Low HIV Preexposure Prophylaxis Coverage Among Women: Focused, Innovative Strategies Can Increase Use-United States, 2017–2023

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Detalles Bibliográficos
Publicado en:	American Journal of Public Health vol. 115, no. 6 (Jun 2025), p. 920
Autor principal:	Hoover, Karen W, MD
Otros Autores:	Zhu, Weiming, MD, PhD, Hess, Kristen L, PhD, Spikes, Pilgrim, PhD, Huang, Ya-Lin A, PhD, Wiener, Jeffrey, PhD, Dunbar, Erica K, MPH, Raiford, Jerris L, PhD, Collins, Charles B, PhD, DiNenno, Elizabeth A, PhD, Kourtis, Athena P, MD, PhD, Brooks, John T, MD, Fanfair, Robyn Neblett, MD, Courtenay-Quirk, Cari, PhD
Publicado:	American Public Health Association
Materias:	Centers for Disease Control & Prevention > CDC Food & Drug Administration > FDA Puerto Rico Florida United States > US Prescriptions Infections Prophylaxis Womens health Public health Disease control Surveillance Trends Counties Prescription drugs Social networks Human immunodeficiency virus > HIV Women Health disparities Disease prevention Ethnicity Antiretroviral drugs Prevention Intervention FDA approval Black people Empowerment Progress reports Race Departments Disease transmission Healthy food Medical diagnosis Preventive medicine Health education Prevention programs Pharmacy Epidemics Social
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Descripción
Resumen:	Objectives. HIV preexposure prophylaxis (PrEP) use has increased since its US Food and Drug Administration approval in 2012. Our objective was to describe trends in PrEP use by US women. Methods. Using national pharmacy and HIV surveillance data, we calculated the PrEP-to-diagnosis ratio (PDR), a measure of PrEP prescriptions each year compared with HIV diagnoses the previous year, for women from 2017 to 2023. We also calculated PDRs in 2023 for the 20 counties with the highest numbers of diagnosed HIV infections among women and reviewed reports of public health activities conducted by recipients of Centers for Disease Control and Prevention HIV prevention funding. Results. The PDR for women was 1.5 in 2017, and it increased to 5.8 by 2023. In the 20 counties with the highest number of diagnosed HIV infections among women, PDRs ranged from 2.2 to 16.9. Counties With the highest PDRs conducted PrEP activities designed for women. Conclusions. PrEP is a highly effective HIV prevention intervention that can empower women to protect their health, but its use has been low. Public health and clinical interventions designed for women can increase their PrEP use and support ending the US HIV epidemic. (Am J Public Health. 2025;115(6):920-923.
ISSN:	0090-0036 0002-9572 0271-4353 0273-1975
DOI:	10.2105/A]PH.2025.308056)
Fuente:	ABI/INFORM Global