HIV Prevention Services for Hispanic/Latino Persons in THRIVE, 2015–2020

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Bonacci, Robert A. ; Tanner, Mary R. ; Zhu, Weiming ; Hayes, Tameka ; Dominguez, Kenneth L. ; Iqbal, Kashif ; Wiener, Jeffrey ; Drezner, Kate ; Jennings, Jacky M. ; Tsoi, Benjamin ; Wendell, Debbie ; Hoover, Karen W.
• Corporate Authors:
  THRIVE Project Team
• Description:
  Introduction:
  
  Hispanic/Latino men who have sex with men (MSM) and transgender women (TGW) are disproportionately affected by HIV in the U.S. This study evaluated HIV prevention services and outcomes among Hispanic/Latino MSM and TGW in the targeted highly effective interventions to reduce the HIV epidemic (THRIVE) demonstration project and considered lessons learned.
  
  Methods:
  
  The authors described the THRIVE demonstration project services provided to Hispanic/Latino MSM and TGW in 7 U.S. jurisdictions from 2015 to 2020. HIV prevention service outcomes were compared between 1 site with (2,147 total participants) and 6 sites without (1,129 total participants) Hispanic/Latino-oriented pre-exposure prophylaxis clinical services, and Poisson regression was used to estimate the adjusted RR between sites and pre-exposure prophylaxis outcomes. Analyses were conducted from 2021 to 2022.
  
  Results:
  
  The THRIVE demonstration project served 2,898 and 378 Hispanic/Latino MSM and TGW, respectively, with 2,519 MSM (87%) and 320 TGW (85%) receiving ≥1 HIV screening test. Among 2,002 MSM and 178 TGW eligible for pre-exposure prophylaxis, 1,011 (50%) MSM and 98 (55%) TGW received pre-exposure prophylaxis prescriptions, respectively. MSM and TGW were each 2.0 times more likely to be linked to pre-exposure prophylaxis (95% CI=1.4, 2.9 and 95% CI=1.2, 3.6, respectively) and 1.6 and 2.1 times more likely to be prescribed pre-exposure prophylaxis (95% CI=1.1, 2.2 and 95% CI=1.1, 4.1), respectively, at the site providing Hispanic/Latino-oriented pre-exposure prophylaxis clinical services than at other sites and adjusted for age group.
  
  Conclusions:
  
  The THRIVE demonstration project delivered comprehensive HIV prevention services to Hispanic/Latino MSM and TGW. Hispanic/Latino-oriented clinical settings may improve HIV prevention service delivery to persons in Hispanic/Latino communities.
  
  
• Subjects:
  Anti-HIV Agents Female Hispanic Or Latino HIV Infections Homosexuality, Male Humans Male Pre-Exposure Prophylaxis Sexual And Gender Minorities Transgender Persons
• Source:
  Am J Prev Med. 65(2):213-220
• Pubmed ID:
  36872151
• Pubmed Central ID:
  PMC10475139
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  65
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:238d75e8bebe2e1571daf4f7828ad493efb358758b92d4130c1c6f6c74aeb77ea8bdba3cfea56c8e3e3db3e8b9a063f765e14d62a058c12bb26cd70ddef57d2e
• Download URL:
  https://stacks.cdc.gov/view/cdc/132816/cdc_132816_DS1.pdf
• File Type:
  [PDF - 253.88 KB ]