The HIV Pre-exposure Prophylaxis (PrEP) Cascade at NYC Sexual Health Clinics: Navigation Is the Key to Uptake
The HIV Pre-exposure Prophylaxis (PrEP) Cascade at NYC Sexual Health Clinics: Navigation Is the Key to Uptake
复制标题
DOI：
10.1097/qai.0000000000002274
复制
发表时间：
2020-04-01
影响因子：
3.6
通讯作者：
Borges, Christine
中科院分区：
文献类型：
--
作者：
Pathela, Preeti;Jamison, Kelly;Borges, Christine
背景：提供性健康保健的诊所为实施艾滋病毒暴露前预防（PrEP）计划提供了独特的机会。纽约市性健康诊所的PrEP项目为与PrEP护理的联系提供了密集的现场导航。我们评估了该干预措施的接受情况。方法：我们将未感染艾滋病毒的男男性行为者（MSM）按等级分类为：(1)使用过艾滋病毒暴露后预防（PEP）（过去一年）；（二）选定的性传播感染病例（过去一年）；或(3)诊断为艾滋病毒的性伴侣/共用针头的伴侣（过去6个月）；或(4)表示对PrEP（临床访问日）感兴趣。我们构建了PrEP级联，并使用多变量回归来检验PrEP导航的接受程度、向PrEP提供者的转诊、链接(
Background: Clinics providing sexual health care pose unique opportunities to implement HIV pre-exposure prophylaxis (PrEP) programs. The PrEP program at New York City's 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 (