Table II:
Correlates of HIV care continuum outcomes among Black transgender women in POWER: United States, 2014–2017
| Undiagnosed HIV positive status |
HIV diagnosis |
Viral suppression |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| HIV negative n = 232 % (n) |
Undiagnosed HIV positive n = 111 % (n) |
p | Diagnosed HIV positive n = 70 % (n) |
Undiagnosed HIV positive n = 111 % (n) |
p | Undetectable viral load n = 45 % (n) |
Detectable viral load n = 22 % (n) |
p | |
| Education | |||||||||
| Less than high school | 30.6 (70) | 23.4 (26) | 0.30 | 22.1(17) | 23.4 (26) | 0.05* | 26.7 (12) | 14.3 (3) | 0.07 † |
| High School diploma | 39.7 (68) | 38.7 (43) | 26.0 (20) | 38.7 (43) | 31.1 (14) | 19.1 (4) | |||
| Some college | 22.3 (51) | 23.4 (26) | 22.1 (17) | 23.4 (26) | 22.2 (10) | 14.3 (3) | |||
| College diploma or more | 17.5 (40) | 14.4 (16) | 29.9 (23) | 14.4 (16) | 20.0 (9) | 52.4 (11) | |||
| Age (mean (SD)) | 30.0 (10.5) | 32.0 (11.7) | 0.19 | 30.8 (10.0) | 32.0 (11.7) | 0.14 | 31.4 (10.2) | 30.1 (10.2) | 0.61 |
| Health care | |||||||||
| Presence of health coverage | 78.5 (182) | 76.6 (85) | 0.69 | 79.5 (62) | 76.6 (85) | 0.64 | 84.4 (38) | 81.8 (18) | 0.79 |
| Unable to access care | 39.6 (91) | 51.4 (56) | 0.04* | 47.4 (37) | 51.4 (56) | 0.60 | 46.7 (21) | 50.0 (11) | 0.80 |
| Incarceration | 31.5 (73) | 42.3 (47) | 0.04* | 39.7 (31) | 42.3 (47) | 0.72 | 28.9 (13) | 59.1 (13) | 0.01* |
| Homelessness | 38.2 (87) | 44.1 (49) | 0.29 | 48.7 (37) | 44.1 (49) | 0.54 | 38.6 (17) | 71.4 (15) | 0.01* |
| Sex work | 18.5 (43) | 33.8 (22) | 0.75 | 19.5 (15) | 20.0 (22) | 0.93 | 11.1 (5) | 27.3 (6) | 0.09 † |
| Poly-substance use | 21.1 (49) | 21.6 (24) | 0.92 | 29.5 (23) | 21.6 (24) | 0.22 | 17.8 (8) | 50.0 (11) | 0.006* |
| Depression | 47.4 (108) | 41.3 (45) | 0.29 | 66.2 (51) | 41.3 (45) | <0.001* | 59.1 (26) | 81.8 (18) | 0.06 † |
| Physical Assault | 40.3 (93) | 46.9 (52) | 0.25 | 50.0 (39) | 46.9 (52) | 0.67 | 46.7 (21) | 72.7 (16) | 0.04* |
| Intimate Partner Violence | 42.0 (97) | 47.8 (53) | 0.32 | 52.6 (41) | 47.8 (53) | 0.51 | 51.1 (23) | 72.7 (16) | 0.09 † |
| Social Support (mean (SD)) | 3.01 (2.08) | 3.15 (2.27) | 0.79 | 3.10 (2.11) | 3.15 (2.27) | 0.90 | 2.93 (2.26) | 3.09 (2.37) | 0.77 |
| Racial Discrimination, lifetime | 45.9 (106) | 39.6 (44) | 0.28 | 55.1 (43) | 39.6 (44) | 0.03* | 57.8 (26) | 63.6 (14) | 0.65 |
| Gender Discrimination, lifetime | 50.6 (79) | 53.9 (49) | 0.63 | 68.6 (35) | 53.9 (49) | 0.08 † | 67.7 (21) | 84.6 (11) | 0.25 |
| Currently Taking Hormones | 41.8 (61) | 52.3 (45) | 0.12 | 58.8 (30) | 52.2 (45) | 0.46 | 46.7 (14) | 85.7 (12) | 0.01* |
Notes: Lifetime gender discrimination and current hormone use were measured from 2015–2017 yielding a sample of 299 for these questions.
*
p < 0.05;
†
p < 0.10