Racial Arrest Disparities in the USA by Rural-Urban Location and Region

Jewett, Patricia I.; Gangnon, Ronald E.; Hing, Anna K.; Henning-Smith, Carrie; Chantarat, Tongtan; Areba, Eunice M.; Borowsky, Iris W.

doi:10.1007/s40615-023-01703-5

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Testing for HIV and other STIs was combined into a single measure for this study, but SGM youth may have different motivations for accessing these tests or may experience different levels/forms of testing-related stigma. In addition, the state-level policy measure does not reflect the degree to which these laws were enforced, especially as legislation is often more strongly enforced against marginalized groups [50]. Our study only included passed anti-LGBTQþ legislation, as no current database captures introduced legislation.…”

Section: Discussionmentioning

confidence: 99%

The relationship between anti-LGBTQ+ legislation and HIV prevention among sexual and gender minoritized youth

Kelly,

Ranapurwala,

Pence

et al. 2024

Aids

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Objective: Estimate the longitudinal associations of state-level anti-LGBTQ+ policies and county-level politics with individual HIV prevention outcomes among sexual and gender minoritized (SGM) youth. Design: Keeping it LITE-1 prospectively enrolled 3,330 SGM youth and young adults (ages 13–34) at increased risk of HIV throughout the United States from 2017-2022. Methods: Semiannual surveys collected self-reported HIV prevention measures (current PrEP use, weekly PrEP adherence, HIV/STI testing in the past 6 months). Geolocation was linked with state-level LGBTQ+ policy data and county-level election data. Generalized linear models with GEE estimated the single and joint longitudinal associations for 2 exposures [state-level policy climate (more discriminatory vs. less discriminatory) and county-level political majority (Democratic/swing vs. Republican)] with each outcome. Results: Among participants living in a state with more discriminatory laws, those in a Democratic/swing county had a 6-percentage point increase in PrEP use (95% CI: 0.02, 0.09) compared to those in a Republican county. Those living in a Republican county but a state with less discriminatory laws saw a similar increase (0.05; -0.02,0.11). Residing in both a Democratic/swing county and a state with less discriminatory laws, relative to a Republican county and a state with more discriminatory laws, was associated with a 10-percentage point increase in PrEP use (0.10; 0.06,0.14) and a 5-percentage point increase in HIV/STI testing (0.05; 0.00,0.09). Conclusions: More progressive state and local policies were each associated with increased PrEP use, and together, doubled the magnitude of this association. PrEP is underutilized among SGM youth, and anti-LGBTQ+ policies may exacerbate this gap in coverage.

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Section: Discussionmentioning

confidence: 99%