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Reback, Clark, Holloway, & Fletcher, 2018). A recent study in Los Angeles County among trans women recruited from community-based agencies and street- and venue-based outreach demonstrated an increase in self-reported HIV prevalence from 28% in 1998–1999 to 35% in 2015–2016 ( C.

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In a 2012 report, Los Angeles County estimated that there were 7,214 trans women living in the County (with a range of 3,607 to 10,821 based on the definition of “transgender,”) and an estimated HIV prevalence rate of 15% ( Bingham & Carlos-Henderson, 2012). The odds of being HIV-positive are estimated to be over 34 times higher for transgender women (hereafter referred to “trans women”) compared to the prevalence rate in the general U.S.

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