Table 3.
Characteristics of HIV-Negative Individuals at Each Stage of the HIV Pre-Exposure Prophylaxis (PrEP) Care Continuum1 Compared to Individuals Newly Diagnosed with HIV, Baltimore, Maryland September 30, 2015 – September 29, 2019
Reported New HIV Diagnoses 2016–20182 |
PrEP Care Continuum Outcomes | ||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Screened | Indicated | Referred | Linked | Clinically Evaluated | Prescribed | ||||||||||||||||
N = 764 | N = 25,886 | N = 8,063 | N = 4,578 | N = 1,250 | N = 868 | N = 722 | |||||||||||||||
n | % | n | % | n | % | n | % | n | % | n | % | n | % | ||||||||
Race/Ethnicity | |||||||||||||||||||||
Non-Hispanic Black | 613 | 80.2 | 20,998 | 81.1 | 5,875 | 72.9 | ‡ | 3,080 | 67.2 | ‡ | 766 | 61.3 | ‡ | 593 | 68.3 | ‡ | 392 | 54.3 | ‡ | ||
Non-Hispanic White | 82 | 10.7 | 2,708 | 10.5 | 1,436 | 17.8 | 996 | 21.8 | 339 | 27.1 | 254 | 29.3 | 226 | 31.3 | |||||||
Hispanic | 48 | 6.3 | 1,464 | 5.7 | 446 | 5.5 | 281 | 6.1 | 81 | 6.5 | 69 | 7.9 | 55 | 7.6 | |||||||
Non-Hispanic Other | 21 | 2.8 | 716 | 2.8 | 306 | 3.8 | 221 | 4.8 | 73 | 5.8 | 51 | 5.9 | 49 | 6.8 | |||||||
Age | |||||||||||||||||||||
13–24 years | 162 | 21.2 | 7,600 | 29.4 | ‡ | 2,302 | 28.6 | ‡ | 1,355 | 29.6 | ‡ | 381 | 30.5 | ‡ | 259 | 29.8 | ‡ | 46 | 26.9 | ‡ | |
25–34 years | 265 | 34.7 | 9,141 | 35.3 | 2,857 | 35.4 | 1,602 | 35.0 | 512 | 41.0 | 375 | 43.2 | 355 | 45.6 | |||||||
≥ 35 years | 337 | 44.1 | 9,145 | 35.3 | 2,904 | 36.0 | 1,621 | 35.4 | 357 | 28.6 | 234 | 27.0 | 201 | 27.6 | |||||||
Gender | |||||||||||||||||||||
Cisgender males | 570 | 74.6 | 15,825 | 61.1 | ‡ | 5,587 | 69.3 | 2,820 | 61.6 | ‡ | 958 | 76.6 | 692 | 79.7 | ‡ | 606 | 83.9 | ‡ | |||
Cisgender females | 179 | 23.4 | 9,713 | 37.5 | 2,128 | 26.4 | 1,572 | 34.3 | 215 | 17.2 | 137 | 15.8 | 87 | 12.0 | |||||||
Transgender4 | 15 | 2.0 | 348 | 1.3 | 348 | 4.3 | 186 | 2.3 | 77 | 6.2 | 39 | 4.5 | 29 | 4.0 | |||||||
Priority Populations 3 | |||||||||||||||||||||
MSM4 | 358 | 55.2 | 2,870 | 11.1 | ‡ | 2,870 | 35.6 | ‡ | 1,684 | 36.8 | ‡ | 787 | 63.0 | ‡ | 590 | 68.0 | ‡ | 538 | 74.5 | ‡ | |
MSM PWID4 | 12 | 1.8 | 20 | 0.1 | 20 | 0.2 | 15 | 0.3 | 7 | 0.6 | < 55 | < 0.6 | < 55 | < 0.7 | |||||||
Transgender4 | 15 | 2.3 | 348 | 1.3 | 348 | 4.3 | 186 | 4.1 | 77 | 6.2 | 39 | 4.5 | 29 | 4.0 | |||||||
PWID4 | 65 | 10.0 | 196 | 0.8 | 196 | 2.4 | 66 | 1.4 | 11 | 0.9 | 6 | 0.7 | < 55 | < 0.7 | |||||||
Heterosexual | 199 | 30.7 | 22,452 | 86.7 | 4,629 | 57.4 | 2,627 | 57.4 | 638 | 51.0 | 231 | 26.6 | 150 | 20.8 |
PrEP care continuum outcome definitions:
Screened: received HIV screening and/or assessed for HIV acquisition risk.
Indicated: based on U.S. Centers for Disease Control PrEP guidelines and local epidemiology and includes individuals who: were cisgender gay, bisexual or other man who has sex with men (MSM); were transgender; or reported needle sharing (past 12m), a sex partner living with HIV (past 12m), buying or selling sex (past 12m), ≥ 2 episodes of HIV post-exposure prophylaxis (past 12m), previous syphilis, gonorrhea or rectal chlamydia diagnosis (past 3m).
Referred: received information on how to obtain PrEP and/or direct referral to a PrEP provider.
Linked: received navigation and/or clinical services related to PrEP at a participating site.
Clinically Evaluated: received a clinical exam for PrEP at a participating site.
Prescribed: PrEP prescription documented.
Baltimore City residents with a new HIV diagnosis reported between January 1, 2016 and December 31, 2018
Excludes 116 individuals newly diagnosed with HIV with no priority population identified. The total number of individuals newly diagnosed with HIV with assigned priority population is 648.
Transgender: individuals whose gender identity differs from their sex assigned at birth; MSM: gay, bisexual or other man who has sex with men; PWID: persons who inject drugs
Data suppressed
p < 0.001