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. 2023 Jan 13;76(2):307-314.
doi: 10.1093/cid/ciac774.

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

Kashif Iqbal  1 , Xueyuan Dong  2 , Weiming Zhu  1 , Jeffrey Wiener  1 , Kenneth L Dominguez  1 , Mary R Tanner  1 , Athena P Kourtis  1 , Sonia Singh  1 , Karen W Hoover  1
Affiliations

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

Kashif Iqbal et al. Clin Infect Dis. .

Abstract

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.

Keywords: Black and Hispanic/Latino; HIV diagnoses; PrEP; community collaborative; men who have sex with men.

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Conflict of interest statement

Potential conflicts of interest. The authors: No reported conflicts of interest. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest.

Figures

Figure 1.
Figure 1.
Unadjusted and adjusted* HIV diagnosis rates among men who have sex with men in THRIVE and non-THRIVE Metropolitan Statistical Areas by race and ethnicity, 2014–2019. *Adjusted HIV diagnosis rates calculated controlling for HIV prevalence, HIV testing rates, PrEP prescription rates, percentages of persons living below the federal poverty level, percentages of persons with less than a high school education, and percentage of uninsured persons in each jurisdiction. Abbreviations: HIV, human immunodeficiency virus; MD, metropolitan division; MSA, Metropolitan Statistical Area; PrEP, preexposure prophylaxis; THRIVE, Targeted Highly Effective Interventions to Reverse the HIV Epidemic.
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References

    1. Diagnoses of HIV Infection in the United States and Dependent Areas, 2019, in HIV Surveill Rep. 2019, The Centers for Disease Control and Prevention (CDC).
    1. Bonett S, Meanley S, Stevens R, Brawner B, Bauermeister J. The role of networks in racial disparities in HIV incidence among men who have sex with men in the United States. AIDS Behav 2020; 24:2781–96. - PMC - PubMed
    1. Hernandez-Romieu AC, Sullivan PS, Rothenberg R, et al. Heterogeneity of HIV prevalence among the sexual networks of black and white men who have sex with men in Atlanta: illuminating a mechanism for increased HIV risk for young black men who have sex with men. Sex Transm Dis 2015; 42:505–12. - PMC - PubMed
    1. Wohl DA, Kuwahara RK, Javadi K, et al. Financial barriers and lapses in treatment and care of HIV-infected adults in a Southern State in the United States. AIDS Patient Care STDS 2017; 31:463–9. - PMC - PubMed
    1. Palumbo R Discussing the effects of poor health literacy on patients facing HIV: a narrative literature review. Int J Health Policy Manag 2015; 4:417–30. - PMC - PubMed

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