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The Effect of Navigation on Linkage to a PrEP Provider Among PrEP-Eligible Men who have Sex with Men in a U.S. Demonstration Project.

التفاصيل البيبلوغرافية
العنوان: The Effect of Navigation on Linkage to a PrEP Provider Among PrEP-Eligible Men who have Sex with Men in a U.S. Demonstration Project.
المؤلفون: Kimball AA; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA. OPU7@cdc.gov., Zhu W; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA., Tanner MR; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA., Iqbal K; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA., Dominguez KL; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA., Henny KD; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA., James A; Louisiana Office of Public Health, New Orleans, LA, USA., Elamin F; Virginia Department of Health, Richmond, VA, USA., Drezner K; District of Columbia Department of Health, Washington, DC, USA., Bruce J; Birmingham AIDS Outreach, Birmingham, AL, USA., Torres ME; Philadelphia Department of Public Health, Philadelphia, PA, USA., Price A; Baltimore City Health Department, Baltimore, MD, USA., Hubbard SJ; New York City Department of Health and Mental Hygiene, New York, NY, USA., Hoover KW; Division of HIV Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.
مؤلفون مشاركون: THRIVE Project Team
المصدر: AIDS and behavior [AIDS Behav] 2023 Jun; Vol. 27 (6), pp. 1981-1988. Date of Electronic Publication: 2022 Nov 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
مواضيع طبية MeSH: HIV Infections*/epidemiology , HIV Infections*/prevention & control , Pre-Exposure Prophylaxis* , Sexual and Gender Minorities*, Humans ; Male ; Black or African American ; Homosexuality, Male ; White
مستخلص: Our objective is to evaluate the effect of navigation on linkage to a PrEP provider among PrEP-eligible men who have sex with men (MSM) in THRIVE, a demonstration project in seven U.S. public health jurisdictions during 2015-2020. We describe PrEP linkage and navigation use among MSM in THRIVE. We performed multivariable probit regression modeling, controlling for demographic covariates, to estimate the association between navigation and linkage to a PrEP provider among MSM and to assess for disparities in linkage to PrEP among MSM who used navigation. Among 9538 PrEP-eligible MSM, 51.3% used navigation and 53.8% were linked to PrEP. From the three sites where navigation was optional and the main form of PrEP support, MSM who used navigation were 16.69 times (95% CI 13.07-21.32) more likely to link to PrEP compared with MSM who did not use navigation. Among 4895 MSM who used navigation from all seven sites, Black MSM were 21% less likely to link to PrEP compared with White MSM (aRR 0.79; 95% CI 0.74-0.83). Navigation is a promising strategy for improving uptake of PrEP among U.S. MSM, but disparities persist. Addressing the underlying causes of inequities will be important to end the HIV epidemic.
(© 2022. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
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فهرسة مساهمة: Investigator: D Barrington; G Barrow; MB Cox; A Fox; D Gruber; JM Jennings; D Jessie-Hill; M Kharfen; E Martin; K Pettigrew; J Raiford; WT Robinson; A Shankar; B Tsoi; L Wood
Keywords: HIV; Patient navigation; Pre-exposure prophylaxis; Sexual and gender minorities
تواريخ الأحداث: Date Created: 20221123 Date Completed: 20230504 Latest Revision: 20230504
رمز التحديث: 20240628
DOI: 10.1007/s10461-022-03931-y
PMID: 36417093
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3254
DOI:10.1007/s10461-022-03931-y