Background: 

COVID-19 is a new pandemic, and its impact by HIV status is unknown. National reporting does not include gender identity; therefore, data are absent on the impact of COVID-19 on transgender people, including those with HIV. Baseline data from the American Cohort to Study HIV Acquisition Among Transgender Women in High Risk Areas (LITE) Study provide an opportunity to examine pre-COVID factors that may increase vulnerability to COVID-19-related harms among transgender women.

Setting: 

Atlanta, Baltimore, Boston, Miami, New York City, Washington, DC.

Methods: 

Baseline data from LITE were analyzed for demographic, psychosocial, and material factors that may affect vulnerability to COVID-related harms.

Results: 

The 1020 participants had high rates of poverty, unemployment, food insecurity, homelessness, and sex work. Transgender women with HIV (n = 273) were older, more likely to be Black, had lower educational attainment, and were more likely to experience material hardship. Mental and behavioral health symptoms were common and did not differ by HIV status. Barriers to health care included being mistreated, provider discomfort serving transgender women, and past negative experiences; as well as material hardships, such as cost and transportation. However, most reported access to material and social support—demonstrating resilience.

Conclusions: 

Transgender women with HIV may be particularly vulnerable to pandemic harms. Mitigating this harm would benefit everyone, given the highly infectious nature of this coronavirus. Collecting gender identity in COVID-19 data is crucial to inform an effective public health response. Transgender-led organizations' response to this crisis serve as an important model for effective community-led interventions.

中文翻译：

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在美国东部和南部有或没有HIV感染的变性女性中，易受COVID-19相关危害的危害

背景： 

COVID-19是一种新的大流行病，其对艾滋病毒感染状况的影响尚不清楚。国家报告不包括性别认同；因此，缺少有关COVID-19对跨性别者（包括艾滋病毒感染者）的影响的数据。美国队列研究高危地区跨性别女性艾滋病毒获取的基线数据（LITE）研究提供了一个机会，可以检查可能增加跨性别女性对COVID-19相关危害的脆弱性的COVID前因素。

设置： 

亚特兰大，巴尔的摩，波士顿，迈阿密，纽约，华盛顿特区。

方法： 

分析了LITE的基准数据的人口，社会心理和物质因素，这些因素可能会影响对COVID相关危害的脆弱性。

结果： 

1020名参与者的贫困，失业，粮食不安全，无家可归和性工作率很高。感染艾滋病毒的跨性别女性（n = 273）年龄较大，更有可能是黑人，受教育程度较低，并且更有可能遇到物质困难。心理和行为健康症状很普遍，艾滋病毒感染状况无差异。卫生保健的障碍包括受到虐待，服务于变性妇女的服务提供者的不适以及过去的不良经历；以及物质上的困难，例如成本和运输。但是，大多数人报告获得了物质和社会支持，这显示了韧性。

结论： 

携带艾滋病毒的跨性别妇女可能特别容易受到大流行性伤害。鉴于这种冠状病毒具有高度传染性，减轻这种危害将使所有人受益。收集COVID-19数据中的性别认同对于提供有效的公共卫生响应至关重要。跨性别者领导的组织对这一危机的反应是有效的社区主导干预措施的重要模型。