Prevalence of Human Immunodeficiency Virus and Opportunistic Infections Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Database Study

Joshua D Niforatos; Jonathon W Wanta; Emily Durbak; Jacqueline Cavendish; Justin A Yax

doi:10.1089/trgh.2019.0030

Prevalence of Human Immunodeficiency Virus and Opportunistic Infections Among Transgender Patients in the Clinical Setting: An All-Payer Electronic Health Record Database Study

Transgend Health. 2020 Sep 2;5(3):191-195. doi: 10.1089/trgh.2019.0030. eCollection 2020.

Authors

Joshua D Niforatos¹, Jonathon W Wanta², Emily Durbak³, Jacqueline Cavendish⁴, Justin A Yax^{4

5}

Affiliations

¹ Department of Emergency Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
² Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.
³ Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA.
⁴ Division of Population Health, Department of Emergency Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
⁵ Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Abstract

We performed a cross-sectional analysis of the prevalence of HIV and opportunistic infections among transgender patients in clinical care. Of 10,160 transgender patients identified, 3.9% had a diagnosis of HIV, compared to 0.32% in the non-transgender cohort (p<0.0001). Transgender patients experience the burden of all opportunistic infection compared to non-transgender patients in this analysis, although prevalence of pneumocystis pneumonia was not significant. This cohort-based, all-payer electronic health record study of HIV patients connected to care revealed that transgender patients have a higher prevalence of HIV infection and opportunistic infections compared to the non-transgender cohort.

Keywords: Explorys; HIV; opportunistic infection; transgender.