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Access the Delivering HIV Prevention and Care to Transgender People CME/CEU Program

A four-panel collage of Transforming Health photos featuring transgender people. Three panels show individuals speaking with health professionals. One panel shows an individual filling out a form.

The Delivering HIV Prevention and Care to Transgender People web-based CME/CEU program is designed to assist providers caring for transgender people, with a focus on transgender women. The web-based program presents the latest data on transgender women and HIV, lists health disparities, describes the roles that stigma and discrimination play in contributing to these disparities, and provides tips on how to provide patient-centered care. The program presents strategies to make clinical environments more welcoming to transgender patients and covers critical topics to HIV prevention and care among transgender women—including PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis); initiation of and adherence to ART (antiretroviral therapy); safer sexual behaviors; STDs (sexually transmitted diseases) and HIV; and other important topics such as interactions with hormone therapy, partner-notification services, and referral resources. The video program is organized into five chapters:

  • Transgender concepts, identity, and health disparities
  • Providing patient-centered care to transgender people
  • HIV epidemiology in transgender women
  • HIV prevention strategies for transgender women
  • Additional resources

A Note on Terminology

A Note on Terminology

Transgender is used here as an umbrella term to describe people who have a gender identity that is different from their sex listed on their birth certificate. Gender identity is on a spectrum. It is important to keep in mind that although some transgender people prefer the binary classification of men or women, many reject it. Instead, they may have other identities, such as non-binary, gender expansive, genderqueer, or trans-feminine/trans-masculine. These terms emphasize a broader view of gender and may provide a more nuanced understanding of what it means to be a transgender person.

A note regarding HIV research published in academic journals: An important consideration in research with transgender people is the challenge to accurately classify transgender women for surveillance/research purposes. Not all jurisdictions collect data on gender identity that include transgender people, and some researchers may use older methods that can misclassify transgender women as men who have sex with men. This can also happen as some transgender people may not identify themselves as transgender in health care settings due to fear of discrimination or previous negative experiences. This mix of limitations can result in over- or under-estimating the number of transgender people. As such, it is important to consider methodologies when interpreting data and surveillance findings. As the field is developing newer and more precise ways to identify transgender identity for research and surveillance purposes, it is important to consider methodological approaches, particularly for studies that include both men who have sex with men and transgender women. The most accurate method uses a two-step process, including two questions: “What is your current gender?” AND “What sex were you listed as at birth?” The large majority of studies cited in this document use a two-step process, however one is a meta-analysis and likely includes studies with a one-step process to determine gender identity. For more information about using a two-step process, please refer to the section Collecting Sexual Orientation and Gender Identity.

1 James SE, Herman JL, Rankin S, et al. The report of the 2015 U.S. Transgender Survey. default/files/docs/USTS-Full-Report-FINAL.PDF. Washington, DC: National Center for Transgender Equality; 2016.
2 Clark H, Babu AS, Wiewel EW, Opoku J, Crepaz N. Diagnosed HIV Infection in Transgender Adults and Adolescents: Results from the National HIV Surveillance System, 2009-2014. AIDS Behav (2017) 21:2774–2783.