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A US policy perspective on oral preexposure prophylaxis for HIV

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  • Leibowitz, A.A.
  • Parker, K.B.
  • Rotheram-Borus, M.J.

Abstract

Orally administered preexposure prophylaxis is an innovativeand controversial HIV prevention strategy involving the regular use of antiretroviral medications by uninfected individuals. Antiretroviral medications protect against potential HIV infection by reducing susceptibility to the virus. Recent clinical trial results indicate that preexposure prophylaxis can be safe and efficacious for men who have sexual intercourse with men, yet there remain policy considerations surrounding costs, opportunity costs, and ethical issues that must be addressed before broad implementation in the United States. Resources for HIV prevention are limited, thus costeffectiveness analyses of PrEP implementation in nonexperimental situations are needed to allocate prevention funding most productively. Findings from the randomized clinical trials that PrEP is efficacious should mark the beginning of the policy discussion, not its end.

Suggested Citation

  • Leibowitz, A.A. & Parker, K.B. & Rotheram-Borus, M.J., 2011. "A US policy perspective on oral preexposure prophylaxis for HIV," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 982-985.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300066_8
    DOI: 10.2105/AJPH.2010.300066
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