Fact Check: "Only 400,000 Americans currently use PrEP, despite millions needing it."
What We Know
The claim that "only 400,000 Americans currently use PrEP" is partially supported by recent data. According to a report by the CDC, approximately 363,957 individuals were using PrEP in the United States by the end of 2021, which reflects a significant increase from 9,626 users in 2012 (source-2). Furthermore, the CDC reported that 856,816 PrEP initiations occurred globally in 2023, with a notable portion of these in the U.S. (source-1).
Despite the increase in users, the need for PrEP is substantially higher. The Joint United Nations Programme on HIV/AIDS (UNAIDS) has set a target of 21.2 million people using PrEP globally by 2025, indicating a significant gap between current usage and the number of individuals who could benefit from PrEP (source-1).
Analysis
The assertion that only 400,000 Americans are currently using PrEP is misleading. While the number of users is indeed lower than the millions who need it, the most recent statistics indicate that the number is closer to 363,957 as of 2021, with growth continuing into 2023 (source-2).
Moreover, the PrEP Equity Ratio highlights disparities in access among different racial and ethnic groups, with Black and Hispanic populations experiencing lower rates of PrEP uptake relative to their need (source-2). This suggests that while the overall number of users is increasing, significant barriers remain, particularly for marginalized communities.
The claim's reliance on the specific figure of 400,000 may stem from outdated or misinterpreted data. The CDC's report indicates that while the U.S. has made progress in PrEP uptake, it still falls short of meeting the needs of those at high risk for HIV, which is a critical aspect of the public health challenge (source-1).
Conclusion
The claim that "only 400,000 Americans currently use PrEP, despite millions needing it" is Partially True. While the number of PrEP users is indeed lower than the millions who could benefit from it, the actual figure is closer to 363,957 as of 2021, with ongoing increases in usage. The significant gap between current usage and the estimated need underscores the challenges in achieving equitable access to PrEP, particularly among high-risk populations.