Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women: Findings From the Black Women First Initiative

• DOI: 10.2105/ajph.2025.308019
• Publication Date: 2025-03-26T20:14:51Z
• Authors: Serena Rajabiun; Corliss D. Heath; LaShonda Y. Spencer; Tracy L. McClair; Howard J. Cabral; Clara A. Chen; Julianne N. Dugas; Andrea Dakin; Alicia Downes; Erin McKinney-Prupis; Jennifer Scott; Shakeila Lewis-Chery; Angela Wangari Wa...; Yvette P. Cuca
• Keywords: Transgender women; Odds

Objectives. To examine the effects of replicating a bundled package evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality life (HRQoL) for 697 Black cisgender transgender women with across 12 US sites from 2021 to 2023. Methods. Women participated in minimum 2 interventions. We collected self-reported HRQoL determinants via interview at baseline, 6 months, months. retention care viral suppression medical chart review. examined by gender identity type number received. Results. In 12-month postenrollment period, 85.0% reached 74.3% were retained care. Social improved over time. Transgender had significantly lower odds compared (adjusted ratio = 0.85; 95% confidence interval 0.77, 0.93) but an overall higher physical score (46.8 vs 40.8). Viral mental did not differ identity. Conclusions. Using intervention is promising approach reach provide culturally relevant HIV. ( Am J Public Health. 2025;115(S1):S46–S56. https://doi.org/10.2105/AJPH.2025.308019 )