Sexually transmitted diseases · 2026
Availability of HIV Services in the United States by Geography and STI Clinic Status in 2018 and 2021.
СтатьяНазвание и аннотация: Перевод в очереди
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Luk Carolyn, Horowitz Rebekah, Gift Thomas L, Cain Jami Leichliter
Аннотация
BACKGROUND: We examined the availability of HIV services offered in local jurisdictions' primary sources of safety-net STI services between 2018 and 2021.
METHODS: We used data from the 2018 and 2021 Local Health Department STD Infrastructure Surveys. Survey questions included HIV services offered at the jurisdiction's primary safety-net clinic for STI services. Rao-Scott chi-square tests were used to compare HIV services offered by geographic characteristics and clinic type in 2018 and 2021.
RESULTS: The provision of most HIV services was higher in 2021 than 2018 based on observed values. There was a significant increase in large jurisdictions that offered HIV PrEP initiation (23.6% in 2018 to 53.8% in 2021, p=0.015) and HIV nPEP (18.0% in 2018 to 48.3% in 2021, p=0.001). Differences were observed primarily in the South, with significant increases in HIV PrEP risk assessment and education (32.5% in 2018 to 68.9% in 2021, p<.0001) and HIV PrEP initiation (6.7% in 2018 to 19.3% in 2021, p=0.02). STI clinics significantly increased provision of HIV PrEP risk assessment and education (47.7% in 2018 to 76.6% in 2021, p=0.001), HIV PrEP initiation (12.7% in 2018 to 29.5% in 2021, p=0.008), and HIV PrEP referrals (54.1% in 2018 to 71.5% in 2021, p=0.047). There were no significant differences in HIV services offered among non-STI clinics.
CONCLUSIONS: We identified progress in the availability of HIV services in STI clinics, large jurisdictions, and the South. STI clinics and other primary points of clinical care for STIs can be useful to provide HIV preventive services.
METHODS: We used data from the 2018 and 2021 Local Health Department STD Infrastructure Surveys. Survey questions included HIV services offered at the jurisdiction's primary safety-net clinic for STI services. Rao-Scott chi-square tests were used to compare HIV services offered by geographic characteristics and clinic type in 2018 and 2021.
RESULTS: The provision of most HIV services was higher in 2021 than 2018 based on observed values. There was a significant increase in large jurisdictions that offered HIV PrEP initiation (23.6% in 2018 to 53.8% in 2021, p=0.015) and HIV nPEP (18.0% in 2018 to 48.3% in 2021, p=0.001). Differences were observed primarily in the South, with significant increases in HIV PrEP risk assessment and education (32.5% in 2018 to 68.9% in 2021, p<.0001) and HIV PrEP initiation (6.7% in 2018 to 19.3% in 2021, p=0.02). STI clinics significantly increased provision of HIV PrEP risk assessment and education (47.7% in 2018 to 76.6% in 2021, p=0.001), HIV PrEP initiation (12.7% in 2018 to 29.5% in 2021, p=0.008), and HIV PrEP referrals (54.1% in 2018 to 71.5% in 2021, p=0.047). There were no significant differences in HIV services offered among non-STI clinics.
CONCLUSIONS: We identified progress in the availability of HIV services in STI clinics, large jurisdictions, and the South. STI clinics and other primary points of clinical care for STIs can be useful to provide HIV preventive services.