Evidence map›Paper›PMID 27302837›Full record

ArticleJournal of the International AIDS Society2016

Retention in care outcomes for HIV pre-exposure prophylaxis implementation programmes among men who have sex with men in three US cities.

Philip A Chan, Leandro Mena, Rupa Patel, Catherine E Oldenburg, Laura Beauchamps, Amaya G Perez-Brumer, Sharon Parker, Kenneth H Mayer, Matthew J Mimiaga, Amy Nunn

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05243030 (Adapting Effective mHealth Interventions to Improve Uptake and Adherence of the HIV Pre-exposure Prophylaxis), which is not on this map. Cited by 156 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05243030 nacompletednot on this mapstarted 2022, after this paper: background citation

Adapting Effective mHealth Interventions to Improve Uptake and Adherence of the HIV Pre-exposure Prophylaxis (PrEP) in Thai Young Men Who Have Sex With Men (MSM).

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2022 to 2025Enrolled119ConditionsPre-Exposure ProphylaxisArmsMotivational Enhancement System for PrEP Uptake and Adherence (MES-PrEP), Motivational Interactive Text Messaging (MTM), Standard PrEP Counseling
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Retention of clients in HIV oral pre-exposure prophylaxis care in Engela, Namibia.African journal of primary health care & family medicine · 2025
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96 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Philip A ChanDivision of Infectious Diseases, The Miriam Hospital, Brown University, Providence, RI, USA; pchan@lifespan.org.
Leandro MenaDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, MS, USA.
Rupa PatelDivision of Infectious Diseases, Washington University in St. Louis, St. Louis, MO, USA.
Catherine E OldenburgDepartment of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA.
Laura BeauchampsDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, MS, USA.
Amaya G Perez-BrumerDepartment of Sociomedical Sciences, Columbia University, New York, NY, USA.
Sharon ParkerDepartment of Social Work, North Carolina Agricultural and Technical State University, Greensboro, NC, USA.
Kenneth H MayerThe Fenway Institute, Fenway Health, Boston, MA, USA.
Matthew J MimiagaThe Fenway Institute, Fenway Health, Boston, MA, USA.
Amy NunnDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.

Funding

Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
NCATS NIH HHS KL2 TR000450NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

introductionDespite the efficacy of pre-exposure prophylaxis (PrEP) in preventing HIV transmission, few studies have evaluated PrEP use and retention in care outcomes in real-world settings outside of clinical trials.

methodsData were collected from PrEP clinical care programmes in three mid-size US cities: Providence, Rhode Island (RI); Jackson, Mississippi (MS); and St. Louis, Missouri (MO). We assessed the demographic and social characteristics of patients prescribed PrEP and documented their insurance and copayment experiences. We assessed retention in PrEP care at three and six months. Multivariate analyses were used to predict retention in care among men who have sex with men (MSM). HIV acquisition among the cohort was also assessed.

resultsA total of 267 (RI: 117; MS: 88; MO: 62) patients were prescribed PrEP; 81% filled prescriptions (RI: 73%; MS: 82%; MO: 94%; p<0.001). Patients in MS and MO were more commonly African American than in RI (72% and 26% vs. 7%, respectively), but less frequently Latino (2% and 3% vs. 24%, respectively). More patients reported living below the federal poverty line in MS (52%) compared to MO (23%) and RI (26%). Most patients were MSM (RI: 92%; MS: 88%; MO: 84%). The majority of MSM reported recent condomless anal sex (RI: 70%; MS: 65%; MO: 75%). Among 171 patients prescribed PrEP at least six months beforehand, 72% were retained in care at three months (RI: 68%; MS: 70%; MO: 87%; p=0.12) and 57% were retained in PrEP care at six months (RI: 53%: MS: 61%; MO: 63%; p=0.51). Insurance status and medication costs were not found to be significant barriers for obtaining PrEP. Three patients became infected with HIV during the six-month period after being prescribed PrEP (1.1%; 3/267), including one in RI (suspected acute HIV infection), one in MO (confirmed poor adherence) and one in MS (seroconverted just prior to initiation).

conclusionsPrEP initiation and retention in care differed across these distinct settings. In contrast, retention in PrEP care was consistently suboptimal across sites. Further research is needed to identify the individual, social and structural factors that may impede or enhance retention in PrEP care.

Indexed as

Homosexuality, MalePre-Exposure ProphylaxisAdultCitiesFemaleHIV InfectionsHumansMaleUnited StatesHIVimplementationmen who have sex with menpre-exposure prophylaxis

Identifiers

PMID27302837
PMCPMC4908080

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.