{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T17:20:57Z","timestamp":1783704057606,"version":"3.55.0"},"reference-count":22,"publisher":"American Public Health Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:p> Objectives. To compare health care coverage and utilization between men who have sex with men (MSM) in Medicaid expansion versus nonexpansion states. <\/jats:p><jats:p> Methods. We used cross-sectional weighted data from the National HIV Behavioral Surveillance system, which used venue-based methods to interview and test MSM in 22 US cities from June through December, 2017 (n\u2009=\u20098857). We compared MSM in Medicaid expansion versus nonexpansion states by using the Rao-Scott \u03c7<jats:sup>2<\/jats:sup> test stratified by HIV status. We used multivariable logistic regression to model the relationship between Medicaid expansion, coverage, and preexposure prophylaxis (PrEP) use. <\/jats:p><jats:p> Results. MSM in expansion states were more likely to have insurance (87.9% vs 71.6%), have Medicaid (21.3% vs 3.8%), discuss PrEP with a provider (58.8% vs 44.3%), or use PrEP (31.1% vs 17.5%). <\/jats:p><jats:p> Conclusions. Medicaid expansion is associated with higher coverage and care, including PrEP. <\/jats:p><jats:p> Public Health Implications. States may consider expanding Medicaid to help end the HIV epidemic. <\/jats:p>","DOI":"10.2105\/ajph.2020.306035","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T21:01:26Z","timestamp":1611262886000},"page":"743-751","source":"Crossref","is-referenced-by-count":32,"title":["Health Care Coverage and Preexposure Prophylaxis (PrEP) Use Among Men Who Have Sex With Men Living in 22 US Cities With vs Without Medicaid Expansion, 2017"],"prefix":"10.2105","volume":"111","author":[{"given":"Amy R.","family":"Baugher","sequence":"first","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Finlayson","sequence":"additional","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashunda","family":"Lewis","sequence":"additional","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catlainn","family":"Sionean","sequence":"additional","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ari","family":"Whiteman","sequence":"additional","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyprian","family":"Wejnert","sequence":"additional","affiliation":[{"name":"All authors are with the Division of HIV\/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Ari Whiteman is also with the Oak Ridge Institute for Science and Education, Oak Ridge, TN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the NHBS Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0826"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.1453"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiaa337"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02442-7"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2018.06.009"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2018.1533238"},{"key":"bib11","volume-title":"AIDS activists take aim at Gilead to lower price of HIV drug PrEP","author":"Simmons-Duffin S.","year":"2019"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-014-0738-7"},{"issue":"19","key":"bib17","first-page":"8831","volume":"82","author":"Department of Health and Human Services","year":"2017","journal-title":"Fed Regist"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2017.0147"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003171"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6837a2"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6446a5"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25252"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001497"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2017.1300633"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0675-x"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1071\/SH18103"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-016-1625-1"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02545-1"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.0414"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000467"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2020.306035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,10]],"date-time":"2022-05-10T01:04:06Z","timestamp":1652144646000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2020.306035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.2105\/AJPH.2020.306035"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2020.306035","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}