Expanding PrEP Access for Immigrant Latino Men Who Have Sex With Men

HIV rates among Latino men who have sex with men are not decreasing at the same rate as they are decreasing among white MSM. This is a matter of concern as Latinx people are the largest racial/ethnic minority group affected by HIV in California. Currently, the California Department of Public Health in partnership with county health departments, community health centers, healthcare providers and non-profit service providers are collaborating to expand PrEP access throughout California to help curb HIV disease transmission. The state-funded payment assistance program for PrEP-related costs has been a key development in facilitating PrEP uptake. In this study, ... [Read More];

Health Outcomes Associated with Criminalization and Regulation of Sex Trade

On this International Sex Worker Rights Day, we examine the criminalization of commercial sex trade and frameworks seeking to regulate it across the globe. Preventing the spread of disease, including sexually transmitted infections and HIV, are powerful levers for justifying the existence of such laws. This brief seeks to answer the question—what is the evidence that criminalization of sex work has positive effects on public health?We find that the public health justification for criminalization and regulation is not supported by the weight of scientific evidence. Structural innovations to shift law and policy around the criminalization and regulation of sex trade ... [Read More];

Equity Considerations for Expanding PrEP Use for MSM in Los Angeles County

Los Angeles County is one of the 8 priority counties in California under the federal Ending the HIV Epidemic Plan. Despite longstanding efforts, disparities in HIV burden persist, especially among racial/ethnic minority MSM. PrEP is a key pillar of the federal, state, and local plans to end the HIV epidemic. Microsimulation modeling can help us make decisions on how to allocate limited resources by examining the predicted tradeoffs between effectiveness, fairness, and disparity reduction across racial/ethnic groups. This infographic illustrates the potential impact of three PrEP allocation strategies.

The Implementation of Culturally Appropriate Sexual and Reproductive Health Services for Cisgender Women of Color in California

Approximately a third of all women in the U.S. 16 years or older identify as Black and Latina; they are at increased risk for poorer sexual and reproductive health outcomes compared to their white counterparts. We conducted a qualitative study among healthcare providers and administrators to understand and identify barriers to implementing culturally appropriate sexual and reproductive health services for women of color in California, contextualize specified barriers within the current policy landscape, and document potential facilitators at the individual, organizational, and systemic level.

Using Microsimulation Modeling to Inform County EHE Efforts in California

Eight California Counties have been prioritized in the Ending the Epidemics: A Plan for America--Alameda, Orange, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, and San Francisco. Additional federal funding in the hardest hit areas is intended to address barriers and disparities that have limited the successful uptake of proven-effective interventions like PrEP and TaSP. Policymakers need tools to make better and more informed decisions about funding allocation. Being able to predict likely outcomes of potential interventions is a critical component of California’s statewide planning efforts. This can be achieved through computer-based simulation models, such as microsimulation models.

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