Young key populations Citation Design & Outcome of Country or Findings Notes population interest region Meta-analyses & reviews [3] Lall et al. 2015 Review HIV risk, ART and Global Reviewed 26 articles (1999-2014) which addressed young retention in care key populations and behaviorally infected youth and adolescents. All studies were from North America. None addressed young people who were sex workers, transgender, or prisoners. Adherence to ART of young key populations was found to be influenced by age; healthcare access; vulnerabilities such as social isolation, minority status, imprisonment, and housing instability; and depression and drug use. Pettifor et al. Review HIV prevention, Global Reviewed available data on HIV prevention interventions 2015 particularly PrEP for young key populations, particularly PrEP. Schunter et al. Review HIV interventions Asia Pacific Reviewed 37 articles which addressed HIV prevention 2014 interventions for young key populations in Asia Pacific (only 1 article was found which addressed treatment). In most studies, condom use among MSM, transgender, and SW/clients was low or inconsistent, and lack of use was associated with younger age, lower education, lower perceptions of risk, economic hardship, and for FSW sexual coercion, forced sex, and trafficking. Study [1] Wilson et al. HIV risk behaviors, United States Examined HIV risk behaviors and life experiences of 2009 sex work (Chicago & transgender female youth aged 15-24 (snowball sampled). 151 Los Angeles) Most participants were ethnic minorities (95% non-White), transgender 52% had ever been in the correctional system, 67% had female youth ever engaged in SW (35% in past 3 months), and 19% being HIV+ (23% among those who had ever engaged in sex work, 6% of those who never engaged in sex work). Sex work was associated in multivariate analysis with lower education status, homelessness, use of street drugs, and perceived social support (the last surprising association not addressed by the authors).
Young key populations Citation Design & population Outcome of interest Country or region Findings Notes Meta-analyses & reviews [3] Lall et al. 2015 Review HIV risk, ART and retention in care Global Reviewed 26 articles (1999-2014) which addressed young key populations and behaviorally infected youth and adolescents. All studies were from North America. None addressed young people who were sex workers, transgender, or prisoners. Adherence to ART of young key populations was found to be influenced by age; healthcare access; vulnerabilities such as social isolation, minority status, imprisonment, and housing instability; and depression and drug use. Pettifor et al. 2015 Review HIV prevention, particularly PrEP Global Reviewed available data on HIV prevention interventions for young key populations, particularly PrEP. Schunter et al. 2014 Review HIV interventions Asia Pacific Reviewed 37 articles which addressed HIV prevention interventions for young key populations in Asia Pacific (only 1 article was found which addressed treatment). In most studies, condom use among MSM, transgender, and SW/clients was low or inconsistent, and lack of use was associated with younger age, lower education, lower perceptions of risk, economic hardship, and for FSW sexual coercion, forced sex, and trafficking. Study [1] Wilson et al. 2009 151 transgender female youth HIV risk behaviors, sex work United States (Chicago & Los Angeles) Examined HIV risk behaviors and life experiences of transgender female youth aged 15-24 (snowball sampled). Most participants were ethnic minorities (95% non-White), 52% had ever been in the correctional system, 67% had ever engaged in SW (35% in past 3 months), and 19% being HIV+ (23% among those who had ever engaged in sex work, 6% of those who never engaged in sex work). Sex work was associated in multivariate analysis with lower education status, homelessness, use of street drugs, and perceived social support (the last surprising association not addressed by the authors).