HIV Prevention Education for Justice- Involved Transwomen

Each year, an estimated 1 in 7 persons living with HIV pass through a correctional facility. The correctional setting is often the first place persons are diagnosed with HIV and provided care and treatment. New York City (NYC), home to the second largest US jail, has a large transgender population who are often substance users, sex workers, and justice involved. Of new diagnoses of HIV among transgender people in NYC, 95% are among transwomen. Correctional facilities offer an opportunity to provide risk-reduction educational and behavioral interventions, yet there is fear among clients of stigma, discrimination, and concern that confidentiality will not be maintained. 
This paper will discuss the adaptation of evidence-based HIV prevention interventions for transwomen which addresses risk inside and outside the correctional setting.

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Anthony Santella, DrPH, MPH, CHES
Janet Wiersema, MPH
Alison Jordan, LCSW, CPPB
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