A seven-city surveillance report on the prevalence of HIV among transgender persons found that 42% of participants with a documented HIV test had tested positive for HIV.
According to the CDC report, HIV Infection, Risk, Prevention, and Testing Behaviors Among Transgender Women (April 2021), the majority of the 1,608 transgender women in the study were lower income minority women with significant challenges, from homelessness to harassment. Among HIV-negative transgender women in the study, PrEP awareness was high but only one-third were using PrEP, which is comparable to the usage rate among MSM.
As for receipt of care, almost all study participants had seen a health care provider. The rate at which a post-diagnosis visit took place steadily increased over time (63% within one month and 89% within six months). Ninety percent reported that they were on antiretroviral therapy.