State same-sex marriage policies and pre-exposure prophylaxis implementation among men who have sex with men in the United States.

ABSTRACT:

Introduction

More than 70% of new HIV diagnoses in the United States were among men who have sex with men (MSM) in 2019. Pre-exposure prophylaxis (PrEP) is a transformative innovation for reducing human immunodeficiency virus (HIV) infections. Structural stigma against sexual minorities, including in the form of state-level policies, may affect PrEP implementation. We evaluated whether lower structural stigma reflected by earlier year of state same-sex marriage legalization was associated with increased male PrEP prescriptions and male PrEP-to-need ratio (PnR), a ratio of PrEP prescriptions to new HIV diagnoses.

Methods

We used 2012-2019 AIDSVu data on male PrEP prescriptions and male PnR in each US state and year. We used generalized estimating equations to evaluate the rel

SUBMITTER: Raifman J 

PROVIDER: S-EPMC10667585 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature