87.3) | — | — | — | — |
| SNAP or WIC | ||||||||||
| Yes | 48 | 11.9 (7.6–16.2) | 1915 | 11.4 (10.7–12.0) | 689 | 12.0 (10.8–13.2) | 1.05 (0.73–1.50) | 0.809 | 0.99 (0.70–1.41) | 0.970 |
| No | 309 | 88.1 (83.8–92.4) | 15,262 | 88.6 (88.0–89.3) | 5271 | 88.0 (86.8–89.2) | — | — | — | — |
| Meal or food servicesb | ||||||||||
| Yes | 47 | 11.3 (7.7–15.0) | 1207 | 7.1 (6.6–7.7) | 599 | 10.2 (9.3–11.1) | 1.59 (1.14–2.20) | 0.025 | 1.11 (0.81–1.53) | 0.542 |
| No | 310 | 88.7 (85.0–92.3) | 15,968 | 92.9 (92.3–93.4) | 5361 | 89.8 (88.9–90.7) | — | — | — | — |
| Total unmet needs | ||||||||||
| 0 unmet needs | 169 | 48.7 (42.3–55.2) | 9506 | 54.2 (53.1–55.3) | 2934 | 47.4 (45.4–49.5) | 0.90 (0.79–1.03) | 0.095 | 1.03 (0.90–1.17) | 0.695 |
| 1 unmet need | 79 | 24.3 (18.7–29.9) | 3952 | 23.0 (22.1–23.8) | 1499 | 25.7 (24.3–27.2) | 1.06 (0.84–1.33) | 0.649 | 0.94 (0.74–1.20) | 0.618 |
| 2 unmet needs | 53 | 12.8 (9.1–16.4) | 1816 | 10.8 (10.3–11.4) | 751 | 12.9 (11.8–14.1) | 1.18 (0.89–1.57) | 0.294 | 0.99 (0.74–1.32) | 0.919 |
| ≥3 unmet needs | 58 | 14.2 (10.0–18.4) | 1931 | 12.1 (11.3–12.8) | 788 | 13.9 (12.7–15.1) | 1.18 (0.88–1.59) | 0.309 | 1.03 (0.76–1.39) | 0.863 |
Frequencies are unweighted. Percentages are weighted. Confidence intervals incorporate weighted percentages. HIV support services included HIV case management services, ART adherence support services, medicines provided through the ADAP, patient navigation services, and HIV peer group support. Non-HIV clinical services included dental care, drug or alcohol counseling or treatment, mental health services, and domestic violence services. Subsistence services included transportation assistance, shelter or housing services, the SNAP or the Special Supplemental Nutrition Program for Women, Infants, and Children, and meal or food services.
Excluded are estimates with a coefficient of variation ≥0.30: Professional help remembering to take medications on time or correctly (adherence support services), medicine through ADAP, drug or alcohol counseling or treatment, and domestic violence services.
Includes services such as soup kitchens, food pantries, food banks, church dinners, or food delivery services.
SNAP, Supplemental Nutrition Assistance Program; WIC, Special Supplemental Nutrition Program for Women, Infants, and Children.