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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.

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

Hojilla JC, Vlahov D, Crouch PC, Dawson-Rose C, Freeborn K, Carrico A,


Hojilla JC, Vlahov D, Crouch PC, Dawson-Rose C, Freeborn K, Carrico A, (click to view)

Hojilla JC, Vlahov D, Crouch PC, Dawson-Rose C, Freeborn K, Carrico A,

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AIDS and behavior 2017 12 14() doi 10.1007/s10461-017-2009-x

Abstract

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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