HIV and Transgender People: Viral Suppression

Viral suppression is the percentage of people with diagnosed HIV who have less than 200 copies of HIV per milliliter of blood.

Ending the HIV Epidemic-Overall Goal: Increase the % of people with diagnosed HIV who are virally suppressed to 95% by 2025
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It is important for transgender people to know their HIV status so they can take medicine to treat HIV if they have the virus. Taking HIV medicine every day can make the viral load undetectable. People who get and keep an undetectable viral load (or remain virally suppressed) can stay healthy for many years and have effectively no risk of transmitting HIV to their sex partners.

Transgender People with Diagnosed HIV in 41 States and the District of Columbia, 2018
Transgender People with Diagnosed HIV in 41 States and the District of Columbia, 2018

*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. Selected national HIV prevention and care outcomespdf icon (slides).

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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.

Missed HIV Medical Care Appointments Among Transgender People with Diagnosed HIV in the US, 2018
HIV Treatment Among Transgender People with Diagnosed HIV in the US, 2018
Needed Care Services Among Transgender People with Diagnosed HIV in the US, 2018

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.

Homelessness Among Transgender People with Diagnosed HIV in the US, 2018
Depression and Anxiety Among Transgender People with Diagnosed HIV in the US, 2018
HIV Stigma Among Transgender People with Diagnosed HIV in the US, 2018
Compared to all people with diagnosed HIV, transgender people with diagnosed HIV experience higher HIV stigma. 100=high HIV stigma, 42= transgender people, 38=people overall, goal=0 no HIV stigma.

Ten-item scale ranging from 0 (no stigma) to 100 (high stigma) that measures personalized stigma, disclosure concerns, negative self-image, and perceived public attitudes about people with HIV.
Source: CDC. Medical Monitoring Project.

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Deaths

In 2018, there were 113 deaths among transgender people with diagnosed HIV in the US and dependent areas. These deaths could be from any cause.

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