ALIGNMENT OF ENDING THE HIV EPIDEMIC PRIORITY JURISDICTIONS WITH AVAILABILITY OF HIV SERVICE ORGANIZATIONS: AN ECOLOGICAL STUDY

Jessica L. Webster, Nicole Rafalko, Lorna E. Thorpe, Dustin T. Duncan, Ed J. Gracely, Neal D. Goldstein

Research output: Contribution to journalArticlepeer-review

Abstract

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], respec-tively, for each percentage point change in the second two metrics), account-ing 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.

Original languageEnglish (US)
Pages (from-to)320-331
Number of pages12
JournalAIDS Education and Prevention
Volume35
Issue number4
DOIs
StatePublished - 2023

Keywords

  • Ending the HIV Epidemic
  • HIV prevention and control
  • health services accessibility

ASJC Scopus subject areas

  • General Medicine

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