{"title":"暴露前预防(PrEP)在美国大学生中用于艾滋病毒预防。","authors":"Lisa L Lindley, Kasey Schlack","doi":"10.1080/07448481.2025.2538078","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess HIV pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.</p><p><strong>Participants: </strong>Full- and part-time students (aged 18+ years) attending 4-year institutions (<i>n</i> = 133831).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Two percent (<i>n</i> = 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-9"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.\",\"authors\":\"Lisa L Lindley, Kasey Schlack\",\"doi\":\"10.1080/07448481.2025.2538078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess HIV pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.</p><p><strong>Participants: </strong>Full- and part-time students (aged 18+ years) attending 4-year institutions (<i>n</i> = 133831).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Two percent (<i>n</i> = 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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":14900,\"journal\":{\"name\":\"Journal of American College Health\",\"volume\":\" \",\"pages\":\"1-9\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-07-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of American College Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/07448481.2025.2538078\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of American College Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07448481.2025.2538078","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.
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.
期刊介绍:
Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.