PrEP prevents HIV infections, but it's not reaching Black women

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PrEP prevents HIV infections, but it's not reaching Black women
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A significant number of new HIV infections happen among Black women, and a health education effort in Atlanta wants to make sure Black women can access the HIV-prevention medicines known as PrEP.

Alexis Perkins, 25, tried to get a prescription for PrEP during a recent visit to her OB-GYN in Atlanta, but her doctor did not feel confident prescribing it.

"She was at least honest enough to say that she was interested in it, but she didn't really know that much about it," says Perkins, a 25-year-old nurse, who decided to get on PrEP after participating in a sexual health education class and thinking more about her own risk. She's still trying to find a provider to write her a prescription.for the U.S.

That decision frustrated HIV researchers and advocates, including Rochelle Walensky, who worked at the Harvard University Center for AIDS Research earlier in her career, before she led the CDC., Walensky and her colleague Robert H. Goldstein criticized this"two-tier system," in which men can get the medication knowing it's safe for them and with insurance approval, but women can't.it would conduct a trial focused on the drug's use among cisgender women.

"Policies that increase access to health insurance, such as Medicaid expansion, can improve access to PrEP," the study says."This may be especially impactful for the southern US," where many states have yet to expand the state-federal insurance program for low-income people under the Affordable Care Act.

Increasing PrEP uptake requires expanding access to good jobs, affordable health care, and stable housing, Monger says, to allow Black women to feel more empowered to take control of their health.in 2019 in Jackson, Mississippi, with Black cisgender women, who said they felt their experiences weren't reflected in advertising campaigns for PrEP.

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