{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:23:36Z","timestamp":1790900616667,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transgender Health"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This article includes an analysis of medication adherence among transgender and gender nonconforming (TGNC) people living with HIV (PLWH) from the 2015 U.S. Trans Survey (USTS), the largest survey of TGNC people in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using data from the USTS, our analytic sample included 162 TGNC PLWH who had been prescribed antiretroviral (ART). We grouped respondents by adherent\/nonadherent and compared demographic characteristics and potential adherence risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Approximately 65.8% of participants reported \u201ctaking ART as prescribed\u201d all the time (61.0% trans women and 85.7% of trans men). Black TGNC PLWH were more likely to be nonadherent than whites or Hispanics. Adherent participants reported higher rates of home ownership. Nonadherent PLWH reported higher rates of verbal harassment, sex work, and homelessness in the past year, and lower rates of visiting an HIV doctor for care in the past year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>USTS respondents living with HIV reported lower adherence than in other nationally representative studies of this population in medical care. HIV rates are higher among black individuals, and reported adherence is lower, suggesting this is a high-priority population. Findings also suggest that unstable sociostructural conditions (homelessness, sex work, etc.) compromise medication adherence. Future practice directions include integrating HIV treatment plans into larger support services for TGNC PLWH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/trgh.2019.0050","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T09:29:25Z","timestamp":1571995765000},"page":"262-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Adherence to Antiretroviral Therapy Among Transgender and Gender Nonconforming People Living with HIV: Findings from the 2015 U.S. Trans Survey"],"prefix":"10.1177","volume":"4","author":[{"given":"Michelle","family":"Teti","sequence":"first","affiliation":[{"name":"Department of Public Health, University of Missouri, Columbia, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.A.","family":"Bauerband","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Missouri, Columbia, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Altman","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Missouri, Columbia, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70315-8"},{"key":"e_1_3_4_3_2","unstructured":"Centers for Disease Control and Prevention (CDC). HIV and Transgender People 2019 [cited May 23 2019]. Available at: https:\/\/www.cdc.gov\/hiv\/pdf\/group\/gender\/transgender\/cdc-hiv-transgender-factsheet.pdf Accessed July1 2019."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304153"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001087"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-017-0360-1"},{"key":"e_1_3_4_7_2","unstructured":"American Psychiatric Association. Transgender People Gender Identity and Gender Expression 2019 [cited May 24 2019]. Available from: www.apa.org\/topics\/lgbt\/transgender Accessed July1 2019."},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2015.1134615"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001086"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303509"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2017.0014"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2018.1502711"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-1938-8"},{"key":"e_1_3_4_14_2","unstructured":"The Report of the 2015 U.S. Transgender Survey [Internet]. National Center for Transgender Equality. 2016. Available from: https:\/\/transequality.org\/sites\/default\/files\/docs\/usts\/USTS-Full-Report-Dec17.pdf Accessed July1 2019."},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2017.0003"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2010.01.005"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2014.896451"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2016.1146401"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2014.0062"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2017.0057"},{"key":"e_1_3_4_22_2","unstructured":"Office of National AIDS Policy. National HIV\/AIDS Strategy for the United States Updated to 2020 Washington D.C.: The White House 2015 [updated July 2015]. Available from: www.aids.gov\/federal-resources\/national-hiv-aids-strategy\/nhas-update.pdf Accessed July1 2019."},{"key":"e_1_3_4_23_2","unstructured":"James SE Herman JL Rankin S et al. The Report of the 2015 U.S. Transgender Survey. 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