Geographic Disparities in Availability of Spanish-Language PrEP Services Among Latino Sexual Minority Men in South Florida
| العنوان: | Geographic Disparities in Availability of Spanish-Language PrEP Services Among Latino Sexual Minority Men in South Florida |
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| المؤلفون: | Cho-Hee Shrader, Justin Stoler, Juan Arroyo-Flores, Susanne Doblecki-Lewis, Adam Carrico, Steven Safren, Stephen Fallon, Mariano Kanamori |
| المصدر: | J Immigr Minor Health |
| بيانات النشر: | Springer Science and Business Media LLC, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Epidemiology, Public Health, Environmental and Occupational Health, Article |
| الوصف: | Latino sexual minority men (LSMM) experience barriers in accessing HIV pre-exposure prophylaxis (PrEP), such as lack of proximate culturally-appropriate PrEP navigation services. We examined associations between LSMM's immigration status and Spanish-language PrEP service availability. LSMM clinically indicated for PrEP were recruited from October 2018 to August 2019 in South Florida and completed an interviewer-administered questionnaire. PrEP service navigators in South Florida were identified using the CDC PrEP Directory. We constructed network service areas of 1-, 2-, and 5-miles from Spanish-speaking PrEP navigators. We used multilevel logistic regression to examine associations of individual (i.e., age, income, immigration status, network density) and zip code-level (i.e., population density, poverty, HIV risk) measures with availability of Spanish-language PrEP navigation services. A total of 131 participants clustered into 60 zip codes in South Florida. Latin American-born LSMM reported higher immigration and discrimination stress, and were 91% less likely to have PrEP navigation service availability, relative to LSMM born in the US. Zip code-level HIV incidence was associated with higher service availability within a 1-mile network of Spanish-speaking PrEP navigators. Spanish-language PrEP navigation services were available in high-HIV incidence zip codes; however, Latin American-born LSMM experienced reduced availability. Immigration and discrimination stress may explain lack of availability. |
| تدمد: | 1557-1920 1557-1912 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7854acd35c3055227695a0ab1b15aae4 https://doi.org/10.1007/s10903-022-01412-x |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7854acd35c3055227695a0ab1b15aae4 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15571920 15571912 |
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