干旱区生态环境知识资源中心(Arid): Geographic Access to Preexposure Prophylaxis Clinics Among Men Who Have Sex With Men in the United States

Arid

DOI	10.2105/AJPH.2019.305172
	Geographic Access to Preexposure Prophylaxis Clinics Among Men Who Have Sex With Men in the United States
	Siegler, Aaron J.1; Bratcher, Anna 2; Weiss, Kevin M.2
通讯作者	Siegler, Aaron J.
来源期刊	AMERICAN JOURNAL OF PUBLIC HEALTH
ISSN	0090-0036
EISSN	1541-0048
出版年	2019
卷号	109 期号:9 页码:1216-1223
英文摘要	Objectives. To explore US geographic areas with limited access to HIV preexposure prophylaxis (PrEP) providers, PrEP deserts. Methods. We sourced publicly listed PrEP providers from a national database of PrEP providers from 2017 and obtained county-level urbanicity classification and population estimates of men who have sex with men (MSM) from public data. We calculated travel time from census tract to the nearest provider. We classified a census tract as a PrEP desert if 1-way driving time was greater than 30 or 60 minutes. Results. One in 8 PrEP-eligible MSM (108 758/844 574; 13%) lived in 30-minute-drive deserts, and a sizable minority lived in 60-minute-drive deserts (38 804/844 574; 5%). Location in the South and lower urbanicity were strongly associated with increased odds of PrEP desert status. Conclusions. A substantial number of persons at high risk for HIV transmission live in locations with no nearby PrEP provider. Rural and Southern areas are disproportionately affected. Public Health Implications. For maximum implementation effectiveness of PrEP, geography should not determine access. Programs to train clinicians, expand venues for PrEP care, and provide telemedicine services are needed.
类型	Article
语种	英语
国家	USA
开放获取类型	Green Published
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000486144000039
WOS关键词	CARE ; PREVENTION ; PROVIDERS ; DISTANCE ; BARRIERS ; ATLANTA ; TRAVEL ; WOMEN ; TIME
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/214127
作者单位	1.Emory Univ, Dept Behav Sci & Hlth Educ, Atlanta, GA 30322 USA; 2.Emory Univ, Dept Epidemiol, Atlanta, GA 30322 USA
推荐引用方式 GB/T 7714	Siegler, Aaron J.,Bratcher, Anna,Weiss, Kevin M.. Geographic Access to Preexposure Prophylaxis Clinics Among Men Who Have Sex With Men in the United States[J],2019,109(9):1216-1223.
APA	Siegler, Aaron J.,Bratcher, Anna,&Weiss, Kevin M..(2019).Geographic Access to Preexposure Prophylaxis Clinics Among Men Who Have Sex With Men in the United States.AMERICAN JOURNAL OF PUBLIC HEALTH,109(9),1216-1223.
MLA	Siegler, Aaron J.,et al."Geographic Access to Preexposure Prophylaxis Clinics Among Men Who Have Sex With Men in the United States".AMERICAN JOURNAL OF PUBLIC HEALTH 109.9(2019):1216-1223.