Evidence map›Paper›PMID 30037634›Full record

ArticleAnnals of epidemiology2018

Trends in the use of oral emtricitabine/tenofovir disoproxil fumarate for pre-exposure prophylaxis against HIV infection, United States, 2012-2017.

Patrick S Sullivan, Robertino Mera Giler, Farah Mouhanna, Elizabeth S Pembleton, Jodie L Guest, Jeb Jones, Amanda D Castel, Howa Yeung, Michael Kramer, Scott McCallister and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed
16.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 224 citations in OpenAlex.

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  12. The prevalence of HIV pre-exposure prophylaxis (HIV-PrEP) use and HIV-PrEP-to-need ratio in nine Canadian provinces, 2018-2021.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2025
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71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Patrick S SullivanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: patrick.sullivan@emory.edu.
Robertino Mera GilerPharmacovigilance & Epidemiology, Gilead Sciences, Foster City, CA.
Farah MouhannaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA; Department of Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington, DC.
Elizabeth S PembletonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Jodie L GuestDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Jeb JonesDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Amanda D CastelDepartment of Epidemiology and Biostatistics, Milken Institute School of Public Health, The George Washington University, Washington, DC.
Howa YeungDepartment of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta, GA.
Michael KramerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Scott McCallisterPharmacovigilance & Epidemiology, Gilead Sciences, Foster City, CA.
Aaron J SieglerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Emory University · USGilead Sciences (United States) · USMilken Institute · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Making it last: A randomized, controlled trial of a home care system to promote persistence in PrEP careR01MH114692 · NIMH · EMORY UNIVERSITY · PI MAYER, KENNETH H, SIEGLER, AARON JULIUS · 2017 to 2021
$5.8M
Understanding substance use and incident HIV/STI among young black MSMR01DA038196 · NIDA · EMORY UNIVERSITY · PI ROSENBERG, ELI SAMUEL, SULLIVAN, PATRICK SEAN · 2014 to 2018
$3.2M
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIAID NIH HHS P30 AI050409NIDA NIH HHS R01 DA038196NIMH NIH HHS R01 MH114692
6 · The paper itself

Abstract

purposePre-exposure prophylaxis (PrEP) with oral emtricitibine/tenofovir disoproxil fumarate (TDF/FTC) reduces the risk of HIV infection by >90% when taken as prescribed. Trends in prevalence of PrEP use, which account for persons who have stopped PrEP, increased through 2016, but have not been described since.

methodsAnnual prevalence estimates of unique, TDF/FTC PrEP users (individuals with ≥1 day of a filled PrEP prescription in a given year) in the United States (US) were generated for 2012-2017 from a national prescription database. A validated algorithm was used to distinguish users of TDF/FTC for HIV or chronic Hepatitis B treatment or postexposure prophylaxis from PrEP users. We calculated annual prevalence of PrEP use overall and by age, sex, and region. We used log-transformation to calculate estimated annual percent change (EAPC) in the prevalence of PrEP use.

resultsAnnual prevalence of PrEP use increased from 3.3/100,000 population in 2012 to 36.7 in 2017 -a 56% annual increase from 2012 to 2017 (EAPC: +56%). Annual prevalence of PrEP use increased faster among men than among women (EAPC: +68% and +5%, respectively). By age group, annual prevalence of PrEP use increased fastest among 25- to 34-year olds (EAPC: +61%) and slowest among ≥55-year olds (EAPC: +52%) and ≤24-year olds (EAPC: +51%). In 2017, PrEP use was lowest in the South (29.8/100,000) and highest in the Northeast (62.3/100,000).

conclusionsDespite overall increases in the annual number of TDF/FTC PrEP users in the US from 2012 to 2017, the growth of PrEP coverage is inconsistent across groups. Efforts to optimize PrEP access are especially needed for women and for those living in the South.

Indexed as

AdultAgedAged, 80 and overAnti-HIV AgentsEmtricitabine, Tenofovir Disoproxil Fumarate Drug CombinationFemaleHIV InfectionsHumansMaleMiddle AgedPre-Exposure ProphylaxisUnited StatesAnti-HIV AgentsEmtricitabine, Tenofovir Disoproxil Fumarate Drug CombinationHIVHIV preventionPre-exposure prophylaxis

Identifiers

PMID30037634
PMCPMC6286244
OpenAlexW2809353979

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.