The development of states that have been late adopters of pre-exposure HIV prophylaxis (PrEP) uptake is worsening in contrast with the development of states that have been early adopters. These findings from a retrospective evaluation have been printed in Open Discussion board Infectious Illnesses.
Researchers on the College of Virginia analyzed state-level PrEP uptake between 2014 and 2018 utilizing information from AidsVu.org. Uptake was outlined because the variety of people who acquired a prescription divided by the quantity who had a sign for PrEP use (injection drug use in earlier 6 months, unprotected intercourse with people with HIV or unknown standing, or sexually transmitted an infection in earlier 6 months).
The Northeastern states had the best enhance in PrEP uptake (16.6%) adopted by the Midwest (9.2%), however poor uptake was noticed within the West (7.1%) and the South (7.0%). Yearly, uptake elevated by 1.18% (95% CI, 0.89% to 1.46%) for each 5% enhance in baseline use.
In 2014, the best uptake occurred in Massachusetts (8.3%) and the bottom in Wyoming (0.4%). In 2018, the best uptake was in New York (29.7%) and the bottom in Wyoming (2.4%). Idaho, Montana, and Wyoming have been persistently among the many 5 states with the bottom uptake.
By 2018, states that have been early adopters had elevated uptake of 12% over late adopters. Solely 2 states (Oklahoma and Tennessee) transitioned from being low-uptake states to high-uptake states.
This examine might have been restricted by sourcing information from AidsVu.org, which comprises details about PrEP prescriptions. The investigators couldn’t assess what quantity of people who got a prescription stuffed or took their PrEP.
The examine authors concluded disparities in PrEP uptake between early and late adopting states was worsening within the US. To finish the HIV epidemic, federal and state insurance policies should goal PrEP distribution amongst populations at excessive danger for an infection.
Further analysis is required to evaluate profitable strategies for rising PrEP uptake.
Disclosure: One examine creator declared affiliations with the biotech, pharmaceutical, and/or gadget corporations. Please see the unique reference for a full record of authors’ disclosures.
Powers SD, McQuade ETR, Killelea A, Horn T, McManus KA. Worsening disparities in state-level uptake of HIV pre-exposure prophylaxis from 2014-2018. Open Discussion board Infect Dis. Revealed on-line June 4, 2021. doi:10.1093/ofid/ofab293