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DOI	10.1111/jrh.12645
	Association between the geographic accessibility of PrEP and PrEP use among MSM in nonurban areas
	Sharpe, J. Danielle; Sanchez, Travis H.; Siegler, Aaron J.; Guest, Jodie L.; Sullivan, Patrick S.
通讯作者	Sharpe, JD (corresponding author)，Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Grace Crum Rollins Room 467,1518 Clifton Rd NE, Atlanta, GA 30322 USA.
来源期刊	JOURNAL OF RURAL HEALTH
ISSN	0890-765X
EISSN	1748-0361
出版年	2022-01
英文摘要	Purpose The US HIV epidemic has become a public health issue that increasingly affects men who have sex with men (MSM), including those residing in nonurban areas. Increasing access to pre-exposure prophylaxis (PrEP) in nonurban areas will prevent HIV acquisition and could address the growing HIV epidemic. No studies have quantified the associations between PrEP access and PrEP use among nonurban MSM. Methods Using 2020 PrEP Locator data and American Men's Internet Survey data, we conducted multilevel log-binomial regression to examine the association between area-level geographic accessibility of PrEP-providing clinics and individual-level PrEP use among MSM residing in nonurban areas in the United States. Findings Of 4,792 PrEP-eligible nonurban MSM, 20.1% resided in a PrEP desert (defined as more than a 30-minute drive to access PrEP), and 15.2% used PrEP in the past 12 months. In adjusted models, suburban MSM residing in PrEP deserts were less likely to use PrEP in the past year (adjusted prevalence ratio [aPR] = 0.35; 95% confidence interval [CI] = 0.15, 0.80) than suburban MSM not residing in PrEP deserts, and other nonurban MSM residing in PrEP deserts were less likely to use PrEP in the past year (aPR = 0.75; 95% CI = 0.60, 0.95) than other nonurban MSM not residing in PrEP deserts. Conclusions Structural interventions designed to decrease barriers to PrEP access that are unique to nonurban areas in the United States are needed to address the growing HIV epidemic in these communities.
英文关键词	accessibility geographic HIV pre-exposure prophylaxis men who have sex with men nonurban
类型	Article ; Early Access
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000740056600001
WOS关键词	HIV PREEXPOSURE PROPHYLAXIS ; HEALTH-CARE ; UNITED-STATES ; ANTIRETROVIRAL PROPHYLAXIS ; RURAL-AREAS ; YOUNG MEN ; SEX ; ACCESS ; PREVENTION ; BARRIERS
WOS类目	Health Care Sciences & Services ; Health Policy & Services ; Public, Environmental & Occupational Health
WOS研究方向	Health Care Sciences & Services ; Public, Environmental & Occupational Health
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/377168
作者单位	[Sharpe, J. Danielle; Sanchez, Travis H.; Siegler, Aaron J.; Guest, Jodie L.; Sullivan, Patrick S.] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Grace Crum Rollins Room 467,1518 Clifton Rd NE, Atlanta, GA 30322 USA
推荐引用方式 GB/T 7714	Sharpe, J. Danielle,Sanchez, Travis H.,Siegler, Aaron J.,et al. Association between the geographic accessibility of PrEP and PrEP use among MSM in nonurban areas[J],2022.
APA	Sharpe, J. Danielle,Sanchez, Travis H.,Siegler, Aaron J.,Guest, Jodie L.,&Sullivan, Patrick S..(2022).Association between the geographic accessibility of PrEP and PrEP use among MSM in nonurban areas.JOURNAL OF RURAL HEALTH.
MLA	Sharpe, J. Danielle,et al."Association between the geographic accessibility of PrEP and PrEP use among MSM in nonurban areas".JOURNAL OF RURAL HEALTH (2022).