HIV Pre-Exposure Prophylaxis Use and Equity in an Urban, Multi-Site Federally Qualified Health Center

Background: Access Community Health Network (ACCESS) is a multi-site network of Federally Qualified Health Centers (FQHCs) located in Chicago that predominately serves Black and Hispanic/Latino patients who experience disproportionate HIV burden. FQHCs must endeavor to provide equitable access to pre-exposure prophylaxis (PrEP) for at-risk patients, but standardized epidemiological methods for assessing PrEP provision in health care settings are lacking. Methods: We compared the demographic characteristics of patients who received at least one PrEP prescription to those of patients who were diagnosed with HIV from January 1, 2023, to December 31, 2024, excluding patients aged