PMID- 37810942
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231010
IS  - 2688-4887 (Print)
IS  - 2380-193X (Electronic)
IS  - 2380-193X (Linking)
VI  - 8
IP  - 5
DP  - 2023 Oct
TI  - An Exploratory Study to Describe Transgender People with HIV Who Accessed 
      Medicaid and Their Viral Suppression Over Time in New York City, 2013-2017.
PG  - 429-436
LID - 10.1089/trgh.2021.0195 [doi]
AB  - PURPOSE: Although HIV surveillance contains information on HIV outcomes among 
      transgender persons with HIV (TPWH), it does not include other important data, 
      for example, gender-affirming health care, which may influence viral suppression 
      (VS). We describe TPWH accessing Medicaid and the association of gender-affirming 
      surgery with VS. METHODS: Through matching Medicaid claims with HIV registry 
      data, a cohort of previously identified TPWH in Medicaid was compared to 
      cisgender women and men in terms of VS in 2013-2017 in New York City. Medicaid 
      claims were used to identify TPWH who obtained gender-affirming surgery (e.g., 
      chest, genital surgeries). We described the VS of those who had surgery and 
      examined temporal trends in VS pre- and postsurgery and by surgery type. RESULTS: 
      1730 TPWH were enrolled in Medicaid and in HIV care in 2013-2017. Overall for VS 
      at last laboratory, TPWH in Medicaid had lower VS (76.0%) than cisgender women 
      (80.4%) and men (83.3%). The exception was the 185 TPWH who obtained 
      gender-affirming surgery (86.5%). Among 160 TPWH in Medicaid who obtained 
      gender-affirming surgery and achieved VS, VS increased presurgery (66.3% 2 years 
      prior, 76.9% 1 year prior) and remained high 1 year after (86.3%) and 2 years 
      after (87.7%) (the last percentage is only among those who had surgery before 
      2017, N=81). CONCLUSION: Gender-affirming surgery may be an important motivator 
      to becoming virally suppressed and was associated with sustained high VS, which 
      can lead to improved survival and quality of life. Medicaid and other insurers 
      should consider improving access to gender-affirming surgery among TPWH.
CI  - Copyright 2023, Mary Ann Liebert, Inc., publishers.
FAU - Rodriguez-Hart, Cristina
AU  - Rodriguez-Hart C
AD  - Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island 
      City, New York, USA.
FAU - Zhao, Gagarin
AU  - Zhao G
AD  - Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island 
      City, New York, USA.
FAU - Goldstein, Zil
AU  - Goldstein Z
AD  - Callen-Lorde Community Health Center, New York, New York, USA.
FAU - Radix, Asa
AU  - Radix A
AUID- ORCID: 0000-0001-9611-4181
AD  - Callen-Lorde Community Health Center, New York, New York, USA.
FAU - Torian, Lucia
AU  - Torian L
AD  - Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island 
      City, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20231004
PL  - United States
TA  - Transgend Health
JT  - Transgender health
JID - 101691357
PMC - PMC10551759
OTO - NOTNLM
OT  - HIV
OT  - Medicaid
OT  - gender-affirming surgery
OT  - surveillance
OT  - transgender people
OT  - viral suppression
COIS- No competing financial interests exist.
EDAT- 2023/10/09 12:42
MHDA- 2023/10/09 12:43
PMCR- 2024/10/04
CRDT- 2023/10/09 06:10
PHST- 2024/10/04 00:00 [pmc-release]
PHST- 2023/10/09 12:43 [medline]
PHST- 2023/10/09 12:42 [pubmed]
PHST- 2023/10/09 06:10 [entrez]
AID - 10.1089/trgh.2021.0195 [pii]
AID - 10.1089/trgh.2021.0195 [doi]
PST - epublish
SO  - Transgend Health. 2023 Oct 4;8(5):429-436. doi: 10.1089/trgh.2021.0195. 
      eCollection 2023 Oct.