Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.
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| Title: | Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States. |
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| Authors: | Lindley, Lisa L. (AUTHOR), Schlack, Kasey (AUTHOR) |
| Source: | Journal of American College Health. Feb2026, Vol. 74 Issue 2, p547-555. 9p. |
| Subjects: | HIV prevention, Gender-nonconforming people, Minority students, Health services accessibility, Secondary analysis, African Americans, People of color, Multiple regression analysis, Health insurance, White people, Descriptive statistics, Population geography, Pre-exposure prophylaxis, Odds ratio, Cisgender people, Religion, College students, Data analysis software, Confidence intervals, Assigned gender |
| Geographic Terms: | United States |
| Abstract: | Objective: To assess HIV pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States. Participants: Full- and part-time students (aged 18+ years) attending 4-year institutions (n = 133831). Methods: We conducted a secondary analysis of combined ACHA-NCHA-III survey data from Spring 2022 and Spring 2023. PrEP-to-need ratios (PnR) and PrEP equity ratios (PER) were calculated to identify disparities in PrEP use. Results: Two percent (n = 2662) of students reported taking PrEP. Overall, the PrEP-to-need ratio (PnR) was 13.9, indicating that approximately 14 students are taking PrEP for every student diagnosed with HIV. PrEP coverage was highest among White students and cisgender women and lowest among Black students and trans/gender-diverse students assigned male at birth. Conclusions: Levels of PrEP use were highly inequitable, especially among sexual and gender minority students of color. Future efforts should focus on improving PrEP equity for these students and others at greatest risk for HIV. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Objective: To assess HIV pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States. Participants: Full- and part-time students (aged 18+ years) attending 4-year institutions (n = 133831). Methods: We conducted a secondary analysis of combined ACHA-NCHA-III survey data from Spring 2022 and Spring 2023. PrEP-to-need ratios (PnR) and PrEP equity ratios (PER) were calculated to identify disparities in PrEP use. Results: Two percent (n = 2662) of students reported taking PrEP. Overall, the PrEP-to-need ratio (PnR) was 13.9, indicating that approximately 14 students are taking PrEP for every student diagnosed with HIV. PrEP coverage was highest among White students and cisgender women and lowest among Black students and trans/gender-diverse students assigned male at birth. Conclusions: Levels of PrEP use were highly inequitable, especially among sexual and gender minority students of color. Future efforts should focus on improving PrEP equity for these students and others at greatest risk for HIV. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 07448481 |
| DOI: | 10.1080/07448481.2025.2538078 |
