HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

J Carlo Hojilla; David Vlahov; Pierre-Cedric Crouch; Carol Dawson-Rose; Kellie Freeborn; Adam Carrico

doi:10.1007/s10461-017-2009-x

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HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

Journal article

Open access

Peer reviewed

HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

J Carlo Hojilla, David Vlahov, Pierre-Cedric Crouch, Carol Dawson-Rose, Kellie Freeborn and Adam Carrico

AIDS and behavior, Vol.22(4), pp.1096-1099

2018-04

DOI: https://doi.org/10.1007/s10461-017-2009-x

PMCID: PMC5879003

PMID: 29243109

Abstract

Medication Adherence - statistics & numerical data

HIV Infections - prevention & control

Pre-Exposure Prophylaxis - methods

Sexual Behavior

Reproductive Health

Humans

Retention in Care - statistics & numerical data

Sexual Health

Male

Community Health Services - methods

Incidence

San Francisco

Unsafe Sex - statistics & numerical data

Sexually Transmitted Diseases

Ambulatory Care Facilities

Adult

Homosexuality, Male - psychology

Homosexuality, Male - statistics & numerical data

Pre-Exposure Prophylaxis - statistics & numerical data

In a community-based clinic serving men who have sex with men in San Francisco, California, this study characterized key steps of the pre-exposure prophylaxis (PrEP) cascade and identified correlates of retention in care. In total, 344 patients were evaluated for PrEP. Three-fourths (78%) of those who sought PrEP services initiated PrEP. The overall cumulative incidence of discontinuing PrEP at 13 months was 38%. Men with a sexually transmitted infection (STI) were 44% less likely to be retained (adjusted hazard ratio [aHR] 0.56, 95% confidence interval [0.33-0.95]). Comprehensive retention efforts for men with STIs are crucial to optimize the benefits of PrEP.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.66 HIV; 1.66.11 HIV Prevalence & Prophylaxis
Web Of Science research areas: Public, Environmental & Occupational Health; Social Sciences, Biomedical
ESI research areas: Psychiatry/Psychology

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Details

Title: HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic
Creators: J Carlo Hojilla - Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA. carlo.hojilla@ucsf.edu
David Vlahov - School of Nursing, Yale University, West Haven, CT, USA
Pierre-Cedric Crouch - San Francisco AIDS Foundation, San Francisco, CA, USA
Carol Dawson-Rose - Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA
Kellie Freeborn - San Francisco AIDS Foundation, San Francisco, CA, USA
Adam Carrico - Department of Public Health Sciences, University of Miami, Miami, FL, USA
Publication Details: AIDS and behavior, Vol.22(4), pp.1096-1099
Publisher: United States
Grant note: P30 MH062246 / NIMH NIH HHS R01 DA033854 / NIDA NIH HHS R36 DA041906 / NIDA NIH HHS TL1 TR000144 / NCATS NIH HHS
Academic Unit: Miller School of Medicine; Center for Family Studies; UMMG Department of Public Health Sciences Research
Language: English
Resource Type: Journal article
PMID: 29243109
PMCID: PMC5879003
Record Identifier: 991031575660102976