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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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