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AIDS Behav ; 23(Suppl 3): 304-312, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31456198

ABSTRACT

Client-level data from two Tennessee-based PrEP navigation demonstration projects reported to the Tennessee Department of Health from January to December 2017 were evaluated to determine the proportion of clients who accepted, were linked to, and were prescribed PrEP. Disparities by age, race, transmission risk, and geographic region as well as trends over time were examined via bivariate and multivariable modified Poisson regression models accounting for potential confounders. Among 1385 PrEP-eligible individuals, 50.5% accepted, 33.4% were linked, and 27.3% were prescribed PrEP. PrEP uptake varied by age, race, and HIV transmission risk, and most disparities persisted across Tennessee throughout evaluation period. Multivariable regression models revealed significant independent associations between age, race/ethnicity, transmission risk, and region and PrEP acceptance and linkage. While differences in PrEP acceptance by race narrowed over time, success among black MSM was limited, underscoring a significant need to improve upstream PrEP continuum outcomes for this important population.


Subject(s)
HIV Infections/ethnology , HIV Infections/prevention & control , Patient Acceptance of Health Care/psychology , Pre-Exposure Prophylaxis/statistics & numerical data , Adult , Black or African American/psychology , Black or African American/statistics & numerical data , Age Distribution , HIV Infections/transmission , Health Knowledge, Attitudes, Practice , Homosexuality, Male/ethnology , Homosexuality, Male/psychology , Homosexuality, Male/statistics & numerical data , Humans , Male , Patient Acceptance of Health Care/statistics & numerical data , Pre-Exposure Prophylaxis/methods , Sex Distribution , Tennessee , White People/psychology , White People/statistics & numerical data
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