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Article ; Online: PrEP navigation continuum among men who have sex with men, trans women, and people with alternative gender identities in three California counties.

Parrish, Kolbi C / Johnson, Hannah Z / Williams, Sheryl L

Evaluation and program planning

2021  Volume 90, Page(s) 101998

Abstract: Strategies to reduce new HIV infections include pre-exposure prophylaxis (PrEP). Of the estimated over 221,000 Californians with an indication for PrEP, only 31,280 (14 %) were currently taking the medication as of 2019. Centers for Disease Control and ... ...

Abstract Strategies to reduce new HIV infections include pre-exposure prophylaxis (PrEP). Of the estimated over 221,000 Californians with an indication for PrEP, only 31,280 (14 %) were currently taking the medication as of 2019. Centers for Disease Control and Prevention Project PrIDE funds were used to support and develop California PrEP navigation programs designed to increase PrEP uptake among trans persons and men who have sex with men (MSM). An analysis of PrIDE-funded PrEP navigation service outcomes was conducted to highlight where continuum drop-off occurred and how it varied among priority populations. Quantitative service delivery data for PrEP navigation program activities conducted from October 1, 2015 to September 30, 2018 were collected across three county-level local health jurisdictions (LHJs) via standardized, agency-completed service delivery data collection tools. Analyses included frequencies and crosstabs. These variations were not tested statistically but highlight group-specific needs to be addressed before implementing PrEP navigation within California. Continued systematic collection and analyses of PrEP continuum outcomes will allow programs to dynamically identify and address barriers to PrEP uptake in priority populations.
MeSH term(s) Anti-HIV Agents/therapeutic use ; California ; Female ; Gender Identity ; HIV Infections/drug therapy ; HIV Infections/prevention & control ; Homosexuality, Male ; Humans ; Male ; Pre-Exposure Prophylaxis ; Program Evaluation ; Sexual and Gender Minorities ; Transgender Persons
Chemical Substances Anti-HIV Agents
Language English
Publishing date 2021-09-03
Publishing country England
Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID 2013444-7
ISSN 1873-7870 ; 0149-7189
ISSN (online) 1873-7870
ISSN 0149-7189
DOI 10.1016/j.evalprogplan.2021.101998
Database MEDical Literature Analysis and Retrieval System OnLINE

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