CROI 2024 Abstract eBook

Abstract eBook

Poster Abstracts

U.S. adults with HIV. Facility data on availability of SUD services, including SUD treatment (SUDT), medication-assisted treatment (MAT), and syringe services (SS), were collected. Data were linked to Medical Monitoring Project (MMP) participant data from 2019. Weighted percentages of characteristics at the facility and patient-level were reported by urbanicity, as defined by the Rural-Urban Continuum Code codes. Urbanicity was categorized as follows: counties in metropolitan areas of ≥1,000,000 people (large metro); counties in metropolitan areas of 250,000–1,000,000 people (medium metro); and counties in metropolitan areas of <250,000 people (small metro/nonmetro). Results: Of facilities attended by MMP participants, 72% were in large metro counties, 15% were in medium metro counties, and 13% were in small metro/ nonmetro counties. The percentage of PWH receiving HIV care was highest in large metro counties (73%), followed by medium (18%) and small/nonmetro counites (9%). The availability of onsite SUD services at HIV facilities varied by urbanicity (large metro, medium metro, and small/nonmetro), with SUDT at 31%, 31%, and 21%; MAT at 29%, 30%, and 20%; and SS at 9%, 3%, and 8% of facilities, respectively. (Figure 1A). Corresponding percentages of persons attending facilities with onsite SUD services varied by urbanicity (large metro, medium metro, and small/nonmetro), with SUDT at 35%, 42%, 23%, MAT at 36%, 22%, and 17%; and SS at 7%, 5%, and 7%, respectively (Figure 1B). Conclusion: Onsite SUD service availability is limited at HIV care facilities and may vary by urbanicity, with potentially lower access in less urban counties. Ensuring access to SUD services could help limit risk of HIV outbreaks related to injection drug use, a national priority for achieving goals for the Ending the HIV Epidemic initiative.

Poster Abstracts

CROI 2024 413