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Office of AIDS Stakeholder | Quarterly ADAP and PrEP-AP Learning Collaborative

Want to know more about the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) Temporary Coverage and Immediate Access? Join the next CDPH Office of AIDS learning collaborative session!

The virtual session is on May 5^th, 2023 from 10:30A.M. – 12:00P.M. PST. They will be providing an overview of the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) Temporary Coverage and Immediate Access. Please register below to receive Zoom details!

Register Now

Cross-posted from the Center of Excellence for Transgender Health at UCSF

Tuesday, April 18 is National Transgender HIV Testing Day (NTHTD), an observance designed to recognize the importance of routine HIV testing, status awareness and continued focus on HIV prevention and treatment efforts among transgender people. Transgender women are at high risk of having HIV and of contracting HIV. 

In the United States, it is estimated that around 1.4 million adults identify as transgender. Transgender women are at high risk of having HIV and of contracting HIV. Transgender women of color, especially black/African American and Hispanic/Latina women, experience disproportionately high rates of HIV. There is a gap in research on HIV and transgender men; few studies have gathered HIV prevalence data for this population.

Access a toolkit from the Transgender Center of Excellence of below:

National Transgender HIV Testing Day Toolkit (English)

• Complete Toolkit (3.4 MB)
  • Acknowledgements
  • Cover and Contents
  • Overview
  • How to Use This Toolkit
  • Module 1: Get the Facts about Trans People and HIV
  • Module 2: Testing and Enhanced Communication Approaches with Trans People
  • Module 3: Building Capacity to Increase HIV Testing Efforts for Trans People
  • Module 4: Community Engagement and National HIV Transgender HIV Testing Day
  • Module 5: NTHTD and Toolkit Resources

Access infographics from AIDSVu that shed light on the disproportionate impact of HIV on the Transgender community.

Access Infographics Now

National Transgender HIV Testing Day

Cross-posted from HIVinfo.NIH.gov

National Transgender HIV Testing Day (NTHTD) is observed each year on April 18. It recognizes the importance of routine HIV testing, status awareness, and continued focus on HIV prevention and treatment efforts in people who are transgender or gender nonbinary. NTHTD was established in 2016 by the Centers for Disease Control and Prevention (CDC) and the University of California, San Francisco Transgender Center of Excellence.

In 2019, adult and adolescent transgender people composed 2% of new HIV diagnoses in the United States. Transgender people face many challenges in the prevention, testing, and treatment of HIV. HIV stigma may prevent transgender people from learning about their HIV status. For example, it was found that HIV stigma was associated with delaying regular HIV testing among some young transgender women. While many people taking HIV medicines are virally suppressed, skipping doses of HIV medicines can quickly change their viral loads. Transgender people also face challenges in maintaining viral suppression due to multiple missed doses of HIV treatment, missed medical appointments, HIV stigma, transphobic discrimination, and difficulty accessing other important health care services. Data show that 43% of transgender people with HIV missed at least one medical appointment in the past 12 months, delaying their viral suppression (HIV and Transgender People: Viral Suppression, CDC).

The National Institutes of Health (NIH) supports research to address factors that cause disparities in HIV prevention, incidence, and treatment among different populations, including transgender people. The Sexual & Gender Minority Research Office (SGMRO) conducts Health Research Regional Workshops, Listening Sessions, and the SGM Administrative Supplements Program. The work that SGMRO undertakes helps to enhance our understanding of the health disparities encountered by transgender individuals.

Browse the links on this page to learn more about this annual observance and to find related transgender-specific information on HIV and AIDS.

National Transgender HIV Testing Day Resources

From the CDC

• National Transgender HIV Testing Day

From HIV.gov

• National Transgender HIV Testing Day

NIH Research Related to HIV and AIDS in Transgender and Nonbinary People

• NIH Strategic Plan for HIV and HIV-Related Research (for fiscal years 2021—2025). Developed by the NIH Office of AIDS Research, the plan describes NIH research priorities to prevent, treat, and eventually cure HIV and AIDS. Key NIH research areas include investigating factors influencing inequalities in HIV testing, engagement, and health outcomes, as well as strategies to mitigate HIV-associated stigma and discrimination.
• Clinical Trials Related to HIV and AIDS and Transgender People. These research studies related from ClinicaTrials.gov are related to HIV and AIDS and transgender people. Call ClinicalInfo at 1-800-448-0440 for assistance with your clinical trial search.

