PrEP in the Real World: Predictors of 6-Month Retention in a Diverse Urban Cohort

Alexander J. Lankowski; Cedric H. Bien-Gund; Viraj V. Patel; Uriel R. Felsen; Richard Silvera; Oni J. Blackstock

doi:10.1007/s10461-018-2296-x

PrEP in the Real World: Predictors of 6-Month Retention in a Diverse Urban Cohort

Alexander J. Lankowski, Cedric H. Bien-Gund, Viraj V. Patel, Uriel R. Felsen, Richard Silvera, Oni J. Blackstock

Medicine

Research output: Contribution to journal › Article › peer-review

26 Scopus citations

Abstract

The effectiveness of HIV pre-exposure prophylaxis (PrEP) depends on adherence, which requires retention in PrEP care. We sought to examine factors associated with six-month retention in PrEP care among individuals prescribed PrEP between 2011 and 2015 in a large, academic health system in the Bronx, New York. We used multivariable logistic regression to identify factors independently associated with six-month retention. Among 107 patients, retention at 6 months was 42%. In the multivariable analysis, heterosexual individuals were less likely to be retained in PrEP care at 6 months, but individuals who received prescriptions from attending physicians were more likely to be retained in care. Larger prospective studies are needed to better evaluate the individual and health system factors associated with long-term engagement in PrEP care.

Original language	English (US)
Pages (from-to)	1797-1802
Number of pages	6
Journal	AIDS and Behavior
Volume	23
Issue number	7
DOIs	https://doi.org/10.1007/s10461-018-2296-x
State	Published - Jul 15 2019

Keywords

HIV prevention
Implementation
PrEP
PrEP
Retention in care
implementación
prevención del VIH
retención en cuidado

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-018-2296-x

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title = "PrEP in the Real World: Predictors of 6-Month Retention in a Diverse Urban Cohort",

abstract = "The effectiveness of HIV pre-exposure prophylaxis (PrEP) depends on adherence, which requires retention in PrEP care. We sought to examine factors associated with six-month retention in PrEP care among individuals prescribed PrEP between 2011 and 2015 in a large, academic health system in the Bronx, New York. We used multivariable logistic regression to identify factors independently associated with six-month retention. Among 107 patients, retention at 6 months was 42%. In the multivariable analysis, heterosexual individuals were less likely to be retained in PrEP care at 6 months, but individuals who received prescriptions from attending physicians were more likely to be retained in care. Larger prospective studies are needed to better evaluate the individual and health system factors associated with long-term engagement in PrEP care.",

keywords = "HIV prevention, Implementation, PrEP, PrEP, Retention in care, implementaci{\'o}n, prevenci{\'o}n del VIH, retenci{\'o}n en cuidado",

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AU - Lankowski, Alexander J.

AU - Bien-Gund, Cedric H.

AU - Patel, Viraj V.

AU - Felsen, Uriel R.

AU - Silvera, Richard

AU - Blackstock, Oni J.

PY - 2019/7/15

Y1 - 2019/7/15

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AB - The effectiveness of HIV pre-exposure prophylaxis (PrEP) depends on adherence, which requires retention in PrEP care. We sought to examine factors associated with six-month retention in PrEP care among individuals prescribed PrEP between 2011 and 2015 in a large, academic health system in the Bronx, New York. We used multivariable logistic regression to identify factors independently associated with six-month retention. Among 107 patients, retention at 6 months was 42%. In the multivariable analysis, heterosexual individuals were less likely to be retained in PrEP care at 6 months, but individuals who received prescriptions from attending physicians were more likely to be retained in care. Larger prospective studies are needed to better evaluate the individual and health system factors associated with long-term engagement in PrEP care.

KW - HIV prevention

KW - Implementation

KW - PrEP

KW - Retention in care

KW - implementación

KW - prevención del VIH

KW - retención en cuidado

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PrEP in the Real World: Predictors of 6-Month Retention in a Diverse Urban Cohort

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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