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Trends in Preexposure Prophylaxis (PrEP) Use Among Sex Partners as Reported by Persons with HIV—United States, May 2015–June 2020
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12 01 2022
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Source: AIDS. 36(15):2161-2169
Details:
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Alternative Title:AIDS
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Personal Author:
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Description:Objective:
To estimate trends in the proportion of sexually active U.S. adults with HIV (PWH) reporting an HIV-discordant sexual partner taking pre-exposure prophylaxis (PrEP) and proportion of partners taking PrEP.
Design:
The Medical Monitoring Project is a complex sample survey of U.S. adults with diagnosed HIV.
Methods:
We used annual cross-sectional data collected during 6/2015–5/2020 to estimate the annual percentage change (EAPC), overall and by selected characteristics, in 1) reported partner PrEP use among PWH with HIV-discordant partners (N=8,707) and 2) reported PrEP use among these partners (N=15,844).
Results:
The proportion of PWH reporting PrEP use by ≥1 HIV-discordant sex partner rose 19.5% annually (11.3% to 24.4%). The prevalence rose from 6.0% to 17.4% (EAPC, 25.8%) among Black PWH, 10.1% to 26.0% (EAPC, 19.5%) among Hispanic/Latino PWH, and 20.8% to 34.6% (EAPC, 16.3%) among White PWH. Among MSM with HIV, the prevalence increased from 9.6% to 32.6% (EAPC, 28.2%) among Black MSM, 16.6% to 36.0% (EAPC, 15.6%) among Hispanic/Latino MSM, and 24.9% to 44.1% (EAPC, 17.9%) among White MSM. Among HIV-discordant sex partners, the proportion reported to be taking PrEP increased 21.1% annually (7.8% to 18.8%). Reported PrEP use rose from 4.9% to 14.2% (EAPC, 29.9%) among Black partners, 6.5% to 16.8% (EAPC, 20.3%) among Hispanic/Latino partners, and 12.7% to 26.1% (EAPC, 17.0%) among White partners.
Conclusions:
One in five HIV-discordant sexual partners of PWH were reported to be taking PrEP. PrEP use rose among all examined populations, although the increases did not eliminate disparities in PrEP use.
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Pubmed ID:36382435
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Pubmed Central ID:PMC11057891
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