Back to Search
Start Over
Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015-2020.
- Source :
-
Obstetrics and gynecology [Obstet Gynecol] 2024 Feb 01; Vol. 143 (2), pp. 294-301. Date of Electronic Publication: 2023 Nov 14. - Publication Year :
- 2024
-
Abstract
- Objective: To estimate the number of women who received human immunodeficiency virus (HIV) and sexually transmitted infection (STI) testing and HIV pre-exposure prophylaxis (PrEP) services by race and ethnicity in seven THRIVE (Targeted Highly Effective Interventions to Reverse the HIV Epidemic)-funded jurisdictions and to estimate associations of age and syphilis and gonorrhea diagnoses with receipt of HIV PrEP services.<br />Methods: We analyzed data collected from 2015 to 2020 in Birmingham, Alabama; Baltimore City, Maryland; Washington, DC, New Orleans, Louisiana; Brooklyn, New York; Philadelphia, Pennsylvania; and Hampton Roads, Virginia. We compared Black women and women of additional racial and ethnic groups by age, HIV status at enrollment, receipt of STI testing and test positivity, and steps in the PrEP continuum (screened, eligible, referred, linked, and prescribed). We also examined the association of age, syphilis, or gonorrhea with the following steps in the PrEP continuum: screened, referred, linked, and prescribed.<br />Results: Black women made up 69.2% (8,758/12,647) of women served in THRIVE. Compared with non-Black women, Black women were more likely to have a positive test result for syphilis (3.3% vs 2.1%), gonorrhea (4.9% vs 3.5%), chlamydia (5.1% vs 1.9%), or more than one STI (1.4% vs 0.3%). Among women with negative HIV test results or unknown HIV status, Black women were more likely to be screened for PrEP eligibility (88.4% vs 64.9%). Among Black women, the proportion screened for PrEP was higher among those diagnosed with syphilis (97.3%) or gonorrhea (100%) than among those without an STI (88.1% and 87.8%, respectively). Among 219 Black women who presented with syphilis, only 10 (4.6%) were prescribed PrEP; among 407 with gonorrhea, only 11 (2.7%) were prescribed PrEP.<br />Conclusion: Although most Black women seeking services received STI testing, the proportion of Black women who were eligible for PrEP and prescribed PrEP was low. To achieve national HIV-prevention goals, it is imperative that Black women have access to PrEP information and services.<br />Competing Interests: Financial Disclosure Christina Schumacher reports receiving a Demonstration Project grant from the CDC. Latesha Elopre reports money paid to her institution from Merck. The other authors did not report any potential conflicts of interest.<br /> (Copyright © 2023 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.)
- Subjects :
- Female
Humans
Gonorrhea diagnosis
Gonorrhea epidemiology
Gonorrhea prevention & control
HIV
Homosexuality, Male
Syphilis diagnosis
Syphilis epidemiology
Syphilis prevention & control
United States epidemiology
HIV Infections diagnosis
HIV Infections epidemiology
HIV Infections prevention & control
Pre-Exposure Prophylaxis methods
Sexually Transmitted Diseases diagnosis
Sexually Transmitted Diseases epidemiology
Sexually Transmitted Diseases prevention & control
Health Services Accessibility
Continuity of Patient Care
Subjects
Details
- Language :
- English
- ISSN :
- 1873-233X
- Volume :
- 143
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 37963384
- Full Text :
- https://doi.org/10.1097/AOG.0000000000005451