Prevalence of Human Immunodeficiency Virus and Opportunistic Infections Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Database Study.

Joshua D Niforatos, Jonathon W Wanta, Emily Durbak, Jacqueline Cavendish, Justin A Yax
Author Information
  1. Joshua D Niforatos: Department of Emergency Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
  2. Jonathon W Wanta: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
  3. Emily Durbak: Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA.
  4. Jacqueline Cavendish: Division of Population Health, Department of Emergency Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
  5. Justin A Yax: Division of Population Health, Department of Emergency Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Abstract

We performed a cross-sectional analysis of the prevalence of HIV and Opportunistic Infections among transgender patients in clinical care. Of 10,160 transgender patients identified, 3.9% had a diagnosis of HIV, compared to 0.32% in the non-transgender cohort (<0.0001). Transgender patients experience the burden of all opportunistic infection compared to non-transgender patients in this analysis, although prevalence of pneumocystis pneumonia was not significant. This cohort-based, all-payer electronic health record study of HIV patients connected to care revealed that transgender patients have a higher prevalence of HIV infection and Opportunistic Infections compared to the non-transgender cohort.

Keywords

References

  1. Am J Public Health. 2017 Feb;107(2):e1-e8 [PMID: 28075632]
  2. Wound Repair Regen. 2015 Mar-Apr;23(2):184-90 [PMID: 25683272]
  3. Qual Life Res. 2012 Oct;21(8):1327-36 [PMID: 22038393]
  4. AIDS Care. 2011 Dec;23(12):1660-7 [PMID: 21732897]
  5. J Am Med Inform Assoc. 2012 Nov-Dec;19(6):965-72 [PMID: 22759621]
  6. J Clin Epidemiol. 1990;43(1):87-91 [PMID: 2319285]
  7. Health Aff (Millwood). 2018 Mar;37(3):413-420 [PMID: 29505378]
  8. J Int Assoc Provid AIDS Care. 2014 Nov-Dec;13(6):506-10 [PMID: 24522763]
  9. Health Aff (Millwood). 2018 Jul;37(7):1160-1168 [PMID: 29985698]
  10. BMJ Open Diabetes Res Care. 2017 Nov 30;5(1):e000435 [PMID: 29299328]
  11. AIDS Patient Care STDS. 2009 Sep;23(9):785-92 [PMID: 19645620]
  12. Diabetes Ther. 2018 Jun;9(3):1347-1358 [PMID: 29600507]
  13. Eur J Orthop Surg Traumatol. 2014 Dec;24(8):1625-8 [PMID: 24532084]
  14. JAMA Intern Med. 2018 Nov 1;178(11):1535-1543 [PMID: 30178031]
  15. Syst Rev. 2017 Oct 10;6(1):195 [PMID: 29017552]
  16. J R Soc Med. 2003 May;96(5):219-22 [PMID: 12724430]
  17. MMWR Morb Mortal Wkly Rep. 2017 Dec 01;66(47):1300-1306 [PMID: 29190267]
  18. LGBT Health. 2017 Dec;4(6):404-411 [PMID: 29125908]
  19. LGBT Health. 2016 Apr;3(2):100-2 [PMID: 26698386]
  20. Cureus. 2019 Jun 30;11(6):e5043 [PMID: 31501734]
  21. Aliment Pharmacol Ther. 2015 May;41(10):1016-22 [PMID: 25809664]
  22. Int J MS Care. 2016 Nov-Dec;18(6):305-310 [PMID: 27999525]
  23. Int J Cardiol. 2016 Sep 1;218:43-46 [PMID: 27232910]
  24. Transgend Health. 2016 Dec 01;1(1):250-265 [PMID: 28861539]
  25. J Multidiscip Healthc. 2016 May 04;9:211-7 [PMID: 27217764]
  26. LGBT Health. 2015 Dec;2(4):287-91 [PMID: 26788768]
  27. South Med J. 2015 Jan;108(1):17-22 [PMID: 25580752]
  28. Clin Infect Dis. 2014 Oct;59(7):1020-6 [PMID: 24928295]
  29. Am J Public Health. 2019 Jan;109(1):e1-e8 [PMID: 30496000]
  30. JAMA Dermatol. 2017 Aug 1;153(8):760-764 [PMID: 28492923]
  31. Lancet Infect Dis. 2013 Mar;13(3):214-22 [PMID: 23260128]

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