/prepupscale

This repository contains files used for my Master of Health Science in Epidemiology thesis completed in May 2024.

Primary LanguageRMIT LicenseMIT

PrEP Upscale

This repository contains files used for my Master of Health Science in Epidemiology thesis completed in May 2024. Specifically, it contains data and code to compute the baseline regression models for pre-exposure prophylaxis use, indication and persistence.

Title: Evaluating the impact of increasing pre-exposure prophylaxis (PrEP) uptake and persistence among Black and Hispanic men who have sex with men on future reductions and racial disparities in HIV incidence in the United States

Advisors: Drs. Parastu Kasaie and Todd Fojo

Model calibration repository: github.com/tfojo1/jheem_analyses

The PrEP input manager used to create the functional form can be found here.

A small snapshot of the data sources and models used:

PrEP Use Model Formulation

Subpopulation Model Scale/Type Data Source
Men who have sex with men (MSM) PrEP Use among MSM = β₀ + β₁ * year + β₂ * race + β₃ * age Linear American Men’s Internet Survey 2017, 2018, 2019
People who inject drugs (PWID) PrEP Use among PWID = β₀ + β₁ * year + β₂ * race + β₃ * age + β₄ * female Linear National HIV Behavioral Surveillance (NHBS) data from 2015, 2017
Heterosexual Individuals (HET) PrEP Use among HET = β₀ + β₁ * year + β₂ * race + β₃ * age + β₄ * female Linear NHBS data from 2016, 2019

PrEP indication Model Formulation

Subpopulation Model Scale/Type Data Source
MSM logit((PrEP indication among MSM)/(Maximum PrEP indication)) = β₀ + β₁ * year + β₂ * race + β₃ * age Logit Scale American Men’s Internet Survey 2017, 2018, 2019; NHBS 2014, 2017, 2021
PWID logit(PrEP indication among PWID) = β₀ + β₁ * year + β₂ * race + β₃ * age + β₄ * female Logit Scale NHBS 2009, 2012, 2015
HET logit(PrEP indication among HET) = β₀ + β₁ * year + β₂ * race + β₃ * age + β₄ * female Logit Scale NHBS 2010, 2013, 2016

PrEP persistence Model Formulation

Subpopulation Model Scale/Type Data Source
All PrEP Persistence = β₀ + β₁ * race + β₂ * risk + β₃ * age Static Linear San Francisco Primary Care Clinics