MMWR: Racial/Ethnic Disparities in HIV PrEP Among MSM — 23 Urban Areas, 2017

To expand use of HIV pre-exposure prophylaxis (PrEP), interventions to increase PrEP awareness, should encourage health care providers to discuss PrEP, destigmatize PrEP use, and promote racial/ethnic equity in PrEP access.

PrEP is a daily oral pill that reduces the risk for sexual acquisition of HIV by about 99% when taken daily as prescribed. Black men and Hispanic men who have sex with men (MSM) are significantly less likely than white MSM to have discussed PrEP with a health care provider. Increased use of PrEP would help reduce racial/ethnic disparities in HIV incidence rates among MSM and support the “U.S. Ending HIV Epidemic: A Plan for America” initiative. CDC analyzed data from more than 10,100 interviews with MSM at high risk for HIV in 23 U.S. cities. The analysis found white MSM (58%) were significantly more likely than Hispanic (44%) and Black (43%) MSM to have reported they discussed PrEP with a health care provider in the past year. A little more than half (55%) of the Black MSM who reported they discussed PrEP with their health care provider also reported they used PrEP, compared with about two-thirds of those who were Hispanic (62%) and who were white (68%). These findings highlight the critical need to address racial and ethnic disparities in PrEP awareness, PrEP discussions with health care providers, and PrEP use among MSM.

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About Kim Rodgers

Kim Rodgers serves as a Communications Specialist at NACCHO. Her work includes promoting local health departments' best practices, as well as partner tools and resources, in infectious disease and preparedness through NACCHO's communications channels, storytelling, and outreach to various audiences.

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