作者
J Carlo Hojilla, Leo B Hurley, Julia L Marcus, Michael J Silverberg, Jacek Skarbinski, Derek D Satre, Jonathan E Volk
发表日期
2021/8/2
期刊
JAMA network open
卷号
4
期号
8
页码范围
e2122692-e2122692
出版商
American Medical Association
简介
Importance
Long-term follow-up is needed to evaluate gaps in HIV preexposure prophylaxis (PrEP) care delivery and to identify individuals at risk for falling out of care.
Objective
To characterize the PrEP continuum of care, including prescription, initiation, discontinuation, and reinitiation, and evaluate incident HIV infections.
Design, Setting, and Participants
This retrospective cohort study used data from the electronic health records (EHR) at Kaiser Permanente Northern California to identify individuals aged 18 years and older who received PrEP care between July 2012 and March 2019. Individuals were followed up from date of linkage (defined as a PrEP referral or PrEP-coded encounter) until March 2019, HIV diagnosis, discontinuation of health plan membership, or death. Data were analyzed from December 2019 to January 2021.
Exposures
Sociodemographic factors included age, sex, race and ethnicity, and …
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