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

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Publicat a:American Journal of Public Health vol. 115, no. 6 (Jun 2025), p. 920
Autor principal: Hoover, Karen W, MD
Altres autors: 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
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American Public Health Association
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022 |a 0271-4353 
022 |a 0273-1975 
024 7 |a 10.2105/A]PH.2025.308056)  |2 doi 
035 |a 3214124108 
045 2 |b d20250601  |b d20250630 
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100 1 |a Hoover, Karen W, MD 
245 1 |a Low HIV Preexposure Prophylaxis Coverage Among Women: Focused, Innovative Strategies Can Increase Use-United States, 2017–2023 
260 |b American Public Health Association  |c Jun 2025 
513 |a Journal Article 
520 3 |a 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. 
610 4 |a Centers for Disease Control & Prevention--CDC Food & Drug Administration--FDA 
651 4 |a Puerto Rico 
651 4 |a Florida 
651 4 |a United States--US 
653 |a Prescriptions 
653 |a Infections 
653 |a Womens health 
653 |a Public health 
653 |a Disease control 
653 |a Surveillance 
653 |a Trends 
653 |a Counties 
653 |a Prescription drugs 
653 |a Social networks 
653 |a Human immunodeficiency virus--HIV 
653 |a Women 
653 |a Health disparities 
653 |a Disease prevention 
653 |a Ethnicity 
653 |a Antiretroviral drugs 
653 |a Prevention 
653 |a Intervention 
653 |a FDA approval 
653 |a Black people 
653 |a Empowerment 
653 |a Progress reports 
653 |a Race 
653 |a Departments 
653 |a Disease transmission 
653 |a Healthy food 
653 |a Medical diagnosis 
653 |a Preventive medicine 
653 |a Health education 
653 |a Prevention programs 
653 |a Pharmacy 
653 |a Epidemics 
653 |a Social 
700 1 |a Zhu, Weiming, MD, PhD 
700 1 |a Hess, Kristen L, PhD 
700 1 |a Spikes, Pilgrim, PhD 
700 1 |a Huang, Ya-Lin A, PhD 
700 1 |a Wiener, Jeffrey, PhD 
700 1 |a Dunbar, Erica K, MPH 
700 1 |a Raiford, Jerris L, PhD 
700 1 |a Collins, Charles B, PhD 
700 1 |a DiNenno, Elizabeth A, PhD 
700 1 |a Kourtis, Athena P, MD, PhD 
700 1 |a Brooks, John T, MD 
700 1 |a Fanfair, Robyn Neblett, MD 
700 1 |a Courtenay-Quirk, Cari, PhD 
773 0 |t American Journal of Public Health  |g vol. 115, no. 6 (Jun 2025), p. 920 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3214124108/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3214124108/fulltext/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3214124108/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch