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Studies meeting these criteria were screened in Covidence. Discrepancies were resolved following data extraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 276 articles were identified (152 duplicates removed). After screening titles and abstracts, 49 full texts were assessed for eligibility. The articles included (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a023) were primarily cross\u2010sectional studies (\n                      <jats:italic>N<\/jats:italic>\n                      = 20) conducted in Iran, Lebanon, Turkey, Morocco and Tunisia. Three were non\u2010randomized experimental studies; one intervention was designed specifically for transgender women, focusing on gender affirmation and social support. Cross\u2010sectional studies examined HIV prevention, sexual activities and mental health. Condomless receptive anal intercourse and low HIV testing rates were most common among those engaged in sex work, which was attributed to coercion, perceived low risk for HIV acquisition or fear of disclosing one's HIV status. Stigma, physical and sexual violence, anxiety, depression and suicidality were highly prevalent among transgender women in SWANA and served as barriers to accessing healthcare services, including HIV and gender\u2010affirming care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This review highlights critical areas for trans\u2010specific interventions addressing transgender women's needs in SWANA, where HIV incidence remains on the rise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Future longitudinal research is needed to evaluate the effectiveness of interventions in reducing HIV rates, improving mental health outcomes and mitigating structural barriers hindering healthcare access among transgender women in SWANA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70206","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T15:33:28Z","timestamp":1789745608000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The HIV Landscape for Transgender Women Living in Southwest Asia and North Africa: A Scoping Review"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6143-7304","authenticated-orcid":false,"given":"Ala","family":"Koreitem","sequence":"first","affiliation":[{"name":"Division of Prevention Science University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0265-2582","authenticated-orcid":false,"given":"Sasha Abdallah","family":"Fahme","sequence":"additional","affiliation":[{"name":"Center for Global Health Department of Medicine Weill Cornell Medicine  New York New York USA"},{"name":"Faculty of Health Sciences Epidemiology and Population Health Department American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3793-5112","authenticated-orcid":false,"given":"Parya","family":"Saberi","sequence":"additional","affiliation":[{"name":"Division of Prevention Science University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"UNAIDS HIV and Transgender People \u2014 Thematic Briefing Note \u2014 2024 Global AIDS Update the Urgency of Now: AIDS at a Crossroads [Internet].2024[cited 2025 Jun 5].https:\/\/www.unaids.org\/en\/resources\/documents\/2024\/2024\u2010unaids\u2010global\u2010aids\u2010update\u2010transgender\u2010people."},{"key":"e_1_2_11_3_1","unstructured":"UNAIDS Global HIV & AIDS Statistics \u2014 Fact Sheet [Internet].2025[cited 2025 Jul 16].https:\/\/www.unaids.org\/en\/resources\/fact\u2010sheet."},{"key":"e_1_2_11_4_1","unstructured":"UNAIDS Middle East and North Africa Regional Profile \u2014 2024 Global AIDS Update The Urgency of Now: AIDS at a Crossroads [Internet].2024[cited 2025 Jun 5].https:\/\/www.unaids.org\/en\/resources\/documents\/2024\/2024\u2010unaids\u2010global\u2010aids\u2010update\u2010mena."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000386729.56683.33"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2022.100085"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13234"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010013\u20109565\u20108"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311X00112718"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000143"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20103018(26)00004\u20104"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0001447"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0952"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvab011"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2023.2232353"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2020.0058"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000003014"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102023\u2010076878"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18\u20100850"},{"key":"e_1_2_11_20_1","unstructured":"Covidence Systematic Review Sofware Veritas Health Innovation Melbourne Australia. 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