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CME/CE Test

Factors Associated With Use of HIV Prevention and Health Care Among Transgender Women — Seven Urban Areas, 2019–2020

  1. You are advising a transgender women's clinic regarding anticipated prevalence of HIV positivity, use of HIV-related services, and outcomes. On the basis of the study of National HIV Behavioral Surveillance (NHBS) data collected during 2019--2020 by Lee and colleagues, which one of the following statements correctly describes the association of socioeconomic status and health care accessibility with health outcomes among transgender women who reported a positive HIV test result?
    During 2019--2020, 22% of transgender women surveyed in seven major U.S. cities reported receiving a previous positive HIV test result
    Self-reported viral suppression was less common among those who reported experiencing homelessness during the past 12 months
    Severe food insecurity was not significantly associated with viral suppression
    Having a usual source of health care was not significantly associated with current use of antiretroviral medication
  2. According to the study of NHBS data collected during 2019--2020 by Lee and colleagues, which one of the following statements correctly describes the association of socioeconomic status and health care accessibility with health care use among transgender women who did not report a positive HIV test result?
    Testing for HIV during the past 12 months was more likely among those who reported having a usual source of health care
    Comfort with a health care provider was not significantly associated with testing for HIV during the past 12 months
    The only factor significantly associated with PrEP use was having health insurance
    PrEP use was less common among participants who had experienced severe food insecurity than those who had not
  3. According to the study of NHBS data collected during 2019--2020 by Lee and colleagues, which one of the following statements correctly describes factors associated with HIV-related health outcomes and health care use among transgender women?
    Specific barriers to PrEP use among transgender persons have not been identified
    The finding that experiencing homelessness, poverty, and food insecurity was common among transgender women was surprising
    The findings suggest that there is no need to further address gaps in need-based programs such as the Ryan White HIV/AIDS Program and Ready, Set, PrEP
    Ensuring adequate housing, food, income, and access to gender-affirming health care could improve use of HIV prevention and treatment services by transgender women