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September 12, 2025JAIDS Journal of Acquired Immune Deficiency Syndromes

Addressing Health Disparities Associated with the HIV PrEP Initiation Cascade, Baltimore City Health Department Sexual Health Clinics, 2016-2023

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Authors

NSNorberth StrackerSRSarah RivesCSChristina Schumacher

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Overview

Observational analysis reveals improved health equity in PrEP discussions and prescriptions among demographic groups, indicating effective outreach efforts.

Key Points

  • Overall, PrEP discussions increased from 42% to 70% among priority patients, highlighting progress in outreach.
  • Between 2016 and 2023, prescriptions among priority patients expanded from 14% to 34%, emphasizing increasing access to care.
  • Cis women and older MSM consistently showed lower discussion rates, indicating persistent disparities despite overall improvement.
  • The expansion of access to PrEP along with feedback mechanisms reduced disparities in discussions and prescriptions over time.

Cite This Study

Stracker et al. (2025) studied this question.

synapsesocial.com/papers/68d44b2a31b076d99fa543a9https://doi.org/10.1097/qai.0000000000003764
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1P-491. Optimizing Delivery of HIV Pre-Exposure Prophylaxis (PrEP) to Adolescents at Risk of HIV Infection2026
  2. 2Pre-exposure Prophylaxis Prescription Differences at Two Federally Qualified Health Centers.2025
  3. 3P-312. Improving Utilization of PrEP Across Internal Medicine Resident Clinics2026
  4. 4Enhancing Pre-Exposure Prophylaxis Prescribing and Uptake Among Black Women in an Urban Sexually Transmitted Infections Clinic: A Quality Improvement Project2026
  5. 5PrEP reinitiation, uptake, and persistence as targets for reducing HIV incidence and racial and ethnic inequities among men who have sex with men in Boston, USA: a network modeling study2026