Publications on Transgender

Get an overview of the HIV/AIDS situation for Transgender.

PrEP Product Awareness, Preferences, and Past Experiences among Transgender Women and Men Who Have Sex with Men in Asia and Australia (PrEP APPEAL) was a survey study in 16 countries and territories in Asia and Australia. The overall goal of PrEP APPEAL was to identify values and preferences about PrEP, as well as barriers and facilitators to PrEP uptake, among men who have sex with men (MSM) and transgender women (TGW) in Asia and Australia.

Key findings

The country HIV snapshots prepared by UNAIDS’ HIV and AIDS Data Hub for Asia Pacific provide comprehensive information on the HIV epidemic and response in Asia and the Pacific countries. Download the country snapshots to find out the most up-to-date HIV data and analysis.

Marked inequalities and diverse epidemic trends affect progress in the HIV response in Asia and the Pacific. The HIV epidemic in the region disproportionately affects people from key populations, especially young people (aged 15–24 years), and their sexual partners. Download the regional factsheet to find out the most up-to-date HIV info, data and analysis.

Transgender people often experience multiple and intersecting forms of discrimination, including in criminal justice systems. Evidence indicates that such marginalisation, criminalisation and discrimination can lead to greater vulnerability to and risk of long-term mental and physical health issues, including increased risk of HIV and other sexually transmitted infections, and experience of sexual assault.

The 2021-2026 Global AIDS Strategy has bold and critical new targets on realizing human rights, reducing stigma, discrimination and violence and removing harmful punitive laws as a pathway to ending inequalities and ultimately ending AIDS. To aid in the scale up of interventions to remove these societal barriers, UNAIDS has produced a series of fact sheets on human rights in various areas, highlighting the critical need to scale up action on rights. They are a series of short, easy to digest and accessible documents outlining the latest epidemiology, the evidence of the impact of human rights interventions, the latest targets, and international guidelines, recommendations and human rights obligations relating to each topic. Fact sheets released in June 2021: HIV criminalization, HIV and people who use drugs, HIV and gay men and who have sex with other men, HIV and transgender and other gender-diverse people, HIV and sex work, HIV and people in prisons and other closed settings and HIV and stigma and discrimination.

The Asia Pacific Transgender Network (APTN), together with its country partners, embarked on an ambitious and much-needed research project to study the various forms of conversion therapy practices being implemented against transgender (trans) and gender diverse people in India, Indonesia, Malaysia, and Sri Lanka. This evidence-generating project aimed to explore how trans and gender diverse people in these countries have been subjected to conversion therapy practices by documenting their personal narratives and lived experiences. Further, it sought to investigate how the existing national legal, policy, and programmatic frameworks create an environment in which these harmful practices can thrive.

There are a range of negative experiences trans and gender diverse people encounter when trying to access healthcare in a cis-normative society. These negative experiences, both systemic and interpersonal, produce unique stressors that can lead directly to negative health outcomes including poor physical or mental health. They can also be a barrier to utilising healthcare when a previous experience of discrimination leads to future avoidance of accessing services. It is vital to understand the nature, extent and impact of stressors on trans and gender diverse people’s use of healthcare services. Only then, interventions can be implemented to mitigate stressors and improve healthcare access and utilization.

The spotlight report highlights the systemic discriminations and prejudice experienced by trans and gender diverse persons in Malaysia and sheds light on the government’s lackluster response to include trans and gender diverse persons in its 2030 Agenda implementation strategies. Transgender persons have been experiencing gross violations of their fundamental human rights, including violence, harassment and arbitrary arrests from law enforcement authorities, exclusion from healthcare and education systems due to the lack of legal gender recognition, discrimination in the employment sector, and routine dehumanisation and demonisation by the media that perpetuates gender stereotyping and transphobia.

A new scoping review examines sexualized drug use (SDU) among men who have sex with men and transgender women in Asia, in order to understand the socio-sexual context of drug use, to inform effective HIV and drug policy and programmatic responses in Asia, and to guide future qualitative research in the region.