Location of Pre-exposure Prophylaxis Services across New York City Neighborhoods: Do Neighborhood Socio-demographic Characteristics and HIV Incidence Matter?

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Kim, Byoungjun ; Callander, Denton ; DiClemente, Ralph ; Trinh-Shevrin, Chau ; Thorpe, Lorna E. ; Duncan, Dustin T.
• Description:
  Despite an increasing pre-exposure prophylaxis (PrEP) use among populations at highest risk of HIV acquisition, comprehensive and easy access to PrEP is limited among racial/ethnic minorities and low-income populations. The present study analyzed the geographic distribution of PrEP providers and the relationship between their location, neighborhood characteristics, and HIV incidence using spatial analytic methods. PrEP provider density, socio-demographics, healthcare availability, and HIV incidence data were collected by ZIP-code tabulation area in New York City (NYC). Neighborhood socio-demographic measures of race/ethnicity, income, insurance coverage, or same-sex couple household, were not associated with PrEP provider density, after adjusting for spatial autocorrelation, and PrEP providers were located in high HIV incidence neighborhoods (P < 0.01). These findings validate the need for ongoing policy interventions (e.g. public health detailing) vis-à-vis PrEP provider locations in NYC and inform the design of future PrEP implementation strategies, such as public health campaigns and navigation assistance for low-cost insurance.
• Subjects:
  Female Health Services Accessibility HIV Infections Humans Incidence Insurance Coverage Male Poverty Pre-Exposure Prophylaxis Residence Characteristics Socioeconomic Factors Spatial Analysis

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• Source:
  AIDS Behav. 23(10):2795-2802
• Pubmed ID:
  31321639
• Pubmed Central ID:
  PMC6790167
• Document Type:
  Journal Article
• Funding:
  R01 MD013554/MD/NIMHD NIH HHSUnited States/ ; R03DA039748/DA/NIDA NIH HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; R01 MH112406/MH/NIMH NIH HHSUnited States/ ; R01MD013554/MD/NIMHD NIH HHSUnited States/ ; R03 DA039748/DA/NIDA NIH HHSUnited States/ ; U01 PS005122/PS/NCHHSTP CDC HHSUnited States/ ; R01MH112406/MH/NIMH NIH HHSUnited States/ ; U01PS005122/CC/CDC HHSUnited States/ ; T32 HS026120/HS/AHRQ HHSUnited States/ ; U01PS005122/ACL/ACL HHSUnited States/ ; T32HS026120-01/Agency for Healthcare Research and Quality/
• Place as Subject:
  New York City, NY
• Volume:
  23
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5cc9e105d1b4437829d709e2a559e95d75e0232f4e47e484db84310226b4b84e
• Download URL:
  https://stacks.cdc.gov/view/cdc/84915/cdc_84915_DS1.pdf
• File Type:
  [PDF - 567.57 KB ]