Gaps in PrEP care were most likely among younger individuals, African Americans, Latinx, and persons with substance use disorder.
New HIV infections in the U.S. disproportionately involve young men who have sex with men, particularly underrepresented minorities such as African Americans and Latinx individuals. Preexposure prophylaxis (PrEP) effectively lowers risk for HIV infection, but gaps across the continuum of care affect prescription, initiation, and persistence of use. Investigators retrospectively analyzed data from a large healthcare system to clarify the factors associated with these interruptions in PrEP care. A cohort of 13,906 patients (95% men; median age, 33; 22% Latinx, 7% African American; 8% with substance use disorder) were followed for a median 1.6 years after PrEP linkage.
In all, 88% of subjects were prescribed PrEP; of these, 98% initiated PrEP. …
Reviewing Author
DisclosuresGrant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; NIH/National Institute on Drug Abuse
Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes; Vaccines
Leadership Positions in Professional SocietiesInternational Antiviral Society–USA (Board of Directors); Infectious Diseases Society of America (Past President)
DisclosuresGrant/Research SupportNIH/National Institute of Allergy and Infectious Diseases; NIH/National Institute on Drug Abuse
Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes; Vaccines
Leadership Positions in Professional SocietiesInternational Antiviral Society–USA (Board of Directors); Infectious Diseases Society of America (Past President)