Deliver effective services to this growing population this volume presents the first collection of reports on the impact of hiv aids on the transgender community worldwide it includes a thorough description of the unique hiv risks of transgender people and exposes their largely neglected health . Hiv prevention and care programs adapted from practices developed for non transgender men who have sex with men msm or for non transgender women fail to address the unique structural factors and inequities that increase hiv risk and produce barriers to care among transgender people. Transgender and other gender minority youth are an at risk group understudied in hiv prevention eg prep and hiv treatment but one study of transgender youth found that medical gender affirmation and stigma in hiv care were each independently associated with elevated odds of having missed hiv care appointments. Worldwide transgender women who engage in sex work have a disproportionate risk for hiv compared with natal male and female sex workers we reviewed recent epidemiological research on hiv in transgender women and show that transgender women sex workers tsw face unique structural interpersonal and individual vulnerabilities that contribute to risk for hiv. Case study community empowerment helps hiv prevention services reach thousands of transgender people in india in india national hiv prevalence is 031 whereas hiv prevalence among the transgender community is estimated to be 8225 a range of social economic and legal factors contribute to the increased risk of hiv faced by transgender people who are marginalised and often lack access to
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