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

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          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.

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          Author and article information

          Journal
          9712133
          21042
          AIDS Behav
          AIDS Behav
          AIDS and behavior
          1090-7165
          1573-3254
          18 September 2019
          October 2019
          19 October 2019
          : 23
          : Suppl 3
          : 304-312
          Affiliations
          [1 ]Tennessee Department of Health, HIV/STD/Viral Hepatitis Section, 710 James Robertson Pkwy, Nashville, TN 37243, USA
          [2 ]Department of Medicine, Division of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, USA
          [3 ]Department of Family and Community Medicine, School of Medicine, Meharry Medical College, Nashville, TN, USA
          Author notes
          Meredith L. Brantley, meredith.brantley@ 123456tn.gov
          Author information
          http://orcid.org/0000-0001-8348-6090
          Article
          PMC6800596 PMC6800596 6800596 nihpa1050826
          10.1007/s10461-019-02657-8
          6800596
          31456198
          ea39d72f-f9d7-4f64-bd6b-e48f4c140454
          History
          Categories
          Article

          HIV prevention,PrEP navigation,Pre-exposure prophylaxis (PrEP),PrEP uptake,Men who have sex with men (MSM)

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