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Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men — 23 Urban Areas, 2017

2019; Centers for Disease Control and Prevention; Volume: 68; Issue: 37 Linguagem: Inglês

10.15585/mmwr.mm6837a2

1545-861X

Dafna Kanny, William L. Jeffries, Johanna Chapin-Bardales, Paul Denning, Susan Cha, Teresa Finlayson, Cyprian Wejnert, Meaghan Abrego, Alia Al‐Tayyib, Bridget J. Anderson, Narquis Barak, Jeremy Beckford, Barbara Bolden, Kathleen A. Brady, Mary-Grace Brandt, Meredith Brantley, Sarah Braunstein, Celestine Buyu, Rosalinda Cano, Sidney Carrillo, Jie Deng, Karen Diepstra, Rose Doherty, Anna Flynn, Colin Flynn, David W. Forrest, Danielle German, Sara N. Glick, Henry Godette, Vivian Griffin, Emily Higgins, Theresa Ick, Tom Jaenicke, Antonio D. Jimenez, Salma Khuwaja, Monina Klevens, Irene Kuo, Zaida Lopez, Yingbo Ma, Stephanie Masiello Schuette, Melanie Mattson, Shanell L. McGoy, David W. Melton, Sandra Miranda De León, Willie Nixon, Chrysanthus Nnumolu, Conall O’Cleirigh, Jenevieve Opoku, E. Roberto Orellana, Paige Padgett, Jonathon Poe, H. Fisher Raymond, Toyah Reid, Alexis V. Rivera, William T. Robinson, Yadira Rolón-Colón, Randi Rosack, Sean Schafer, Ekow Kwa Sey, Jennifer Shinefeld, Emma Spencer, Ashley Tate, Jeff Todd, Margaret Vaaler, Afework Wogayehu, Pascale Wortley,

Sex work and related issues

In 2017, preliminary data show that gay, bisexual, and other men who have sex with men (MSM) accounted for 67% of new diagnoses of human immunodeficiency virus (HIV) infection, that MSM who inject drugs accounted for an additional 3%, and that African American/black (black) and Hispanic/Latino (Hispanic) MSM were disproportionately affected (1). During 2010-2015, racial/ethnic disparities in HIV incidence increased among MSM; in 2015, rates among black and Hispanic MSM were 10.5 and 4.9 times as high, respectively, as the rate among white MSM (compared with 9.2 and 3.8 times as high, respectively, in 2010) (2). Increased use of preexposure prophylaxis (PrEP), which reduces the risk for sexual acquisition of HIV infection by approximately 99% when taken daily as prescribed,* would help to reduce these disparities and support the Ending the HIV Epidemic: A Plan for America initiative† (3). Although PrEP use has increased among all MSM since 2014 (4), racial/ethnic disparities in PrEP use could increase existing disparities in HIV incidence among MSM (5). To understand racial/ethnic disparities in PrEP awareness, discussion with a health care provider, and use (steps in the HIV PrEP continuum of care) (6), CDC analyzed 2017 National HIV Behavioral Surveillance (NHBS) data. Black and Hispanic MSM were significantly less likely than were white MSM to be aware of PrEP, to have discussed PrEP with a health care provider, or to have used PrEP within the past year. Among those who had discussed PrEP with a health care provider within the past year, 68% of white MSM, 62% of Hispanic MSM, and 55% of black MSM, reported PrEP use. Prevention efforts need to increase PrEP use among all MSM and target eliminating racial/ethnic disparities in PrEP use.§.