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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.
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]
Copyright of Journal of American College Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.
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  Data: <searchLink fieldCode="AR" term="%22Lindley%2C+Lisa+L%2E%22">Lindley, Lisa L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schlack%2C+Kasey%22">Schlack, Kasey</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+American+College+Health%22">Journal of American College Health</searchLink>. Feb2026, Vol. 74 Issue 2, p547-555. 9p.
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  Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Gender-nonconforming+people%22">Gender-nonconforming people</searchLink><br /><searchLink fieldCode="DE" term="%22Minority+students%22">Minority students</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22People+of+color%22">People of color</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+insurance%22">Health insurance</searchLink><br /><searchLink fieldCode="DE" term="%22White+people%22">White people</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Population+geography%22">Population geography</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-exposure+prophylaxis%22">Pre-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Cisgender+people%22">Cisgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Religion%22">Religion</searchLink><br /><searchLink fieldCode="DE" term="%22College+students%22">College students</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Assigned+gender%22">Assigned gender</searchLink>
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– Name: Abstract
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  Data: 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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  Label:
  Group: Ab
  Data: <i>Copyright of Journal of American College Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/07448481.2025.2538078
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 547
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Gender-nonconforming people
        Type: general
      – SubjectFull: Minority students
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: People of color
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Health insurance
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Population geography
        Type: general
      – SubjectFull: Pre-exposure prophylaxis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Cisgender people
        Type: general
      – SubjectFull: Religion
        Type: general
      – SubjectFull: College students
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Assigned gender
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.
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          Name:
            NameFull: Lindley, Lisa L.
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            NameFull: Schlack, Kasey
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          Dates:
            – D: 01
              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
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            – TitleFull: Journal of American College Health
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