Table 1.
Distribution of number PrEP users and PrEP need in the United States by geographic region and state-level demographic characteristics, Q4 2017
| Total | |||||
|---|---|---|---|---|---|
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| |||||
| Number of PrEP users | New HIV Diagnoses | PrEP-to-need ratio (PnR) | |||
|
|
|
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| N (%) | per 100,000 population° | N (%) | per 100,000 population° | ||
|
| |||||
| Totalº | 70,395 | 25.8 | 40,183 | 14.7 | 1.8 |
|
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| Census Region and Division | |||||
|
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| Midwest | |||||
|
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| East North Central | 8,858 (13) | 22.6 | 3,807 (10) | 9.7 | 2.3 |
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| West North Central | 3,105 (4) | 17.7 | 1,232 (3) | 7.0 | 2.5 |
|
| |||||
| Midwest, Total | 11,963 (17) | 21.0 | 5,039 (13) | 8.9 | 2.4 |
|
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| Northeast | |||||
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| Mid-Atlantic | 16,628 (24) | 47.3 | 5,168 (13) | 14.7 | 3.2 |
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| New England | 4,253 (6) | 33.6 | 1,131 (3) | 8.9 | 3.8 |
|
| |||||
| Northeast, Total | 20,881 (30) | 43.7 | 6,299 (16) | 13.2 | 3.3 |
|
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| South | |||||
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| East South Central | 2,253 (3) | 14.2 | 1,991 (5) | 12.6 | 1.1 |
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| West South Central | 5,880 (8) | 18.3 | 6,222 (16) | 19.3 | 0.9 |
|
|
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| South Atlantic | 13,297 (19) | 24.6 | 12,309 (31) | 22.8 | 1.1 |
|
| |||||
| South, total | 21,430 (30) | 21.0 | 20,522 (52) | 20.1 | 1.0 |
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| West | |||||
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| Mountain | 3,546 (5) | 18.0 | 2,067 (5) | 10.5 | 1.7 |
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| Pacific | 12,545 (18) | 28.4 | 5,733 (14) | 13.0 | 2.2 |
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| West, Total | 16,091 (23) | 25.2 | 7,800 (20) | 12.2 | 2.1 |
|
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| Status of State Medicaid expansion¶ | |||||
|
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| Adopted | 50,876 (72) | 30.3 | 21,338 (54) | 12.7 | 2.4 |
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| Not adopted | 19,489 (28) | 19.0 | 18,322 (46) | 17.8 | 1.1 |
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| State medicaid coverage of routine HIV screeningɤ | |||||
|
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| Covered | 54,367 (77) | 28.5 | 25,552 (64) | 13.4 | 2.1 |
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| Not covered | 15,998 (23) | 20.1 | 14,108 (36) | 17.7 | 1.1 |
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| By Stateº | |||||
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| Poverty (by state) | |||||
|
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| Less than 11.9% poverty | 10,145 (14) | 22.0 | 4,750 (12) | 10.3 | 2.1 |
|
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| 11.9% – <14.9% poverty | 12,288 (17) | 22.2 | 4,256 (11) | 7.7 | 2.9 |
|
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| 14.9% – <17.0% poverty | 39,508 (56) | 25.0 | 22,437 (56) | 14.2 | 1.8 |
|
| |||||
| 17.0% or more poverty | 8,454 (12) | 15.4 | 8,740 (22) | 16.0 | 1.0 |
|
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| Percent Uninsured (by state) | |||||
|
| |||||
| Less than 5.6% uninsured | 11,896 (17) | 21.4 | 4,191 (10) | 7.5 | 2.9 |
|
| |||||
| 5.6% – <7.9% uninsured | 34,081 (48) | 29.5 | 13,585 (34) | 11.8 | 2.5 |
|
| |||||
| 7.9% – <9.6% uninsured | 7,858 (11) | 14.6 | 4,861 (12) | 9.0 | 1.6 |
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| 9.6% or more uninsured | 16,560 (24) | 17.1 | 17,546 (44) | 18.2 | 0.9 |
|
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| African American Concentration (by state) | |||||
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| Less than 3.3% African American | 2,553 (4) | 15.7 | 866 (2) | 5.3 | 3.0 |
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| 3.3% – <7.6% African American | 19,794 (28) | 25.8 | 8,593 (21) | 11.2 | 2.3 |
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| 7.6% – <15.6% African American | 20,179 (29) | 21.2 | 12,783 (32) | 13.4 | 1.6 |
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| 15.6% or more African American | 27,869 (40) | 32.7 | 17,941 (45) | 21.1 | 1.5 |
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| Hispanic Concentration (by state) | |||||
|
| |||||
| Less than 4.8% Hispanic | 6,518 (9) | 16.2 | 3,771 (9) | 9.4 | 1.7 |
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| 4.8% – <9.0% Hispanic | 10,889 (15) | 17.7 | 7,664 (19) | 12.4 | 1.4 |
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| 9.0% – <13.8% Hispanic | 12,240 (17) | 29.0 | 6,286 (16) | 14.9 | 1.9 |
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| 13.8% or more Hispanic | 40,748 (58) | 31.5 | 22,462 (56) | 17.3 | 1.8 |
¶
source: Kaiser Commision on Status of State Action on the Medicaid Expansion Decision: 2018.
ɤ
source: Kaiser Commission on State Medicaid Coverage of Routine HIV Screening: 2014.
°
population aged 13 and above in each of the corresponding categories
*
New HIV diagnoses are considered as an ecological proxy for PrEP need per geographic area; states with more new HIV diagnoses have greater need for PrEP use
º
including District of Columbia and Puerto Rico