Uptake of Primary Care Services and HIV and Syphilis Infection among Transgender Women attending the Tangerine Community Health Clinic, Bangkok, Thailand, 2016-2019.

Citation metadata

Publisher: John Wiley & Sons, Inc.
Document Type: Report
Length: 4,797 words
Lexile Measure: 1440L

Document controls

Main content

Abstract :

Introduction: Transgender women (TGW) need a specific package of primary care services usually not available in the publicly funded healthcare system. In addition, little is known about HIV and syphilis prevalence and incidence in clinic-based samples of TGW. Here we evaluate the uptake of a transgender-specific package of primary care services by TGW in Bangkok, Thailand and assess HIV and syphilis prevalence and incidence among them. Methods: Open cohort study of TGW attending services at the Tangerine Community Health Clinic from 2016 to 2019. Cross-sectionaland longitudinal analysis of routinely collected clinic data was performed to study trends in the number of clients, clinic visits and HIV and syphilis prevalence and incidence. Results: During the study period, 2947 TGW clients made a totalof 5227 visits to Tangerine. The number of clients significantly increased from 446 in 2016 to 1050 in 2019 (p Conclusions: The increasing uptake of a transgender-specific package of services, including co-located gender affirmative hormone therapy, suggests this may be an effective modelin engaging and retaining TGW in primary care. The decrease in HIV prevalence and low HIV incidence across calendar years point at a possible reduction of HIV acquisition among the TGW population served by Tangerine. The increasing prevalence of syphilis suggests ongoing high-risk sexualbehaviour and underscores the need for screening and treatment for this infection at the time of delivery of HIV services. Keywords: transgender women; primary care; epidemiology; HIV infection; sexually transmitted infections; syphilis; Bangkok; Thailand; Southeast Asia

Source Citation

Source Citation   

Gale Document Number: GALE|A667867103