Tag Archives: hiv

Do Transgender People Really Have a 27% HIV Infection Rate?

transgender_caduceus_insert_public_domain
It was reported by The Advocate and other transgender-related news services that the Centers for Disease Control (CDC) put out a new report, claiming that the HIV infection rate among transgender persons was 27%.

This number troubled me – it seemed unrealistically high, so I decided to investigate. I visited the original CDC site, and discovered the source of the 27% statistic:

Findings from a meta-analysis of 29 published studies showed that 27.7% of transgender women tested positive for HIV infection (4 studies), but when testing was not part of the study, only 11.8% of transgender women self-reported having HIV (18 studies). In one study, 73% of the transgender women who tested HIV-positive were unaware of their status. Higher percentages of newly identified HIV-positive test results were found among black/African American transgender women (56.3%) than among white (16.7%) or Latino (16.1%) transgender women; and self-reported HIV infection in studies made up of predominantly of black/African American transgender women (30.8%) was higher than positivity reported in studies comprising mainly white transgender women (6.1%). Studies also indicate that black transgender women are more likely to become infected with HIV than non-black transgender women.

What is this quote really telling us? Not that the CDC took values from only 4 of 29 studies – the purpose of the paragraph is to demonstrate the level of unawareness of HIV infection among transgender persons, not the percentage of HIV infection. The point of the quote was to say not that 27% of us are HIV positive, but that in studies focused on transgender populations with a high percentage of HIV infections, less than half reported that they were HIV positive. Meaning that they either were dishonest about their status, or had no idea.

Furthermore, it would have been more correct when citing a floating-point number to round to 28%, not 27%, but I digress.

The CDC do not cite the specific studies, but they do give a link to a bibliography page. A review of the CDC’s bibliography page on transgender persons and HIV/AIDS finds 44 total references, of which several are from the mid-2000’s, a couple from the early 2000’s, and one reference from 1999. A 2007 cut-sheet from the CDC claims HIV infection rates in specific populations ranges from 14 to 69 percent. However, again this is talking about specific populations, not a good sample of the general transgender population. A study in the Lancet estimates that worldwide, transgender women have an HIV infection rate of 17.4 to 20.7 percent (95% confidence interval). I bought the full text of the study, and found that for the United States, the rate was 21.7% (with a 95% confidence interval of 18.4–25.1 percent).

In short, in this case the number of 27.7% is not outside the range of possibility, although it seems on the high end of estimates.

CDC – HIV Among Transgender People – Gender – Risk – HIV/AIDS.

HIV Criminalization Discourages HIV Testing, Disclosure and Treatment for Transgender and Third Sex Individuals


Another good editorial from the Transgender Law Center. Their points are excellent, and their testimonials saddening. Worth a read, really.

HIV Criminalization Discourages HIV Testing, Disclosure and Treatment for Transgender and Third Sex Individuals | Transgender Law Center.

Trans Women Battle Rising Rates of HIV Infections

TGIJustice

Transgender women are 49 times more likely to have HIV compared to other populations. That makes them one of, if not the fastest, growing population of HIV-positive people in the country. Both facts are virtually unknown to the American public. The reason? Transgender women have been mostly left out of the HIV narrative.

To tackle this issue, we have the good works of the TGI Justice Project, a San Francisco-based advocacy organization that fights for the rights of transgender, intersex, and gender-variant people who are in prison or have served jail time.

Trans Women Battle Rising Rates of HIV Infections :: EDGE New York City.