The HIV Pre-exposure Prophylaxis (PrEP) Cascade at NYC Sexual Health Clinics: Navigation Is the Key to Uptake

BACKGROUND:Clinics providing sexual health care pose unique opportunities to implement HIV pre-exposure prophylaxis (PrEP) programs. The PrEP program at New York Cityʼs Sexual Health Clinics provides intensive on-site navigation for linkage to PrEP care. We assessed uptake of this intervention. METH...

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Veröffentlicht in:	Journal of acquired immune deficiency syndromes (1999) 2020-04, Vol.83 (4), p.357-364
Hauptverfasser:	Pathela, Preeti, Jamison, Kelly, Blank, Susan, Daskalakis, Demetre, Hedberg, Trevor, Borges, Christine
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult AIDS/HIV Ambulatory Care Facilities Anti-HIV Agents - administration & dosage Anti-HIV Agents - therapeutic use Confidence intervals Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination - administration & dosage Emtricitabine, Tenofovir Disoproxil Fumarate Drug Combination - therapeutic use Exposure HIV HIV Infections - epidemiology HIV Infections - prevention & control Homosexuality, Male Human immunodeficiency virus Humans Male New York City - epidemiology Pre-Exposure Prophylaxis Prophylaxis Sexual Health Sexually transmitted diseases Statistical analysis STD Young Adult
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Zusammenfassung:	BACKGROUND:Clinics providing sexual health care pose unique opportunities to implement HIV pre-exposure prophylaxis (PrEP) programs. The PrEP program at New York Cityʼs Sexual Health Clinics provides intensive on-site navigation for linkage to PrEP care. We assessed uptake of this intervention. METHODS:We categorized men who have sex with men (MSM) without HIV hierarchically as having had (1) HIV post-exposure prophylaxis (PEP) use (past year); or (2) selected sexually transmitted infections (STI) (past year); or (3) HIV-diagnosed sex/needle-sharing partners (past 6 months); or (4) expressed interest in PrEP (day of clinic visit). We constructed PrEP cascades and used multivariable regression to examine acceptance of PrEP navigation, referral to a PrEP provider, linkage (
ISSN:	1525-4135 1944-7884
DOI:	10.1097/QAI.0000000000002274