The DOI matches its Crossref record; 72 of the 73 references it cites were found in a registry or an index.
Worldwide burden of HIV in transgender women: a systematic review and meta-analysis.
Abstract
Background Previous systematic reviews have identified a high prevalence of HIV infection in transgender women in the USA and in those who sell sex (compared with both female and male sex workers). However, little is known about the burden of HIV infection in transgender women worldwide. We aimed to better assess the relative HIV burden in all transgender women worldwide.Methods We did a systematic review and meta-analysis of studies that assessed HIV infection burdens in transgender women that were published between Jan 1, 2000, and Nov 30, 2011. Meta-analysis was completed with the Mantel-Haenszel method, and random-effects modelling was used to compare HIV burdens in transgender women with that in adults in the countries for which data were available.Findings Data were only available for countries with male-predominant HIV epidemics, which included the USA, six Asia-Pacific countries, five in Latin America, and three in Europe. The pooled HIV prevalence was 19·1% (95% CI 17·4-20·7) in 11 066 transgender women worldwide. In 7197 transgender women sampled in ten low-income and middle-income countries, HIV prevalence was 17·7% (95% CI 15·6-19·8). In 3869 transgender women sampled in five high-income countries, HIV prevalence was 21·6% (95% CI 18·8-24·3). The odds ratio for being infected with HIV in transgender women compared with all adults of reproductive age across the 15 countries was 48·8 (95% CI 21·2-76·3) and did not differ for those in low-income and middle-income countries compared with those in high-income countries.Interpretation Our findings suggest that transgender women are a very high burden population for HIV and are in urgent need of prevention, treatment, and care services. The meta-analysis showed remarkable consistency and severity of the HIV disease burden among transgender women.Funding Center for AIDS Research at Johns Hopkins and the Center for Public Health and Human Rights at the JHU Bloomberg School of Public Health.
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“Data also demonstrate high rates of HIV infection among transgender women worldwide (345).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [345]
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Cites
Preexposure chemoprophylaxis for HIV prevention in men who have sex with men.
Grant, R. M., Lama, J. R., Anderson, P. L., McMahan, V., Liu, A. Y., Vargas, L., Goicochea, P., Casapía, M., Guanira-Carranza, J. V., Ramirez-Cardich, M. E., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1011205 · Cited by 5,096
Injustice at Every Turn: A Report of the National Transgender Discrimination Survey
Grant, J. M., Motter, L. A., & Tanis, J. (2011) · Cited by 2,063
Global epidemiology of HIV infection in men who have sex with men
Beyrer, C., Baral, S., van Griensven, F., Goodreau, S. M., Chariyalertsak, S., Wirtz, A. L., & Brookmeyer, R. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60821-6 · Cited by 1,544
Baral, S., Beyrer, C., Muessig, K. E., Poteat, T., Wirtz, A. L., Decker, M. R., Sherman, S. G., & Kerrigan, D. L. (2012) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(12)70066-x · Cited by 1,186
Review of sampling hard-to-reach and hidden populations for HIV surveillance
Magnani, R. J., Sabin, K. M., Saidel, T., & Heckathorn, D. D. (2005) · AIDS · doi:10.1097/01.aids.0000172879.20628.e1 · Cited by 1,045
for the HIV/AIDS Prevention Research Synthesis Team, Herbst, J. H., Jacobs, E. D., Finlayson, T. J., McKleroy, V. S., Neumann, M. S., & Crepaz, N. (2008) · AIDS and Behavior · doi:10.1007/s10461-007-9299-3 · Cited by 933
Clements-Nolle, K. D., Marx, R., Guzman, R., & Katz, M. H. (2001) · American Journal of Public Health · doi:10.2105/ajph.91.6.915 · Cited by 776
Schmidt, F. L., Oh, I., & Hayes, T. L. (2008) · British Journal of Mathematical and Statistical Psychology · doi:10.1348/000711007x255327 · Cited by 729
Millett, G. A., Peterson, J. L., Flores, S. A., Hart, T. A., Jeffries, W. L., Wilson, P. A., Rourke, S. B., Heilig, C. M., Elford, J., Fenton, K. A., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60899-x · Cited by 724
Baggaley, R. F., White, R. G., & Boily, M. (2010) · International Journal of Epidemiology · doi:10.1093/ije/dyq057 · Cited by 713
Research works printed but not linked: 4
- Pell, 2011, A clinical audit of male to female (MTF) transgender patients attending taylor square private clinic in Sydney, Australia, aiming to improve quality of care, J Sex Med, 8, 179
- Silva-Santisteban, 2012, Understanding the HIV/AIDS epidemic in transgender women of Lima, Peru: results from a sero-epidemiologic study using respondent driven sampling, AIDS Behav, 16, 872, 10.1007/s10461-011-0053-5 · DOI
- Pisani, 2004, HIV, syphilis infection, and sexual practices among transgenders, male sex workers, and other men who have sex with men in Jakarta, Indonesia, Sex TransmInfect, 80, 536, 10.1136/sti.2003.007500 · DOI
- Shrestha, 2011, Nepal census recognizes ‘third gender’, CNN
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Standards of Care for the Health of Transgender and Gender Diverse People, Version 8
Coleman, E., Radix, A., Bouman, W. P., Brown, G. R., de Vries, A. L. C., Deutsch, M. B., Ettner, R., Fraser, L., Goodman, M. G., Green, J., et al. (2022) · International Journal of Transgender Health · doi:10.1080/26895269.2022.2100644 · Cited by 3,022
Sexually Transmitted Diseases Treatment Guidelines, 2010
Workowski, K., & BOLAN, G. A. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2011.04.006 · Cited by 2,074
Global health burden and needs of transgender populations: a review
Reisner, S. L., Poteat, T., Keatley, J. G., Cabral, M., Mothopeng, T., Dunham, E., Holland, C. E., Max, R. J., & Baral, S. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00684-x · Cited by 1,570
Transgender people: health at the margins of society
Winter, S., Diamond, M., Green, J., Karasic, D. H., Reed, T., Whittle, S., & Wylie, K. R. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00683-8 · Cited by 1,255
Metadata
- Authors
- Baral, S. D., Poteat, T., Strömdahl, S., Wirtz, A. L., Guadamuz, T. E., & Beyrer, C.
- Affiliations
- Johns Hopkins University (US)
- University of Pittsburgh (US)
- Corresponding author
- Baral, Stefan D
- Venue
- The Lancet Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 13
- Issue
- 3
- Pages
- 214-222
- ISSN
- 1473-3099 (ISSN-L)
- OpenAlex
- W2115046127
- Cited by
- 1,461
- References
- 73
- Citations by year
- 2026: 60 · 2025: 68 · 2024: 85 · 2023: 107 · 2022: 135 · 2021: 148 · 2020: 181 · 2019: 176 · 2018: 130 · 2017: 102 · 2016: 111 · 2015: 74 · 2014: 49 · 2013: 22
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K01MH085567)
- National Institute of Allergy and Infectious Diseases (P30AI094189)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Keywords
- HIV infection, transgender women, HIV prevalence, HIV burden, sex workers, low- and middle-income countries, high-income countries, HIV prevention, HIV care and treatment
- MeSH terms
- Asia, Developing Countries, El Salvador, Female, Humans, Italy, Male, Netherlands, South America, Spain, United States, Global Health, HIV Infections, Prevalence, Developed Countries, Transgender Persons
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