[dnsco]

Anecdotally, usage is highly regionalized, and is generally met with cultural resistance leading into exceptsnce per area. I started using it in San Francisco I’m 2013, before it was completely normalized. It has spread from major metropolitan centers and is going through the process of acceptance in smaller towns. A (somewhat sarcastic) call to put truvada in the municipal water supply is generally appreciated in the bay, but when I visit smaller mid-western cities these days there is still a lot of anti-prep sentiment. It has however achieved a reasonable amount of acceptance in regional hubs.