The PrEP utilization data on AIDSVu reveal that since 2012, PrEP users have increased by 2,000% with an average 55% increase each year.
PrEP, or pre-exposure prophylaxis, is when people at risk for HIV take HIV medicine daily to lower their chances of getting infected with HIV. The Centers for Disease Control and Prevention (CDC) has estimated that approximately 1.2 million people are at high risk for HIV exposure and could benefit from comprehensive HIV prevention strategies, including PrEP.
What is Pre-exposure prophylaxis (PrEP)?
- Pre = before
- Exposure = coming into contact with HIV
- Prophylaxis = treatment to prevent an infection from happening
The PrEP utilization data on AIDSVu reveal a 55% average annual increase in persons using PrEP across the U.S. — including a 20% increase from 2018 to 2019. While these data point to significant growth in PrEP use nationwide, they also highlight important disparities in PrEP use across different sexes, age groups, geographic location, socioeconomic status, and access to care. More than 37,800 individuals were diagnosed with HIV in 2018, underscoring the need to continue expanding the use of PrEP and other comprehensive HIV prevention strategies.
AIDSVu’s PrEP data, which provide a reliable and consistent metric for PrEP users in each county and state in the U.S. by year from 2012 to 2019, can be stratified by age and sex. These data and maps offer important, comparative information and tools to public health officials, policymakers, and researchers to inform efforts to increase PrEP awareness and access where it is needed most. Please see the Data Methods page for additional information on the data set and its limitations.
In conjunction with the launch of AIDSVu’s county PrEP data and maps, two studies were conducted and published in Annals of Epidemiology, presenting key insights from the county-level data. According to Siegler et al.’s article in Annals of Epidemiology, PrEP use varied greatly across the U.S. Additionally, Sullivan et al.’s article in Annals of Epidemiology found significant disparities in PrEP use among Ending the HIV Epidemic: A Plan for America (EHE) initiative jurisdictions.
Public Health Officials & Policy Makers
Understand local PrEP use and disparities in use to help inform data-driven policies and programs to increase awareness of and access to PrEP.
Identify trends and gaps in PrEP access, outline facilitators and barriers to PrEP expansion, and determine areas for further exploration.
Utilize data and maps to assist with planning processes, resource allocation, presentations, grant writing and review.
Raise awareness of PrEP use in your community and the need to expand the use of PrEP among those at high risk of getting HIV.
Educate your elected officials and encourage policy change to increase PrEP awareness and access.
PrEP-to-Need Ratio (PnR)
- Overall, the annual PnR increased from 0.3 in 2012 to 6.0 in 2019
- In other words, in 2019, for every one person newly diagnosed with HIV, there were 6 HIV-negative persons using PrEP
- In 2019, the PnR for women (2.3) was a third of the PnR for men (6.9), indicating an inequity in PrEP use for women relative to their need
- The Southern U.S. represented half of new HIV diagnoses in 2018 (51%) but had the lowest PnR (3.9) in 2019 among all regions. In contrast, the Northeast region had the highest PnR (10.7) in 2019
- While the annual PnR increased for all age groups from 2012 to 2019, those aged 24 years and younger had the lowest PnR (4.3) and those aged 35 to 44 years had the highest PnR (7.4)
Use AIDSVu’s PrEP Locator, a national directory of providers of PrEP in the U.S., to find PrEP services near you.Find Locations
Explore AIDSVu’s PrEP maps to see state- and county-level PrEP utilization from 2012 to 2019 and other HIV data such as new diagnoses, prevalence, and mortality.See the Data
Understand PrEP where you live by exploring AIDSVu’s PrEP utilization map.Learn More
Use the testing, Pre-Exposure Prophylaxis (PrEP), and care services locators to find critical HIV/AIDS services near you.Learn More
View city and state profiles with local HIV/AIDS statistics, national comparison charts, and local resources.Learn More
September 26, 2018Read More