TABLE 2—
Preexposure Prophylaxis (PrEP) Use in the Veterans Health Administration (VHA) Stratified by VHA Regions and Index Prescription Provider: United States, July 2012–April 2016
| All, No. (%) | No. of Persons With HIV in Care/100 000 Persons in Carea | No. of Unique PrEP Starts/100 000 Persons in Careb | IDS,c No. (%) | PCP Without IDS Consultation,c No. (%) | PCP With IDS Consultation,c No. (%) | PCP With IDS Electronic Consultation,c No. (%) | Pharmacist,c No. (%) | |
| No. | 825 | 566 | 105 | 56 | 46 | 52 | ||
| Region 1d | 167 (20.2) | 540 | 10.4 | 115 (20.3) | 26 (24.8) | 14 (25) | 8 (17.4) | 4 (7.7) |
| Region 2e | 126 (15.3) | 627 | 10.1 | 83 (14.7) | 24 (22.9) | 8 (14.3) | 6 (13) | 5 (9.6) |
| Region 3f | 94 (11.4) | 239 | 5.4 | 81 (14.3) | 7 (6.7) | 1 (1.8) | 3 (6.5) | 2 (3.8) |
| Region 4g | 127 (15.4) | 443 | 11 | 68 (12) | 14 (13.3) | 7 (12.5) | 4 (8.7) | 34 (65.4) |
| Region 5h | 311 (37.7) | 487 | 26.4 | 219 (38.7) | 34 (32.4) | 26 (46.4) | 25 (54.3) | 7 (13.5) |
| Index PrEP—medical center | 730 (88.5) | 531 (93.8) | 60 (57.1) | 52 (92.9) | 36 (78.3) | 51 (98.1) | ||
| Index PrEP—outpatient center | 95 (11.5) | 35 (6.2) | 45 (42.9) | 4 (7.1) | 10 (21.7) | 1 (1.9) |
Note. IDS = infectious disease specialist; PCP = primary care provider.
Number of persons with HIV in care at VHA in 2012 per 100 000 persons in care at VHA in 2012. Data sources: Department of Veterans Affairs. VHA facility quality and safety report fiscal year 2012 data. 2013. Available at: https://www.va.gov/HEALTH/docs/QandS_Report_2013_data_tables_fy12_data.pdf. Accessed June 16, 2018; and HIV infected veterans in VHA care in 2011 through 2015, for the nation, by VISN and by station.17
Number of unique PrEP starts between June 1, 2012, and April 1, 2016, per 100 000 persons in care at VHA in 2012.
IDS consultation either face to face or electronic obtained for PrEP eligibility only.
CT, DE, DC, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, and WV.
AL, FL, GA, KY, SC, and TN.
IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, and WI.
AR, CO, LA, MS, MT, OK, TX, UT, and WY.
AK, AZ, CA, HI, ID, NV, NM, OR, and WA.