Table 1.

Distribution of 2,094 PrEP-Providing Clinics and New HIV Diagnoses in the United States

	PrEP-Providing Clinics, 2018		PrEP Eligible MSM, 2016			PrEP Need¹ New Diagnoses, 2016
	N	% of national total	N	% of national total	Clinics per 1,000	N	% of national total	Clinics per 1,000
Census Division
East North Central	260	12	115,444	14	2.3	3,807	10	68.3
East South Central	67	3	37,396	4	1.8	1,991	5	33.7
Middle Atlantic	365	17	87,396	10	4.2	5,168	13	70.6
Mountain	197	9	66,586	8	3.0	2,067	5	95.3
New England	148	7	27,824	3	5.3	1,131	3	130.9
Pacific	485	23	179,799	21	2.7	5,733	14	84.6
South Atlantic	333	16	186,289	22	1.8	12,303	31	27.1
West North Central	100	5	38,928	5	2.6	1,232	3	81.2
West South Central	139	7	110,508	13	1.3	6,222	16	22.3
Urbanicity^a (by county)
Large central metro	1,062	51	447,717	53	2.4	20,344	51	52.2
Large fringe metro	381	18	205,695	24	1.9	7,832	20	48.6
Medium metro	370	18	101,172	12	3.7	6,544	17	56.5
Small metro	143	7	39,911	5	3.6	2,072	5	69.0
Micropolitan	88	4	35,431	4	2.5	1,354	3	65.0
Noncore	50	2	20,232	2	2.5	1,506	4	33.2
Poverty (by county)
Less than 10% poverty	273	13	126,253	15	2.2	3,878	10	70.4
10% – <15% poverty	677	32	249,405	29	2.7	9,698	24	69.8
15% – <20%poverty	855	41	379,932	45	2.3	18,864	48	45.3
20% or more poverty	289	14	94,580	11	3.1	7,215	18	40.1
Percent Uninsured (by county)
Less than 10% uninsured	922	44	297,035	35	3.1	9,484	24	97.2
10% – <15% uninsured	793	38	332,874	39	2.4	16,644	42	47.6
15% – <20% uninsured	299	14	157,017	18	1.9	9,232	23	32.4
20% or more uninsured	80	4	63,244	7	1.3	4,294	11	18.6
African American Concentration (by county)
Less than 5% African American	555	27	207,048	24	2.7	5,906	15	94.0
5% – <10% African American	496	24	209,107	25	2.4	7,909	20	62.7
10% – <20% African American	474	23	198,946	23	2.4	10,260	26	46.2
20% or more African American	569	27	235,068	28	2.4	15,579	39	36.5
Hispanic Concentration (by county)
Less than 5% Hispanic	370	18	132,241	16	2.8	6,549	17	56.5
5% – <10% Hispanic	487	23	192,599	23	2.5	8,450	21	57.6
10% – <20% Hispanic	411	20	160,620	19	2.6	7,248	18	56.7
20% or more Hispanic	826	39	364,709	43	2.3	17,408	44	47.4

New HIV diagnoses are considered as an ecological proxy for PrEP need per geographic area

Large central metro: greater than 1,000,000 population, central. Large fringe metro: greater than 1,000,000 population, fringe. Medium metro: between 250,000 and 999,999 population. Small metro: between 250,000 and 50,000 population. Micropolitan: between 10,000 and 49,999 population. Noncore: less than 10,000 population.