Current Research Related to HIV and AIDS in Transgender and Nonbinary People

• From PubMed.gov

Additional Information and Resources

From HIVinfo

• Specific Populations: Lesbian, Gay, Bisexual, and Transgender (LGBTQ+)
• HIV Prevention: Testing

From the CDC

• HIV and Transgender People
• HIV Prevention and Care for Transgender People
• HIV and Transgender Communities
• HIV and Transgender People: Prevention Challenges

National Youth HIV & AIDS Awareness Day (NYHAAD) on April 10th is an opportunity to educate others about the impact of HIV and AIDS on young people. Education and testing are critical to ending HIV – especially for young people living with HIV, who are the least likely group to have a suppressed viral load. Read on to learn more.

About Youth and HIV

In 2021, youth ages 13 to 24 in the United States accounted for 20% of all new HIV diagnoses, but only made up 13% of PrEP users. According to Advocates for Youth, young people living with HIV are the least likely of any age group to be retained in care and have a suppressed viral load. Addressing the impact of HIV on young people requires they have access to affirming, culturally competent, and medically accurate resources and tools.

Infographics from AIDSVu

Advocates for Youth

Join Advocates for Youth live on Monday, April 10th for their finale NYHAAD event

Learn more about Advocates for Youth‘s work to end HIV criminalization, discrimination, and stigma.

Health information on PEP and Young People

Fact sheets on PrEP and Young People

HIV and Young People: One Pager

Statistics on youth and HIV/AIDS from the CDC and Advocates for Youth:

• The CDC reports that in 2018, youth aged 13 to 24 made up 21% of the 37,832 new HIV diagnoses in the United States (US) and dependent areas.
• The CDC reports that young people living with HIV are the least likely of any age group to be retained in care and have a suppressed viral load. Advocates for Youth recognizes that addressing HIV in youth requires that young people have access to honest and inclusive information and tools they need to make informed decisions.
• The CDC reports that in many cases, young people are unable to access pre-exposure prophylaxis, a daily pill to prevent HIV, without parental consent.
• The CDC reports that 37 states have laws that criminalize HIV exposure.
• In the US, more than 50% of those accused in reported HIV criminalization cases in 2020 were people of color, a larger proportion than people of color estimated to be living with HIV in the US. Alongside our capacity-building partners, Advocates for Youth, we call to an end of the criminalization of young people living with HIV.

Pacific AETC Resources on Youth and HIV

Access Now

Don’t miss out on our on-demand session, Adapting HIV Service for Youth During COVID-19 and Beyond.

Learning Objectives: 

• Explore the landscape for youth access to HIV services, including sexual health education, prevention, and care​
• Discuss the barriers and facilitators for youth transitioning from adolescent to adult HIV care and services
• Identify strategies for youth to assist with clinical engagement, specifically during the COVID-19 pandemic
• Identify and brainstorm resources to support youth focused HIV program can implement to support continued access to services

 

HIV and Infant Feeding Session 2:

Now What? Care, Monitoring, and Treatment Options for Breast/Chestfeeding Parents Living with HIV and Their Infants

Date and Time

April 18th, 2023

10am – 11:30am PT / 1pm – 2:30pm ET

Learning Objectives

• List options for antiretroviral prophylaxis for breast/chestfed infants and appropriate scenarios in which to utilize them.
• Understand common postpartum challenges for breast/chestfeeding parents with HIV and their babies and demonstrate how your clinical practice can support solutions.
• Describe important aspects of team-based care for breast/chestfeeding parents with HIV and their babies.

Register Here

Presented by the Pacific AETC and NCCC

National Native HIV/AIDS Awareness Day on March 20th is an opportunity to raise awareness of the impact of HIV on Native people (American Indians, Alaska Natives and Native Hawaiians) across the United States and territorial areas. Today and every day, we can help reduce stigma and work to expand HIV education, testing, prevention, and treatment in Native communities.

The 2023 #NNHAD theme is “Weaving our Horizon: Strength. CommUnity. Equity.”Learn more from the National Native HIV Network.

Resources from PAETC and Partner Organizations

National Minority AIDS Council is hosting a Facebook Live on Tuesday March 21, 2023 at 2:00 PM (ET) to honor National Native HIV/AIDS Awareness Day.

Access Now!

Access NMAC’s Not One More Fighting HIV/AIDS in Native American Communities Brochure.

