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首页> 外文期刊>AIDS patient care and STDs >Advancing the HIV Pre-Exposure Prophylaxis Continuum A Collaboration Between a Public Health Department and a Federally Qualified Health Center in the Southern United States
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Advancing the HIV Pre-Exposure Prophylaxis Continuum A Collaboration Between a Public Health Department and a Federally Qualified Health Center in the Southern United States

机译：推进艾滋病毒预防预防预防性公共卫生部门在美国南部的公共卫生部门和联邦合格的保健中心之间的合作

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Uptake of pre-exposure prophylaxis (PrEP) has been limited among black and Latino men who have sex with men (MSM), especially in the southern United States. Public health departments and federally qualified health centers (FQHCs) serving predominantly uninsured populations are uniquely positioned to improve access. We evaluated a novel PrEP collaboration between a public health department and an FQHC in North Carolina (NC). In May 2015, a PrEP program was initiated that included no-cost HIV/sexually transmitted infection screening at a public health department, followed by referral to a colocated FQHC for PrEP services. We profiled the PrEP continuum for patients entering the program until February 2018. PrEP initiators and noninitiators were compared using Wilcoxon rank-sum test for continuous variables and chi-square or Fisher's exact tests for categorical variables. Of 196 patients referred to the FQHC, 60% attended an initial appointment, 43% filled a prescription, 38% persisted in care for >3 months, and 30% reported >90% adherence at follow-up. Among those presenting for initial appointments (n = 117), most were MSM (n = 95, 81%) and black (n = 62, 53%); 21 (18%) were Latinx and 9 (8%) were trans persons. Almost half (n = 55) were uninsured. We found statistically significant differences between PrEP initiators versus noninitiators based on race/ethnicity (p = 0.02), insurance status (p=0.05), and history of sex work (p-0.05). In conclusion, this collaborative model of PrEP care was able to reach predominantly black and Latino MSM in the southern United States. Although sustainable, program strategies to improve steps along the PrEP care continuum are vital in this population.
机译：接受预防预防预防（准备）受到与男性（MSM）发生性关系的黑人和拉丁裔男性的限制，特别是在美国南部。公共卫生部门和联邦合格的健康中心（FQCS）主要提供了绝对的人群，唯一能够改善进入。我们在北卡罗来纳州（NC）的公共卫生部门和FQC之间进行了新的预备合作。 2015年5月，启动了预备计划，其中包括在公共卫生部门的无成本艾滋病毒/性传播的感染筛查，然后转介给Prep Services的Colocated FQC。我们对进入该计划进入该计划的患者进行了预备连续uum，以2018年2月。使用Wilcoxon排名和非分类或Fisher对分类变量的确切测试进行比较预备发起人和非定位器。在196名患者中提到了FQC，60％的初步任用，43％填写处方，38％持续存在> 3个月，30％报告称为随访90％。在初始约会的那些呈现（n = 117）中，大多数是MSM（n = 95,81％）和黑色（n = 62,53％）; 21（18％）是拉丁蛋白，9（8％）是反式人员。几乎一半（n = 55）没有保险。我们发现准备者与基于种族/种族的非素代家（P = 0.02），保险状况（P = 0.05）和性工作历史（P-0.05）之间的统计学上存在统计学意义。总之，这种预备服务的协作模型能够在美国南部主要致力于黑人和拉丁裔MSM。虽然可持续的，沿着预备护理连续体的改进步骤的计划策略在这一人口至关重要。

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