Large study showed current statistical trends of PrEP access vs PrEP need.
LOS ANGELES — Use of preexposure prophylaxis to prevent HIV is increasing overall, but both the rate of increase for starting PrEP and the rate of unmet need differ widely by demographic group, according to new data from a large study.
Among the findings were that most new PrEP users were men with HIV risk factors who are commercially insured and live in predominantly non-Hispanic White areas . For comparison, men living in predominantly Black or Hispanic neighborhoods, or who are insured by Medicaid, saw lower proportions of PrEP use despite higher annual increases in PrEP use and higher unmet needs.
Colleen Kelley, MD, MPH, with the Division of Infectious Diseases at the Rollins School of Public Health, Emory University, in Atlanta, who was not part of the research, said there has been a slow but improving uptake of PrEP across the board in the United States, “but the issue is that the uptake has been inequitable.”“This is an extremely large study with very recent data,” Kelley said. “Additionally, they were able to couple with unmet need.
Another issue, Kelley said, is that “people are using but they’re also stopping it. People will need to take PrEP many years for protection, but about half discontinue in the first 6-12 months.
Antiretroviral Therapy For HIV Atazanavir Darunavir Etravirine Tipranavir HIV Therapy HIV ART HIV Infection HIV Disease HIV Hiv Vaccine Patient Safety Medicaid Clinical Guidelines Guidelines HIV Diagnosis Human Immunodeficiency Virus Diagnosis Hiv Prevention Insurance Prophylaxis Board Certification Boards Board Recertification Cost Sharing Epidemic
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