Assessment of PrEP Awareness, PrEP Discussion with a Provider, and PrEP Use by Transmission Risk Group with an Emphasis on the Southern United States.

AIDS Behav

Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333, USA.

Published: September 2021

AI Article Synopsis

  • The highest number of new HIV diagnoses occurs in the South, where many at-risk individuals are not engaging with pre-exposure prophylaxis (PrEP) care.
  • A study of National HIV Behavioral Surveillance data showed low awareness and use of PrEP, especially among heterosexuals (7%) compared to men who have sex with men (85%).
  • Overall, PrEP use was low (≤ 35%) across all groups, with no significant differences found between individuals in the South and those in other regions, highlighting a need for increased efforts to promote PrEP use.

Article Abstract

The number of new HIV diagnoses is highest in the South. Many persons who might benefit from pre-exposure prophylaxis (PrEP) are not engaged in the HIV PrEP continuum of care. We analyzed National HIV Behavioral Surveillance data to assess engagement in the PrEP continuum of care among persons with increased HIV risk. We compared PrEP awareness, discussion with a clinical provider, and use among persons living in the South to those living elsewhere in the United States. PrEP awareness was lowest among heterosexual persons (7%), highest among men who have sex with men (85%), and 26% among persons who inject drugs. PrEP use was low among each population (≤ 35% for all cycles). There was limited evidence of differences in PrEP use between persons in southern and non-southern U.S. Efforts are needed to increase use of PrEP among each of the groups with increased HIV risk.

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Source
http://dx.doi.org/10.1007/s10461-021-03164-5DOI Listing

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