{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:43:25Z","timestamp":1777927405320,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005258","name":"Centers for Disease Control and Prevention (CDC)\u2019s National Center for HIV\/AIDS, Viral Hepatitis, STD, and TB Prevention","doi-asserted-by":"publisher","award":["6NU62ES005077"],"award-info":[{"award-number":["6NU62ES005077"]}],"id":[{"id":"10.13039\/100005258","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"the National Institutes of Mental Health","doi-asserted-by":"publisher","award":["R25 MH119858"],"award-info":[{"award-number":["R25 MH119858"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trans women have high HIV prevalence and lag behind 90\u201390-90 targets for HIV care. In San Francisco in 2017, 96% of trans women were aware of their status, 75% were on antiretroviral therapy, 88% had viral suppression. Initiatives to address gaps include peer navigators, free gender-affirming surgery, and housing. Our study updates HIV prevalence and engagement in care among trans women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional community-based survey of trans women living in San Francisco sampled by respondent-driven sampling, 7\/2019\u20132\/2020 ( N = 201). Eligibility was: self-identified trans women or other gender and assigned male at birth; living in San Francisco; English\/Spanish-speaking; and 18 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HIV prevalence was 42.3% (95%CI 35.4.-49.4) and associated with having a partner who injected drugs (adjusted odds ratio [AOR] 3.30, 95%CI 1.58\u20136.90), ever injected drugs (AOR 2.28, 95%CI 1.06\u20134.89), cost not a barrier to healthcare (AOR 2.63, 95%CI 1.02\u20136.67), emotional support from family (AOR 2.85, 95%CI 1.43\u20135.65), and Black\/African-American (AOR 2.59, 95%CI 1.16\u20135.79). Of trans women with HIV, 92.9% were previously diagnosed, 89.9% were on ART, 91.5% reported viral suppression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Trans women met 90\u201390\u201390 targets in 2020, at 93\u201390\u201392. Interventions need to reach Black\/African-American trans women, trans women who inject drugs, and partners of trans women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624221111278","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T12:25:06Z","timestamp":1657542306000},"page":"1029-1037","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["HIV prevalence, engagement in care, and risk behavior among trans women, San Francisco: Evidence of recent successes and remaining challenges"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7306-1379","authenticated-orcid":false,"given":"Izzy","family":"Chiu","sequence":"first","affiliation":[{"name":"University of California Berkeley, Berkeley, CA, USA"},{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matisse","family":"Leathers","sequence":"additional","affiliation":[{"name":"University of California Berkeley, Berkeley, CA, USA"},{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damiana","family":"Cano","sequence":"additional","affiliation":[{"name":"University of California Berkeley, Berkeley, CA, USA"},{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin M","family":"Turner","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dillon","family":"Trujillo","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Sicro","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Arayasirikul","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly D","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin C","family":"Wilson","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Willi","family":"McFarland","sequence":"additional","affiliation":[{"name":"Center for Public Health Research, San Francisco Department of Public Health, San Francisco, CA, USA"},{"name":"Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"key":"bibr1-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70315-8"},{"key":"bibr2-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00683-8"},{"key":"bibr3-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2013-051342"},{"key":"bibr4-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25539"},{"key":"bibr5-09564624221111278","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2020.306055"},{"key":"bibr6-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25270"},{"key":"bibr7-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-021-03417-3"},{"key":"bibr8-09564624221111278","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciq243"},{"key":"bibr9-09564624221111278","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.18.1.20634"},{"key":"bibr10-09564624221111278","doi-asserted-by":"publisher","DOI":"10.11606\/s1518-8787.2020054002374"},{"key":"bibr11-09564624221111278","volume-title":"HIV 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