Trends in Preexposure Prophylaxis (PrEP) Use Among Sex Partners as Reported by Persons with HIV—United States, May 2015–June 2020

Details

• Alternative Title:
  AIDS
• Personal Author:
  BEER, Linda ; TIE, Yunfeng ; DASGUPTA, Sharoda ; MCMANUS, Timothy ; SMITH, Dawn K. ; SHOUSE, R. Luke
• Corporate Authors:
  Medical Monitoring Project
• 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.
  
  
• Subjects:
  Adult Cross-Sectional Studies HIV Infections Homosexuality, Male Humans Male Pre-Exposure Prophylaxis Sexual Partners United States
• Keywords:
  HIV Human Immunodeficiency Virus Men Who Have Sex With Men Pre-exposure Prophylaxis PrEP
• Source:
  AIDS. 36(15):2161-2169
• Pubmed ID:
  36382435
• Pubmed Central ID:
  PMC11057891
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  36
• Issue:
  15
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:1a9adcf3f18485de8fa7b8c921999ba3aacd2e1607b041c4d8b2aa4f75cd07dd
• Download URL:
  https://stacks.cdc.gov/view/cdc/155106/cdc_155106_DS1.pdf
• File Type:
  [PDF - 166.30 KB ]