We sought to describe and quantify the association between HIV service organization availability, HIV burden, and HIV awareness and prevention in the 57 priority jurisdictions selected as part of the U.S. Ending the HIV Epidemic initiative. On average, jurisdictions with more per capita organizations had more people living with HIV, more individuals aware of their positive status, and more individuals prescribed PrEP (b = 0.3; 95% CI [0.2, 0.5] for each additional case per 1,000 people in the first metric, and b = 0.3; 95% CI [0.2, 0.4] and b = 0.1; 95% CI [< 0.1, 0.1], respectively, for each percentage point change in the second two metrics), accounting for jurisdiction size. Several jurisdictions were outliers in the modeled associations and may reflect comparatively better, or worse, performance than similar jurisdictions. This information can assist in evaluating resource allocation and determining whether availability translates to accessibility.
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Title
Alignment of Ending the HIV Epidemic Priority Jurisdictions With Availability of HIV Service Organizations: An Ecological Study
Creators
Jessica L. Webster - Drexel University
Nicole Rafalko - Drexel University
Lorna E. Thorpe - NYU Langone Health
Dustin T. Duncan - Columbia University
Ed J. Gracely - Drexel University
Neal D. Goldstein - Drexel University
Publication Details
AIDS education and prevention, v 35(4), pp 320-331
Resource Type
Journal article
Language
English
Academic Unit
MD (Doctor of Medicine) Program; Epidemiology and Biostatistics
Web of Science ID
WOS:001046217600006
Scopus ID
2-s2.0-85166422071
Other Identifier
991020836954204721
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