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Improving HIV Care Among Transgender Women in Argentina: A Longitudinal Study on HIV-Related Outcomes
Pablo D Radusky1,2, Inés Aristegui1,3, Paola Beato Fernández4
1Research Department, Fundación Huésped, Buenos Aires, Argentina.
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 and self-reported ART adherence 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. Trial Registration Number: NCT02846350.
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 and self-reported ART adherence 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. Trial Registration Number: NCT02846350.
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