Inequities Along the Human Immunodeficiency Virus (HIV) Pre-exposure Prophylaxis Services Continuum for Black Women in the United States, 2015–2020

作者：Ashley Townes, Mary R. Tanner, Lei Yu, Wayne D. Johnson, Weiming Zhu, Kashif Iqbal, Kenneth L. Dominguez, Kirk D. Henny, Kate Drezner, Christina Schumacher, Jacquelyn Bickham, Latesha Elopre, Zoe R. Edelstein, Karen W. Hoover, the Targeted Highly Effective Interventions to Reverse the HIV Epidemic (THRIVE) Project Team* · 发表于：Obstetrics and Gynecology · 年份：2023 · DOI：10.1097/aog.0000000000005451 · 被引用次数：3 · 研究领域：HIV/AIDS Research and Interventions、Sex work and related issues、Adolescent Sexual and Reproductive Health

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. 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. 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 ...