학술논문
Effects of mode of transportation on PrEP persistence among urban men who have sex with men.
Document Type
Article
Author
Source
Subject
*HIV prevention
*HEALTH services accessibility
*CONFIDENCE intervals
*MULTIPLE regression analysis
*MULTIVARIATE analysis
*PRE-exposure prophylaxis
*DESCRIPTIVE statistics
*RESEARCH funding
*MEN who have sex with men
*METROPOLITAN areas
*ODDS ratio
*DATA analysis software
*TRANSPORTATION
*TRAVEL hygiene
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Language
ISSN
0954-0121
Abstract
Little is known about the effect of travel-related factors, such as mode of transportation, on retention in PrEP care, or PrEP persistence. We used data from the 2020 American Men's Internet Survey and conducted multilevel logistic regression to estimate the association between mode of transportation used for healthcare access and PrEP persistence among urban gay, bisexual, and other men who have sex with men (MSM) in the U.S. MSM using public transportation were less likely to report PrEP persistence (aOR: 0.51; 95% CI: 0.28–0.95) than MSM using private transportation. There were no significant associations between PrEP persistence and using active transportation (aOR: 0.67; 95% CI: 0.35–1.29) or multimodal transportation (aOR: 0.85; 95% CI: 0.51–1.43) compared to using private transportation. Transportation-related interventions and policies are needed to address structural barriers to accessing PrEP services and to improve PrEP persistence in urban areas. [ABSTRACT FROM AUTHOR]