HIV and Transgender People: Viral Suppression
Viral suppression is one of the six Ending the HIV Epidemic in the U.S. indicators. Viral suppression refers to the percentage of people with diagnosed HIV who have less than 200 copies of HIV per milliliter of blood.
* Had 2 viral load or CD4 tests at least 3 months apart in a year.
† Had less than 200 copies of HIV per milliliter of blood on most recent viral load test.
Source: CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 Dependent Areas, 2019. HIV Surveillance Special Report 2021; 26(2).
Although many people taking HIV medicine are virally suppressed, some people with HIV who are taking HIV medicine are currently not virally suppressed or do not maintain viral suppression over time. Some challenges with achieving and maintaining viral suppression include missing multiple doses of HIV treatment, missing medical appointments, or needing other important health care services.
* Among people aged 18 and older.
† HIV ancillary services, such as case management and mental health services, are services that support retention in HIV care and viral suppression.
Source: CDC. Medical Monitoring Project.
Social and economic issues—such as homelessness, depression, and stigma—have prevented some transgender people from getting the HIV care and treatment they need. These factors make it difficult for some transgender people with HIV to achieve and maintain viral suppression.
* Among people aged 18 and older.
Median HIV stigma scores are presented based on a ten-item scale ranging from 0 (no stigma) to 100 (high stigma) that measures personalized stigma during the past 12 months, current disclosure concerns, current negative self-image, and current perceived public attitudes about people with HIV.
Source: CDC. Medical Monitoring Project.
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