U.S. HIV Rates Are Dropping. But the Progress Is Not Equal

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U.S. HIV Rates Are Dropping. But the Progress Is Not Equal
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The CDC documents an encouraging drop in HIV among young people, but disparities in accessing treatments persist.

of reducing new HIV infections by 90% by 2030. More young gay and bisexual males who are white are accessing treatment and prevention options like PrEP than their Hispanic and Black counterparts; 45% of white men in this group who test positive are getting PrEP or anti-HIV treatments, compared to 27% of Black men and 36% of Hispanic men. The disparities are especially stark when it comes to access to PrEP specifically. Overall, 30% of the estimated 1.

The discrepancy extends to other treatments as well. The latest data show that while 66% of HIV-positive people in 2021 controlled their infection with antiviral drugs, compared to 63% in 2017, only 62% of Blacks and 64% of Hispanics kept levels of their virus at undetectable levels, compared to 72% of whites.

“Deeply entrenched social determinants of health continue to affect HIV treatment and prevention outcomes,” said Dr. Robyn Neblett Fanfair, acting director of CDC’s Division of HIV Prevention. “Racism, systemic inequities, social marginalization, and long-standing barriers to care are key drivers to the disproportionate impact HIV has on some communities, including gay and bisexual men, and particularly Black women.

Neblett Fanfair said the agency is targeting community-based campaigns to the populations and regions of the country with the lowest PrEP uptake, including among Black and Hispanic gay and bisexual men in the south. These campaigns educate people about PrEP by collaborating with local health care providers and clinics that treat sexually transmitted infections.

While the Affordable Care Act mandated that insurers fully cover PrEP with no copays for those who need it, a recent

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