How can PrEP use among Black people be improved?

"Black people made up 48 percent of new HIV diagnoses in the South, but only 21 percent of PrEP users in the South; in the Midwest, Black people made up 48 percent of new HIV diagnoses, but only 12 percent of PrEP users. This regional disparity demonstrates the significant gap between HIV burden and preventive medication access among Black populations across different areas of the country."

"A National Institutes of Health study released in 2024 found that only 10.3 percent of Black Americans had PrEP coverage, the lowest of any racial demographic, despite being at the highest risk of HIV infection. By comparison, white people had an average PrEP coverage rate of 74 percent. This stark insurance disparity directly impacts access to prevention."

"Teaching people about the ease of use of modern PrEP is important; if people are uncomfortable with injectable medications, oral pills are also available. Community engagement and education about medication options help address misconceptions and barriers to PrEP adoption among Black communities."

Black Americans face disproportionate HIV burden, accounting for 42% of new diagnoses despite comprising 13% of the population. However, PrEP use among Black communities remains critically low at 14% nationally, with regional variations showing even starker disparities—48% of new diagnoses in the South and Midwest but only 21% and 12% PrEP users respectively. A 2024 NIH study revealed only 10.3% of Black Americans had PrEP coverage compared to 74% for white Americans, the lowest coverage rate despite highest HIV risk. Community organizations like Us Helping Us work to increase awareness and address stigma. A 2025 Supreme Court ruling clarified insurance requirements for PrEP coverage, though proactive efforts remain necessary to improve access and utilization in Black communities.

Read at Advocate.com