Four in 10 transgender women have HIV, which shows the urgent need to offer them more prevention and treatment services, according to a new U.S. Centers for Disease Control and Prevention report.

In interviews with more than 1,600 transgender women in Atlanta, Los Angeles, New Orleans, New York City, Philadelphia, San Francisco and Seattle in 2019 and early 2020, researchers found that 42% of those with a valid HIV test result had HIV. Transgender women are those assigned male at birth and identify as female.