Department of Epidemiology and Biostatistics, Drexel University Dornsife School of Public Health, Philadelphia, Pennsylvania.
Department of Population Health, New York University Langone Health, New York, New York.
AIDS Educ Prev. 2023 Aug;35(4):320-331. doi: 10.1521/aeap.2023.35.4.320.
We sought to describe and quantify the association between HIV service organization availability, HIV burden, and HIV awareness and prevention in the 57 priority jurisdictions selected as part of the U.S. Ending the HIV Epidemic initiative. On average, jurisdictions with more per capita organizations had more people living with HIV, more individuals aware of their positive status, and more individuals prescribed PrEP (b = 0.3; 95% CI [0.2, 0.5] for each additional case per 1,000 people in the first metric, and b = 0.3; 95% CI [0.2, 0.4] and b = 0.1; 95% CI [< 0.1, 0.1], respectively, for each percentage point change in the second two metrics), accounting for jurisdiction size. Several jurisdictions were outliers in the modeled associations and may reflect comparatively better, or worse, performance than similar jurisdictions. This information can assist in evaluating resource allocation and determining whether availability translates to accessibility.
我们旨在描述和量化在美国终结艾滋病流行倡议中选定的 57 个重点司法管辖区内，艾滋病毒服务组织的可及性、艾滋病毒负担以及艾滋病毒意识和预防之间的关联。平均而言，每千人中拥有更多组织的司法管辖区有更多的艾滋病毒感染者，更多的人知晓自己的阳性状况，以及更多的人接受了 PrEP（每增加 1000 人中的 1 例，第一指标中的 b = 0.3；95%置信区间 [0.2, 0.5]，第二和第三个指标中的 b = 0.3；95%置信区间 [0.2, 0.4] 和 b = 0.1；95%置信区间 [<0.1, 0.1]，分别为后两个指标中每百分点的变化），这与司法管辖区的规模有关。几个司法管辖区在模型关联中是异常值，可能反映出与类似司法管辖区相比，表现相对较好或较差。这些信息可以帮助评估资源分配情况，并确定可用性是否转化为可及性。
