Sociocultural Contexts of Access to HIV Primary Care and Participant Experience with an Intervention Project: African American Transgender Women Living with HIV in Alameda County, California


The baseline data of the intervention project for African American transgender women living with HIV showed that more than one-third of the participants having ever enrolled in HIV care had not received ART and that among those in ART, more than half reported their adherence to ART was poor. Those who had engaged in sex work, sold drugs, or experienced higher levels of transphobia were less likely to have enrolled in care. The qualitative interviews with participants who had completed the intervention or dropped out revealed barriers to enroll in care, such as community stigma and transphobia.

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We would like to thank African American transgender participants in the study and community collaborators and service agencies in the San Francisco Bay Area. The study was awarded by the Health Resources and Services Administration (HRSA) (Grant Number: H97HA249700500). The interpretations and recommendations presented here do not necessarily reflect the official views of HRSA.

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Correspondence to Tooru Nemoto.

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Nemoto, T., Iwamoto, M., Suico, S. et al. Sociocultural Contexts of Access to HIV Primary Care and Participant Experience with an Intervention Project: African American Transgender Women Living with HIV in Alameda County, California. AIDS Behav (2020).

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  • Transgender women
  • People living with HIV
  • African American
  • Oakland
  • Alameda County
  • California