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. 2019 Oct;23(Suppl 3):304-312.
doi: 10.1007/s10461-019-02657-8.

Temporal Trends and Sociodemographic Correlates of PrEP Uptake in Tennessee, 2017

Meredith L Brantley  1 , Peter F Rebeiro  2 , April C Pettit  2 , Allison Sanders  3 , Lyle Cooper  4 , Shanell McGoy  3 , Melissa Morrison  3
Affiliations

Temporal Trends and Sociodemographic Correlates of PrEP Uptake in Tennessee, 2017

Meredith L Brantley et al. AIDS Behav. 2019 Oct.

Abstract

Client-level data from two Tennessee-based PrEP navigation demonstration projects reported to the Tennessee Department of Health from January to December 2017 were evaluated to determine the proportion of clients who accepted, were linked to, and were prescribed PrEP. Disparities by age, race, transmission risk, and geographic region as well as trends over time were examined via bivariate and multivariable modified Poisson regression models accounting for potential confounders. Among 1385 PrEP-eligible individuals, 50.5% accepted, 33.4% were linked, and 27.3% were prescribed PrEP. PrEP uptake varied by age, race, and HIV transmission risk, and most disparities persisted across Tennessee throughout evaluation period. Multivariable regression models revealed significant independent associations between age, race/ethnicity, transmission risk, and region and PrEP acceptance and linkage. While differences in PrEP acceptance by race narrowed over time, success among black MSM was limited, underscoring a significant need to improve upstream PrEP continuum outcomes for this important population.

Keywords: HIV prevention; Men who have sex with men (MSM); PrEP navigation; PrEP uptake; Pre-exposure prophylaxis (PrEP).

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Conflict of interest statement

Conflict of interest The authors have no conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Geographic distribution of PrEP program participants and new HIV diagnoses, by county, Tennessee, 2017
Fig. 2
Fig. 2
Proportion of eligible clients who accepted, were linked to, and were prescribed PrEP, by select subpopulations, Tennessee, 2017
See this image and copyright information in PMC

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