Socioeconomic and Racial Factors That Affect HIV Care

Denis Nash, MD, PhD


April 12, 2022

In the United States, the socioeconomic and racial/ethnic groups at greatest risk for HIV have changed. Initially, the HIV epidemic was concentrated largely among gay White men. Over time, this has shifted to people of color. At-risk groups also include those who inject drugs and have unprotected sex.

Pre-exposure prophylaxis (PrEP) is an effective method of preventing HIV. However, access to PrEP is often limited among racial/ethnic minorities and low-income populations. Additionally, rates of PrEP uptake among racial, sexual, and gender minority groups have remained relatively low.

Dr Denis Nash, distinguished professor of epidemiology at City University of New York in New York City, discusses why the use of PrEP is low among these groups and what providers can do to help manage HIV risk in these patients.

He provides insight into data from NIH's LITE initiative, which addresses the best ways to reach and engage at-risk groups about HIV-prevention strategies.

Finally, Dr Nash shares the "gateway to PrEP" as a way to start the discussion with patients about HIV prevention.


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