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[–]MarkTwainiac 3 insightful - 1 fun3 insightful - 0 fun4 insightful - 1 fun -  (0 children)

It's not just in CA either. In the US, the HIV rate amongst TIMs is sky high.

In the USA in 2018, TIMs age 20-29 accounted for more than one-quarter of all new HIV diagnoses amongst males of that age group in the USA. Seems a bit high for a group that's less than one percent of the population, no? (The CDC estimates that 1 million people of both sexes in the US today identify as trans.)

In 2018, the largest percentage (27%) of diagnoses of HIV infection was for transgender MTF adults and adolescents aged 25–29 years, followed by the percentage (25%) for transgender MTF adults and adolescents aged 20– 24 years.

https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics

A 2019 systematic review and meta-analysis found that an estimated 14% of transgender women (TIMs) have HIV. By race/ethnicity, an estimated 44% of black/African American transgender women, 26% of Hispanic/Latina transgender women, and 7% of white transgender women have HIV.

Among the 3 million HIV testing events reported to CDC in 2017, the percentage of transgender people who received a new HIV diagnosis was 3 times the national average.

However, trans identified people who have penetrative sex with men are highly unlikely to get tested for HIV:

Nearly two thirds of transgender women and men surveyed by the Behavioral Risk Factor Surveillance System (BRFSS) in 2014 and 2015 from 28 jurisdictions reported never testing for HIV.

There are numerous prevention challenges that may impact the HIV health outcomes for some transgender people. These include:

Certain behaviors and socioeconomic factors can affect outcomes, such as having multiple sex partners, anal or vaginal sex without protection (like a condom or medicine to prevent or treat HIV), and sharing needles or syringes to inject hormones or drugs. Additional factors include commercial sex work, mental health issues, incarceration, homelessness, unemployment, and high levels of substance misuse compared to the general population.

https://www.cdc.gov/hiv/group/gender/transgender/index.html