Conclusions
PrEP will play a critical role in HIV elimination in the United States, but its success will also depend on how we use it to address the persistent racial disparities in HIV incidence. Implementation of PrEP following a continuum framework could achieve the dual goals of reducing HIV incidence overall and decreasing the disparities in incidence between BMSM and WMSM over the next decade even despite current racial gaps in PrEP care. However, targeting these gaps with existing and novel interventions is greatly needed to make critical advances in using PrEP to reduce disparities.
Abbreviations
BMSM, black men who have sex with men; CrI, credible interval; HIV, human immunodeficiency virus; MSM, men who have sex with men; NNT, number needed to treat; PrEP, preexposure prophylaxis; PYAR, person-years at risk; WMSM, white men who have sex with men.
Acknowledgments
This work was supported by Centers for Disease Control and Prevention (grant U38 PS004646), and by the National Institutes of Health (grants R21 MH112449, R21 HD075662, P30 AI050409, and P30 AI027757).
We thank members of the scientific and public health advisory groups of the Coalition for Applied Modeling for Prevention project for their input on this study, and specifically those members who reviewed a previous version of this manuscript: Drs. Gregory Felzien and Jane Kelly.
The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of the US National Institutes of Health or Centers for Disease Control and Prevention.
Am J Epidemiol. 2019;188(4):743-752. © 2019 Oxford University Press
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