View HIV Learning Network’s Culturally-Based Programs to Improve Engagement and Health Outcomes: Addressing Stigma for Native Hawaiian with HIV with speaker Malulani Orton, Native Hawaiian Medical Case Manager at Hawai’i Health & Harm Reduction Center.

Access Now

View Session 3 of California PTC’s Medical Mistrust Symposium, which focuses on Meaningfully Engaging the Tribal Community with speaker Michael Allison, Native American Liaison at the Arizona Department of Health Services (ADHS).

Watch Now

Download presentation

 

 

 

 

 

 

 

Providers: Help end the HIV epidemic in American Indian, Alaska Native, & Native Hawaiian communities by using advances in HIV testing, prevention, & treatment.

CDC’s HIVNexus offers free tools and guidelines

Learn how the HIV epidemic impacts Native communities with data from AIDSVu:

According to AIDSVu, certain age groups in the American Indian/Alaska Native (AI/AN) community are more affected by HIV/AIDS. In 2021, young American Indians/Alaska Native people (AI/AN) aged 25-34 had the highest percentage (40%) of new HIV diagnoses of any age group. This percentage increased from 2020, when American Indians/Alaska Native people aged 25-34 accounted for 36% of new HIV diagnoses.

Additionally, among all women in 2021, American Indian/Alaska Native (AI/AN) women had the highest percentage (40%) of new HIV diagnoses attributed to injection drug use (IDU) when compared to other races and ethnicities.

It is also important to recognize how social determinants of health can negatively impact HIV-related health outcomes for AI/AN communities due to a lack of access to affordable health care and financial insecurity. For example:

• 1% of the AI/AN population were living below the poverty level, compared to 12.8% of the U.S. population.
• 19% of the AI/AN population were uninsured, compared to 8.7% of the U.S. population.

Download and Share AIDSVu NHAAD Infographics

Friday, March 10th is annual observance of National Women and Girls HIV/AIDS Awareness Day (NWGHAAD), a day to shed light on the impact of HIV and AIDS on women and girls and show support for those at risk of and living with HIV. Access #NWGHAAD resources, toolkits, patient materials, and more from the Office on Women’s Health.

According to the Office on Women’s Health, in 2020, 1.1 million people aged 13 and older were living with HIV in the United States. During that year, an estimated 30,635 people received a new HIV diagnosis.¹

In 2019, out of the almost 35,000 new HIV diagnoses, women accounted for 18% of these cases. Most of the diagnoses were among women ages 25 to 44.

Although HIV diagnoses decreased among women overall from 2015 to 2019, disparities in HIV continue as Black or African American women continue to be disproportionately affected by HIV. In 2019, Black or African American women accounted for 54% of the new HIV diagnoses.¹

Diagnoses among women were primarily attributed to heterosexual sexual contact (84%) or injection drug use (16%). Out of the new HIV diagnoses in 2019, 2% were among transgender women. The highest number of diagnoses were among Black or African American transgender women and Hispanic/Latino transgender women.

Poverty, stigma, medical mistrust, and fear of discrimination prevent some women from seeking and receiving high-quality health care, including HIV testing, treatment, and other prevention services. Addressing these barriers and encouraging safe and supportive communities can help improve health outcomes for women.

An estimated 14% of transgender women have HIV. Transgender women experience stigma and discrimination and often encounter healthcare providers or clinics lacking knowledge of transgender issues or proper inclusive language. These all pose obstacles to HIV testing, prevention, and care that can be addressed among transgender women.

Learn more about transgender women and inclusive HIV care with HIV Learning Network’s on-demand webinar Transgender and Cisgender Women’s Perspectives on Trans-Inclusive HIV Care for Women, given by Jae Sevelius, PhD, Clinical Psychologist, Center for AIDS Prevention Studies (CAPS), and Associate Professor of Medicine, UCSF.

Greater Than AIDS

We’d also like to recognize Greater Than AIDS, who have elevated the conversation around ending HIV stigma and empowerment this National Women and Girls HIV/AIDS Awareness Day. Click here to hear watch Grammy Award-winning artist Alicia Keys in conversation with five inspiring women living with HIV here in America, about love, life and finding empowerment.

Additional Resources

• Get the latest data on HIV among women by downloading the CDC’s HIV and Women fact sheet here.
• Learn more about HIV and Women risk behaviors, diagnoses, knowledge of status, prevention challenges, and more.