Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration
Bibliographic Data
Objectives. To report demographics, regional variations, and indications for preexposure prophylaxis (PrEP) use for HIV prevention in the Veterans Health Administration (VHA). Methods. We identified persons initiating tenofovir/emtricitabine for the PrEP indication in the United States between July 2012 and April 2016 in a VHA national database. We stratified PrEP use by provider type and VHA region. We calculated PrEP initiation rate for each region with VHA population data. Results. Of the 825 persons who initiated PrEP during the observation period, 67% were White and 76% were men who have sex with men. People who inject drugs and transgender persons represented less than 1% each of the cohort. The majority of PrEP initiations were clustered in 3 states, leading with California (28%) followed by Florida (9%) and Texas (8%). The Southeast had one of the lowest PrEP rates at 10 PrEP initiations per 100 000 persons in care. Infectious disease specialists issued more than two thirds of index PrEP prescriptions. Conclusions. Uptake of PrEP in the VHA is uneven along geographic and risk categories. Understanding the reasons behind these gaps will be key in expanding the use of this important prevention tool
Antiretroviral therapy · Cohort · Demographics · Emtricitabine · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Medical prescription · Men who have sex with men · Population · Pre-exposure prophylaxis · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Internal Medicine · Medicine
From Efficacy to Effectiveness
Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
Worldwide burden of HIV in transgender women
Antiretroviral Preexposure Prophylaxis for Heterosexual HIV Transmission in Botswana
Antiretroviral prophylaxis for HIV infection in injecting drug users in Bangkok, Thailand (the Bangkok Tenofovir Study)
Vital Signs
State of HIV in the US Deep South
Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men
Pre-exposure prophylaxis prescribing and retention in care among heterosexual women at a community-based comprehensive sexual health clinic
Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts
An educational initiative in response to identified PrEP prescribing needs among PCPs in the Southern U.S
Exploring Patterns of Awareness and Use of HIV Pre-Exposure Prophylaxis Among Young Men Who Have Sex with Men
Use of Pre-exposure Prophylaxis (PrEP) in Young Men Who Have Sex with Men is Associated with Race, Sexual Risk Behavior and Peer Network Size
Reaching Key Populations
Stigma and Conspiracy Beliefs Related to Pre-exposure Prophylaxis (PrEP) and Interest in Using PrEP Among Black and White Men and Transgender Women Who Have Sex with Men
Access to Care for Transgender Veterans in the Veterans Health Administration
Disparities in Uptake of HIV Preexposure Prophylaxis in a Large Integrated Health Care System
| Citations per year | 0.6 |
|---|---|
| Citation span | 2021 - 2024 (4) |
| Highly cited | No |