Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes

Pablo D. Radusky; Inés Aristegui; Paola Beato Fernández; Nadir Cardozo; Mariana Duarte; Solange Fabian; Emanuel Dell’Isola; Maria L. Alcaide; Violeta J. Rodriguez; Omar Sued; Chloe J. Kaminsky; Deborah L. Jones

doi:10.1089/trgh.2024.0038

Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes

Pablo D. Radusky, Inés Aristegui, Paola Beato Fernández, Nadir Cardozo, Mariana Duarte, Solange Fabian, Emanuel Dell’Isola, Maria L. Alcaide, Violeta J. Rodriguez, Omar Sued, Chloe J. Kaminsky, Deborah L. Jones

Psychology

Research output: Contribution to journal › Article › peer-review

Abstract

In Argentina, transgender women (TW) have the highest HIV prevalence (34%) among key populations, reporting challenges in adherence to antiretroviral therapy (ART) and HIV care. Physician-delivered motivational interviewing (MI) was examined for its impact on HIV-related outcomes. Multilevel models found an increase in patient-provider communication, self-reported ART adherence, and HIV-related outcomes over 24 months in 41 TW re-engaged in HIV care. About one-third (37%) of participants were retained in care at 24 months, and 55% achieved viral suppression at follow-up. Data supporting a link between MI and these improvements are inconclusive, and targeted interventions are needed in this population.

Original language	English (US)
Journal	Transgender Health
Early online date	Oct 28 2024
DOIs	https://doi.org/10.1089/trgh.2024.0038
State	E-pub ahead of print - Oct 28 2024

Keywords

antiretroviral therapy (ART) adherence
HIV care engagement
HIV prevalence
patient-provider communication
physician-delivered motivational interviewing (MI)
transgender women

ASJC Scopus subject areas

Gender Studies
Medicine (miscellaneous)

Online availability

10.1089/trgh.2024.0038

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Radusky, P. D., Aristegui, I., Fernández, P. B., Cardozo, N., Duarte, M., Fabian, S., Dell’Isola, E., Alcaide, M. L., Rodriguez, V. J., Sued, O., Kaminsky, C. J., & Jones, D. L. (2024). Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes. Transgender Health. Advance online publication. https://doi.org/10.1089/trgh.2024.0038

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title = "Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes",

abstract = "In Argentina, transgender women (TW) have the highest HIV prevalence (34\%) among key populations, reporting challenges in adherence to antiretroviral therapy (ART) and HIV care. Physician-delivered motivational interviewing (MI) was examined for its impact on HIV-related outcomes. Multilevel models found an increase in patient-provider communication, self-reported ART adherence, and HIV-related outcomes over 24 months in 41 TW re-engaged in HIV care. About one-third (37\%) of participants were retained in care at 24 months, and 55\% achieved viral suppression at follow-up. Data supporting a link between MI and these improvements are inconclusive, and targeted interventions are needed in this population.",

keywords = "antiretroviral therapy (ART) adherence, HIV care engagement, HIV prevalence, patient-provider communication, physician-delivered motivational interviewing (MI), transgender women",

author = "Radusky, \{Pablo D.\} and In{\'e}s Aristegui and Fern{\'a}ndez, \{Paola Beato\} and Nadir Cardozo and Mariana Duarte and Solange Fabian and Emanuel Dell{\textquoteright}Isola and Alcaide, \{Maria L.\} and Rodriguez, \{Violeta J.\} and Omar Sued and Kaminsky, \{Chloe J.\} and Jones, \{Deborah L.\}",

note = "This study was funded by a grant and administrative supplement from the National Institutes of Health (NIH), R01MH110242, and supported by the University of Miami Miller School of Medicine Center for AIDS Research, funded by NIH grant P30AI073961, and the Center for HIV and Research in Mental Health (CHARM), funded by NIH grant P30MH116867. V.J.R.\textbackslash{}u2019s contribution to this article was partially supported by a Ford Foundation Fellowship from the National Academies of Science, a PEO Scholar Award from the PEO Sisterhood, and a grant number R36MH127838 from the National Institutes of Health.",

year = "2024",

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doi = "10.1089/trgh.2024.0038",

language = "English (US)",

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AU - Radusky, Pablo D.

AU - Aristegui, Inés

AU - Fernández, Paola Beato

AU - Cardozo, Nadir

AU - Duarte, Mariana

AU - Fabian, Solange

AU - Dell’Isola, Emanuel

AU - Alcaide, Maria L.

AU - Rodriguez, Violeta J.

AU - Sued, Omar

AU - Kaminsky, Chloe J.

AU - Jones, Deborah L.

N1 - This study was funded by a grant and administrative supplement from the National Institutes of Health (NIH), R01MH110242, and supported by the University of Miami Miller School of Medicine Center for AIDS Research, funded by NIH grant P30AI073961, and the Center for HIV and Research in Mental Health (CHARM), funded by NIH grant P30MH116867. V.J.R.\u2019s contribution to this article was partially supported by a Ford Foundation Fellowship from the National Academies of Science, a PEO Scholar Award from the PEO Sisterhood, and a grant number R36MH127838 from the National Institutes of Health.

PY - 2024/10/28

Y1 - 2024/10/28

N2 - In Argentina, transgender women (TW) have the highest HIV prevalence (34%) among key populations, reporting challenges in adherence to antiretroviral therapy (ART) and HIV care. Physician-delivered motivational interviewing (MI) was examined for its impact on HIV-related outcomes. Multilevel models found an increase in patient-provider communication, self-reported ART adherence, and HIV-related outcomes over 24 months in 41 TW re-engaged in HIV care. About one-third (37%) of participants were retained in care at 24 months, and 55% achieved viral suppression at follow-up. Data supporting a link between MI and these improvements are inconclusive, and targeted interventions are needed in this population.

AB - In Argentina, transgender women (TW) have the highest HIV prevalence (34%) among key populations, reporting challenges in adherence to antiretroviral therapy (ART) and HIV care. Physician-delivered motivational interviewing (MI) was examined for its impact on HIV-related outcomes. Multilevel models found an increase in patient-provider communication, self-reported ART adherence, and HIV-related outcomes over 24 months in 41 TW re-engaged in HIV care. About one-third (37%) of participants were retained in care at 24 months, and 55% achieved viral suppression at follow-up. Data supporting a link between MI and these improvements are inconclusive, and targeted interventions are needed in this population.

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KW - HIV care engagement

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KW - patient-provider communication

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Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes

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