Abstract
In Argentina, transgender women (TW) have the highest HIV prevalence (34%) among key populations, reporting challenges in adherence to antiretroviral therapy (ART) and HIV care. Physician-delivered motivational interviewing (MI) was examined for its impact on HIV-related outcomes. Multilevel models found an increase in patient–provider communication, self-reported ART adherence, and HIV-related outcomes over 24 months in 41 TW re-engaged in HIV care. About one-third (37%) of participants were retained in care at 24 months, and 55% achieved viral suppression at follow-up. Data supporting a link between MI and these improvements are inconclusive, and targeted interventions are needed in this population.
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