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Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.

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Title: Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.
Authors: Mehta, Neil, Noh, Madeline, Agénor, Madina, Murchison, Gabriel R., Hughto, Jaclyn M. W., Nelson, Kimberly M., Gordon, Allegra R.
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p892-900. 9p.
Subjects: Diagnosis of HIV infections, HIV prevention, Health services accessibility, Cross-sectional method, Gender identity, Research funding, Gender affirming care, Logistic regression analysis, Health insurance, Nonbinary people, Multivariate analysis, Age distribution, Population geography, Experience, Odds ratio, Race, Health equity, Confidence intervals, Sociodemographic factors, Educational attainment, Employment
Geographic Terms: United States
Abstract: Transgender and nonbinary young adults in the United States (U.S.) experience disproportionately high rates of HIV and face unique barriers to accessing HIV testing, a key component of HIV prevention. Gender-affirming practices in healthcare settings may improve care access and reduce care avoidance among transgender and nonbinary people. To our knowledge, no study has examined the association between gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary U.S. young adults. This study analyzed national cross-sectional, online data from transgender and nonbinary U.S. young adults aged 18–30 years (N = 225) to assess the association between the gender affirmation sub-scale of the Transgender and Gender Diverse Healthcare Discrimination and Adverse Experiences Scale (range: 0–20) and past-year HIV testing using multivariable logistic regression. We found that a one-point increase in the gender affirmation sub-scale score was positively associated with past-year HIV testing (odds ratio = 1.15; 95% confidence interval: 1.06, 1.26), adjusting for age, geographic region, gender identity, educational attainment, employment status, having a usual source of care, and health insurance status. Our findings provide additional evidence that access to gender-affirming healthcare settings is important in facilitating utilization of preventive services among transgender and nonbinary U.S. young adults. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.
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  Data: <searchLink fieldCode="AR" term="%22Mehta%2C+Neil%22">Mehta, Neil</searchLink><br /><searchLink fieldCode="AR" term="%22Noh%2C+Madeline%22">Noh, Madeline</searchLink><br /><searchLink fieldCode="AR" term="%22Agénor%2C+Madina%22">Agénor, Madina</searchLink><br /><searchLink fieldCode="AR" term="%22Murchison%2C+Gabriel+R%2E%22">Murchison, Gabriel R.</searchLink><br /><searchLink fieldCode="AR" term="%22Hughto%2C+Jaclyn+M%2E+W%2E%22">Hughto, Jaclyn M. W.</searchLink><br /><searchLink fieldCode="AR" term="%22Nelson%2C+Kimberly+M%2E%22">Nelson, Kimberly M.</searchLink><br /><searchLink fieldCode="AR" term="%22Gordon%2C+Allegra+R%2E%22">Gordon, Allegra R.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2025, Vol. 37 Issue 6, p892-900. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+HIV+infections%22">Diagnosis of HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+identity%22">Gender identity</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Gender+affirming+care%22">Gender affirming care</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+insurance%22">Health insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Nonbinary+people%22">Nonbinary people</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Population+geography%22">Population geography</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Transgender and nonbinary young adults in the United States (U.S.) experience disproportionately high rates of HIV and face unique barriers to accessing HIV testing, a key component of HIV prevention. Gender-affirming practices in healthcare settings may improve care access and reduce care avoidance among transgender and nonbinary people. To our knowledge, no study has examined the association between gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary U.S. young adults. This study analyzed national cross-sectional, online data from transgender and nonbinary U.S. young adults aged 18–30 years (N = 225) to assess the association between the gender affirmation sub-scale of the Transgender and Gender Diverse Healthcare Discrimination and Adverse Experiences Scale (range: 0–20) and past-year HIV testing using multivariable logistic regression. We found that a one-point increase in the gender affirmation sub-scale score was positively associated with past-year HIV testing (odds ratio = 1.15; 95% confidence interval: 1.06, 1.26), adjusting for age, geographic region, gender identity, educational attainment, employment status, having a usual source of care, and health insurance status. Our findings provide additional evidence that access to gender-affirming healthcare settings is important in facilitating utilization of preventive services among transgender and nonbinary U.S. young adults. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2465735
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 892
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Gender identity
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Gender affirming care
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Health insurance
        Type: general
      – SubjectFull: Nonbinary people
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Educational attainment
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      – SubjectFull: Employment
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      – SubjectFull: United States
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      – TitleFull: Experiences of gender-affirming practices in healthcare settings and HIV testing among transgender and nonbinary young adults in the United States.
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              M: 06
              Text: Jun2025
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              Y: 2025
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