Evidence map›Paper›PMID 40719963›Full record

ArticleAIDS and behavior2025

What Is the Effect of Medicaid Expansions on Preexposure Prophylaxis for HIV Prevention Use among Women?

Dion C Allen, Silvia E Rabionet, Sannisha K Dale, Ioana Popovici

Abstract read
In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Dion C AllenDepartment of Sociobehavioral and Administrative Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA. dionc.allen11@gmail.com.ORCID http://orcid.org/0000-0002-0662-7192
Silvia E RabionetDepartment of Sociobehavioral and Administrative Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA.
Sannisha K DaleDepartment of Psychology, University of Miami, Coral Gables, FL, USA.
Ioana PopoviciDepartment of Sociobehavioral and Administrative Pharmacy, Nova Southeastern University, Fort Lauderdale, FL, USA.

Funding

Utilization of health services after engagement with opioid use disorder (OUD) treatment provider by individuals with and without post-traumatic stress disorderP30DA040500 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Yuhua Bao · 2015 to 2026
$20.7M
Five Point Initiative: A Cluster Randomized Trial of a Bundled Implementation Strategy to Address the HIV Epidemic in Black CommunitiesR01MH134269 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI Sannisha K Dale · 2023 to 2026
$4.5M
Understanding Intersectional Discrimination and Adversities among Black Queer Women Living with HIVR01MH121194 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI DALE, SANNISHA K. · 2021 to 2024
$2.8M
Culturally-focused HIV Advancements through the Next Generation for Equity (CHANGE) Training ProgramT32MH126772 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DALE, SANNISHA K, FEASTER, DANIEL J · 2021 to 2025
$1.1M
NIDA NIH HHS P30 DA040500NIDA NIH HHS P30DA040500NIMH NIH HHS R01 MH121194NIMH NIH HHS R01MH121194NIMH NIH HHS R01 MH134269NIMH NIH HHS R01MH134269NIMH NIH HHS R25MH08361NIMH NIH HHS T32 MH126772NIMH NIH HHS T32MH126772
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is a key biomedical tool for combatting HIV spread, but women account for only 5% of users. Between 2015 and 2019, men saw a 9% decrease in new HIV diagnoses, while rates among women remained constant. Using a difference-in-differences regression model and state level HIV surveillance data (utilizing sex assigned at birth) reported by AIDSVu from 2012 to 2021, we examined the impact of Medicaid expansions under the Affordable Care Act on PrEP outcomes. The study revealed that Medicaid expansions were associated with better PrEP outcomes overall, with increases of 18.9% in PrEP rate and 40.4% in PrEP-to-need ratio for every state that expanded Medicaid. Males experienced better outcomes with a 43% increase in PrEP-to-need ratio, while females saw a 15.6% increase that was not statistically significant. Medicaid expansion improves PrEP access for all, however more targeted strategies are needed to increase PrEP uptake among women vulnerable to HIV.

Indexed as

Anti-HIV AgentsHIV InfectionsMedicaidPre-Exposure ProphylaxisAdultFemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient Protection and Affordable Care ActUnited StatesYoung AdultAnti-HIV AgentsHIV preventionMedicaidPre-exposure prophylaxisPrEPPrEP-to-need ratioWomen

Identifiers

PMID40719963
PMCPMC12580425

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Registered trials

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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.