Missed Visits Associated With Future Preexposure Prophylaxis (PrEP) Discontinuation Among PrEP Users in a Municipal Primary Care Health Network
| Autor: | Alicia Morehead-Gee, Matthew A Spinelli, Monica Gandhi, Rafael Gonzalez, Susan Buchbinder, Hyman M. Scott, Albert Liu, Eric Vittinghoff |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Early discontinuation 030106 microbiology preexposure prophylaxis Primary care Major Articles 03 medical and health sciences Pre-exposure prophylaxis symbols.namesake primary care 0302 clinical medicine medicine 030212 general & internal medicine Poisson regression PrEP persistence retention in care business.industry Confidence interval 3. Good health Discontinuation missed visits Infectious Diseases Oncology Relative risk Emergency medicine Tailored interventions symbols business |
| Zdroj: | Open Forum Infectious Diseases |
| ISSN: | 2328-8957 |
| Popis: | Background Maintaining retention in preexposure prophylaxis (PrEP) care among diverse patient populations will be needed to support PrEP’s efficacy. We characterized patterns of PrEP care retention in a US municipal primary care health network and examined whether missed visits, a metric of care retention that is easy to evaluate in clinic, are associated with subsequent discontinuation. Methods We included individuals on PrEP from July 2012 until August 2017 in the San Francisco Primary Care Clinics, a 15-clinic municipal health network. We categorized PrEP usage patterns as follows: early discontinuation ( Preexposure prophylaxis (PrEP) users in primary care continued PrEP for a median of 8 months. Transgender women experienced higher risk of early discontinuation; younger users experienced late discontinuation. Missed visits during PrEP are associated with discontinuation and should trigger outreach. |
| Databáze: | OpenAIRE |
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