Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration

Will Garner; Brigid M Wilson; Lauren Beste; Marissa Maier; Michael E Ohl; Puja Van Epps

doi:10.2105/AJPH.2018.304788

Back

Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration

Journal article

Open access

Peer reviewed

Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration

Will Garner, Brigid M Wilson, Lauren Beste, Marissa Maier, Michael E Ohl and Puja Van Epps

American journal of public health (1971), Vol.108(S4), pp.S305-S310

11/2018

DOI: 10.2105/AJPH.2018.304788

PMCID: PMC6215372

PMID: 30383417

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215372View

Published (Version of record) Open Access

Abstract

To report demographics, regional variations, and indications for preexposure prophylaxis (PrEP) use for HIV prevention in the Veterans Health Administration (VHA). 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. 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. 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.

Adult

Aged

Female

HIV Infections - drug therapy

HIV Infections - epidemiology

HIV Infections - prevention & control

Humans

Male

Middle Aged

Pre-Exposure Prophylaxis - statistics & numerical data

United States - epidemiology

United States Department of Veterans Affairs

Veterans Health - statistics & numerical data

Young Adult

Details

Title: Subtitle: Gaps in Preexposure Prophylaxis Uptake for HIV Prevention in the Veterans Health Administration
Creators: Will Garner - University Hospitals of Cleveland
Brigid M Wilson - University Hospitals of Cleveland
Lauren Beste - University Hospitals of Cleveland
Marissa Maier - University Hospitals of Cleveland
Michael E Ohl - University Hospitals of Cleveland
Puja Van Epps - University Hospitals of Cleveland
Resource Type: Journal article
Publication Details: American journal of public health (1971), Vol.108(S4), pp.S305-S310
DOI: 10.2105/AJPH.2018.304788
PMID: 30383417
PMCID: PMC6215372
ISSN: 0090-0036
eISSN: 1541-0048
Language: English
Date published: 11/2018
Academic Unit: Psychiatry; Internal Medicine
Record Identifier: 9984359836702771

Metrics

13 Record Views

17 Times Cited - Web of Science

See more details