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

被引：0
作者：
Anne A. Kimball
Weiming Zhu
Mary R. Tanner
Kashif Iqbal
Kenneth L. Dominguez
Kirk D. Henny
Anthony James
Fatima Elamin
Kate Drezner
Josh Bruce
Mary Evelyn Torres
Ashley Price
Stephanie J. Hubbard
Karen W. Hoover
机构：
[1] Centers for Disease Control and Prevention,Division of HIV Prevention
[2] Louisiana Office of Public Health,undefined
[3] Virginia Department of Health,undefined
[4] District of Columbia Department of Health,undefined
[5] Birmingham AIDS Outreach,undefined
[6] Philadelphia Department of Public Health,undefined
[7] Baltimore City Health Department,undefined
[8] New York City Department of Health and Mental Hygiene,undefined
来源：
AIDS and Behavior | 2023年 / 27卷
关键词：
HIV; Pre-exposure prophylaxis; Sexual and gender minorities; Patient navigation;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
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页码：1981 / 1988
页数：7
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