Spatial Accessibility to HIV Testing, Treatment, and Prevention Services in Illinois and Chicago, USA

Keywords: HIV, Spatial Accessibility, Spatial Analysis, Public Transportation, GIS
Session Type: Virtual Paper Abstract
Day: Monday
Session Start / End Time: 2/28/2022 09:40 AM (Eastern Time (US & Canada)) - 2/28/2022 11:00 AM (Eastern Time (US & Canada))
Room: Virtual 61

Abstract

Accomplishing the goals outlined in “Ending the HIV (Human Immunodeficiency Virus) Epidemic: A Plan for America Initiative” will require properly estimating and increasing access to HIV testing, treatment, and prevention services. In this research, a computational spatial method for estimating access was applied to measure distance to services from all points of a city or state while considering the size of the population in need for services as well as both driving and public transportation. Specifically, this study employed the enhanced two-step floating catchment area (E2SFCA) method to measure spatial accessibility to HIV testing, treatment (i.e., Ryan White HIV/AIDS program), and prevention (i.e., Pre-Exposure Prophylaxis [PrEP]) services. The method considered the spatial location of MSM (Men Who have Sex with Men), PLWH (People Living with HIV), and the general adult population 15-64 depending on what HIV services are recommended for each group by the U.S. Centers for Disease Control (CDC). The study delineated service- and population-specific accessibility maps, demonstrating the method’s utility by analyzing the city of Chicago and the state of Illinois. Findings indicated health disparities in the south and the northwest of Chicago and particular areas in Illinois, as well as unique health disparities for public transportation compared to driving. The methodology details and computer code are shared for use in research and public policy.