Preexposure Prophylaxis Initiation and Retention in Care Over 5 Years, 2012–2017: Are Quarterly Visits Too Much?

Author:

Rusie Laura K1,Orengo Carlos1,Burrell Diane1,Ramachandran Arthi234,Houlberg Magda1,Keglovitz Kristin1,Munar David1,Schneider John A1234

Affiliation:

1. Howard Brown Health, Chicago

2. Department of Medicine, University of Chicago

3. Department of Public Health Sciences, University of Chicago

4. Chicago Center for HIV Elimination, Illinois

Abstract

Abstract Retention in preexposure prophylaxis (PrEP) care is critical to elimination of human immunodeficiency virus. We reviewed all Howard Brown Health patients receiving PrEP (n = 5583) from 2012 to 2017. Among those with 12 months of follow-up, 43% remained in care, yet only 15% had all 4 quarters with a PrEP visit. Insurance status and comorbid conditions were drivers of retention in care.

Funder

NIMH

NIDA

Third Coast Center for AIDS Research

NIH

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference11 articles.

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3. Grant R , AndersonP, McMahanV, LiuA, AmicoK, MehrotraM. Results of the iPrEx open-label extension (iPrEx OLE) in men and transgender women who have sex with men: PrEP uptake, sexual practices, and HIV incidence. Presented at: 20th International AIDS Conference; 2014; Melbourne, Australia.

4. High interest in preexposure prophylaxis among men who have sex with men at risk for HIV infection: baseline data from the US PrEP demonstration project;Cohen;J Acquir Immune Defic Syndr,2015 1

5. Retention in care outcomes for HIV pre-exposure prophylaxis implementation programmes among men who have sex with men in three US cities;Chan;J Int AIDS Soc,2016

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