Trends in preexposure prophylaxis use among sex partners as reported by persons with HIV - United States, May 2015-June 2020

被引:0
作者
Beer, Linda [1 ]
Tie, Yunfeng [1 ]
Dasgupta, Sharoda [1 ]
McManus, Timothy [1 ]
Smith, Dawn K. [1 ]
Shouse, R. Luke [1 ]
机构
[1] Ctr Dis Control & Prevent, Div HIV Prevent, Atlanta, GA USA
关键词
HIV; human immunodeficiency virus; men who have sex with men; preexposure prophylaxis; HEALTH-CARE; PREP USE; PREVENTION; INFECTION; MEN; SERVICES; PROJECT;
D O I
10.1097/QAD.0000000000003366
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objective:To estimate trends in the proportion of sexually active U.S. adults with HIV (PWH) reporting an HIV-discordant sexual partner taking preexposure 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 June 2015-May 2020 to estimate the annual percentage change (EAPC), overall and by selected characteristics, in reported partner PrEP use among PWH with HIV-discordant partners (N=8707) and reported PrEP use among these partners (N=15 844).Results:The proportion of PWH reporting PrEP use by one or more 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 was reported to be taking PrEP. PrEP use rose among all examined populations, although the increases did not eliminate disparities in PrEP use.
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收藏
页码:2161 / 2169
页数:9
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