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DTSTART:20241103T020000
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DESCRIPTION:Program: HIV/AIDS Session: Ending the HIV Epidemic Author: Yus
 uf Ransome See all authors and presenters → Abstract Background Despite a
 dvances in HIV prevention and treatment\, Black\, Latino/a/e/x\, and Mult
 iracial (BLM) sexual and gender minorities who have sex with men (SGMSM) 
 in the US continue to experience the highest HIV burden. We investigate h
 ow the spatial and geographic distribution of social-structural factors d
 rives systemic barriers to HIV prevention.Methods: Data were from a natio
 nal cohort of 5\,144 BLM SGMSM nested within 3\,119 zip codes recruited a
 cross all 50 states\, Washington D.C.\, and Puerto Rico primarily through
  digital platforms. We examined geospatial patterns in the distribution o
 f PrEP providers by mapping participant location relative to the nearest 
 PrEP provider. We used multilevel analysis and other spatial methods to e
 xamine county- and state-level indicators of HIV\, structural racism\, po
 verty\, and drive time to nearest PrEP provider as predictors of PrEP use
 . Results Preliminary findings reveal spatial clustering of participants 
 across US cities. Drive time to the nearest PrEP provider\, structural ra
 cism\, local HIV\, and poverty were associated with PrEP use. Specificall
 y\, mean drive time was lower among those who ever used PrEP (32.8 minute
 s) compared to those who never used PrEP (40.3 minutes). Compared to peop
 le living in a zip code with less than 10 minutes drive time to a PrEP pr
 ovider\, those who travel over 60 mins have 29% lower odds of ever using 
 PrEP (OR=0.71\, p=0.001). After adjusting for social-structural factors\,
  the association between drive time over 60 min and ever PrEP use was att
 enuated\, while living in an EHE jurisdiction was associated with 16% hig
 her odds of PrEP use (OR=0.84\, p=0.046). Conclusions Our analyses reveal
  that PrEP access appears to be geospatially patterned and socially deter
 mined across the U.S. Access to this structural level resource was associ
 ated with an individual’s likelihood of using PrEP\, above and beyond the
 ir individual compositional characteristics such as age\, insurance\, edu
 cation and income. Our findings demonstrate how place-based and other soc
 ial determinants can be assessed to identify priority areas where enhance
 d HIV prevention resources are needed\, particularly in locations where m
 ultiple structural barriers intersect. Findings provide evidence-based gu
 idance for targeting resources toward identified high-need areas and impl
 ement tailored place-based HIV prevention programs.\n\nSpeaker:\nYusuf Ra
 nsome\n\nAdmission:\nRegistrationFees: APHA Event Registration is Require
 d\n\nDetails URL:\nhttps://medicine.yale.edu/event/geospatial-and-social-
 structural-determinants-of-prep-use/\n
DTEND;TZID=America/New_York:20251104T164500
DTSTAMP:20260514T231903Z
DTSTART;TZID=America/New_York:20251104T163000
GEO:38.903500;-77.022987
LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:4320.0 - Geospatial and Social-Structural Determinants of PrEP Use
  among Black\, Latinx\, and Multiracial Sexual and Gender Minorities who 
 have Sex with Men in the United States
UID:33ffc0a4-52b9-4ca1-8527-57a99ed2f260
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