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HIV Preexposure Prophylaxis Initiation at a Large Community Clinic: Differences Between Eligibility, Awareness, and Uptake.
- Source :
-
American Journal of Public Health . Oct2018, Vol. 108 Issue 10, p1408-1417. 10p. 1 Diagram, 3 Charts. - Publication Year :
- 2018
-
Abstract
- Objectives. To characterize uptake of HIV preexposure prophylaxis (PrEP) in a community setting and to identify disparities in PrEP use by demographic and behavioral factors associated with increased HIV risk. Methods. We conducted a cross-sectional study of 19 587 men who have sex with men and transgender people visiting a Los Angeles, California, clinic specializing in lesbian, gay, bisexual, and transgender care between August 2015 and February 2018 by using clinical care data. Results. Seventy percent of patients met PrEP eligibility criteria, while 10% reported PrEP use. Using sex drugs, reporting both condomless anal intercourse and recent sexually transmitted infection, older age, and higher education level were associated with higher odds of PrEP use given eligibility. Latino or Asian race/ethnicity and bisexual orientation were associated with lower odds of PrEP use given eligibility. Higher odds of perceived need were associated with demographic risk factors but PrEP use was not similarly elevated. Conclusions. Discrepancies between PrEP eligibility, perceived need, and use reveal opportunities to improve PrEP delivery in community settings. Public Health Implications. Efforts are needed to facilitate PrEP uptake in populations with highest HIV incidence. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV prevention
*AGE distribution
*CONDOMS
*DEMOGRAPHY
*DRUGS
*MEDICAL care use
*PREVENTIVE medicine
*NEEDS assessment
*RACE
*RISK-taking behavior
*SEXUALLY transmitted diseases
*ANAL sex
*TRANSGENDER people
*EDUCATIONAL attainment
*CROSS-sectional method
*MEN who have sex with men
*DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 00900036
- Volume :
- 108
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- American Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 131745696
- Full Text :
- https://doi.org/10.2105/AJPH.2018.304623