Intersectional HIV disparities among transgender Medicare beneficiaries of color.

We compared the prevalence of HIV across race and ethnicity groups for transgender and gender-diverse (trans) and cisgender Medicare beneficiaries using quantitative intersectional analysis of Medicare claims data from 2011 to 2020. We found that approximately 61% of the excess HIV prevalence among trans Asian and Pacific Islander beneficiaries, 62% among Hispanic beneficiaries, and 78% among Black beneficiaries is associated with the intersection of racialized and gendered experience.