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One Group of People Is Acquiring HIV in Record Numbers


World AIDS Day recognizes the everyday lives and particular struggles of people around the world living with AIDS and HIV, but one population has been long overlooked. According to recent findings from the World Health Organization that analyzed data from 15 countries, transgender women are nearly 49 times more likely than the general population to contract HIV. This means that, just for being who they are, they are part of the population at highest risk for acquiring HIV.

One Group of People Is Acquiring HIV in Record Numbers, But We Don't Talk About Them

Women look at pictures of people living with HIV, displayed at an exhibition, Monday, Sept. 7, 2015 in Islamabad, Pakistan. Dozens of Pakistani patients with HIV have decided to share their stories of HIV-related stigma with the public. Stigma and discrimination toward people living with HIV remain a widespread challenge in Pakistan. (AP Photo/B.K. Bangash)

But according to advocates, the transgender community's HIV problem remains an "invisible" epidemic, as trans women are too often ignored in health advocacy, stigmatized for their diagnosis or criminalized.
Mic spoke to the Human Rights Campaign's Noël Gordon, a senior specialist for HIV prevention and health equity, who argued that transgender women "find themselves at the eye of a perfect storm" when it comes to contracting HIV. "A number of factors are largely out of their control that push them into situations where they're more likely to encounter HIV and less likely to be able to treat it," Gordon told Mic. These factors include transphobia and poverty, as trans people are nearly four times more likely to earn less than $10,000 a year.
Employment and housing discrimination are major factors that push transgender women below the poverty level. According to statistics from the National Center for Transgender Equality, trans people face widespread bigotry both in the workplace and from landlords, as its survey indicates "26% of trans people lost a job due to bias, 50% were harassed on the job [and] 20% were evicted or denied housing." In many states in the U.S., it's still legal to fire or evict someone on the basis of sexual orientation or gender identity.
Gordon explained that without employment and housing protections, many trans women engage in survival sex work in order to support themselves. "Through no fault of her own," Gordon said, "she's been pushed into a situation where in order to support herself, she effectively has to put herself at risk for contracting HIV."
Sheeneneh Smith, a transgender activists, speaks at a Boston rally held in honor of slain transgender community members. Source: Julie Jacobson/AP
Cecilia Chung, a senior strategist for the Transgender Law Center, argued the issue isn't sex work itself but the ways in which trans women's limited options continue to be criminalized. Prostitution is outlawed in all 50 states in the U.S., except for some counties in Nevada, and in over 30 states, people living with HIV can be imprisoned for nondisclosure, according to Chung. "That means that if someone has engaged in sex work and hasn't disclosed their HIV status, they can potentially be charged with a felony," Chung told Mic.
This sends a shameful message to transgender women about what it means to be HIV positive. "The law tells us that HIV is a weapon," Chung argued. According to her, this reinforces the idea that contracting the virus is a punishment for people's behavior. Instead of recognizing the structural factors that force people into difficult situations, Chung said that we too often engage in further "shaming and blaming," furthering widespread stigma.

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