Publications

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.

Improving HIV, HCV, STD, and Harm Reduction Services in the Era of COVID-19 and Beyond

The COVID-19 pandemic has led to significant disruptions in California’s efforts to expand and improve services for HIV, hepatitis C, sexually transmitted diseases, and harm reduction. On November 18, 2020, the California HIV/AIDS Policy Research Centers and the End the Epidemics coalition convened a community meeting to discuss these challenges and to identify priorities for improving HIV, HCV, STD, and harm reduction services both during and after the COVID-19 pandemic. The event brought together over 120 advocates, researchers, public health officials, and service providers from across California to discuss the many ways COVID-19 has affected their efforts to reach vulnerable ... [Read More];

Gaps in COVID-19 Race/Ethnicity Data in California

The spread of SARS-CoV-2 has been accompanied by troubling disparities in infections, hospitalizations, and deaths. This issue brief underscores lessons from the HIV/AIDS epidemic, outlining the need for comprehensive data to design and carry out appropriate mitigation measures. It draws comparisons to the HIV epidemic and identifies gaps in race/ethnicity data in routine COVID-19 case reporting and explores risk factors for exposure that may be driving disparities in COVID-19 outcomes.

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