Decreased Human Immunodeficiency Virus Diagnosis Rates Among Black and Hispanic or Latino Men Who Have Sex With Men in US Jurisdictions Supported by the THRIVE Demonstration Project, 2014–2019

Details

• Alternative Title:
  Clin Infect Dis
• Personal Author:
  Iqbal, Kashif ; Dong, Xueyuan ; Zhu, Weiming ; Wiener, Jeffrey ; Dominguez, Kenneth L. ; Tanner, Mary R. ; Kourtis, Athena P. ; Singh, Sonia ; Hoover, Karen W.
• Description:
  Background. ; Black and Hispanic/Latino men who have sex with men (MSM) are disproportionately affected by human immunodeficiency virus (HIV). In the Targeted Highly Effective Interventions to Reverse the HIV Epidemic (THRIVE) demonstration project, 7 community collaboratives were developed to provide comprehensive HIV prevention services for these populations. ; Methods. ; We analyzed National HIV Surveillance System data to determine the number of HIV diagnoses for each year from 2014 to 2019 among Black, Hispanic/Latino, and White MSM in 7 THRIVE-eligible Metropolitan Statistical Areas (MSAs) that were awarded funding and 12 THRIVE-eligible MSAs that were not awarded funding. We used generalized linear Poisson regression models to estimate adjusted estimated annual percentage changes (EAPCs) with 95% confidence intervals for HIV diagnosis rates controlling for HIV prevalence, viral suppression, HIV testing rates, preexposure prophylaxis (PrEP) prescription rates, poverty, education, and insurance status. ; Results. ; We found larger estimated decreases in HIV diagnosis rates in THRIVE jurisdictions compared with non-THRIVE jurisdictions. The adjusted EAPC among Black MSM was −8.2 (−11.7 to −4.6) in THRIVE MSAs compared with −4.2 (−7.8 to −0.4) in non-THRIVE MSAs. The adjusted EAPC among Hispanic/Latino MSM was −8.6 (−12.2 to −4.8) in THRIVE MSAs compared with −2.6 (−5.1 to −0.1)in non-THRIVE MSAs. The adjusted EAPC among White MSM was −7.6 (−12.0 to −3.1) in THRIVE MSAs compared with 5.9 (1.8–10.1) in non-THRIVE MSAs. ; Conclusions. ; The THRIVE community collaborative model was associated with a decrease in HIV diagnoses among Black and Hispanic/Latino MSM. To achieve the goals of the US Ending the HIV Epidemic initiative, effective interventions aimed to increase PrEP use need to be focused on Black and Hispanic/Latino MSM.
• Subjects:
  • Humans
  • Male
  • Hispanic or Latino
  • HIV
  • HIV Infections
  • Homosexuality, Male
  • Pre-Exposure Prophylaxis
  • Prevalence
  • Black or African American
• Keywords:
  • HIV diagnoses
  • PrEP
  • Black and Hispanic/Latino
  • men who have sex with men
  • community collaborative
• Source:
  Clin Infect Dis. 76(2):307-314
• Pubmed ID:
  36124683
• Pubmed Central ID:
  PMC10999974
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  76
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/154109/cdc_154109_DS1.pdf
• File Type:
  [PDF - 375.83 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:88d8872e418e24c16d30729fd071a9d0187ca854275b5c9ab41475fc034837d9