Evidence map›Paper›PMID 27861236›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2017

Healthcare Access and PrEP Continuation in San Francisco and Miami After the US PrEP Demo Project.

Susanne Doblecki-Lewis, Albert Liu, Daniel Feaster, Stephanie E Cohen, Gabriel Cardenas, Oliver Bacon, Erin Andrew, Michael A Kolber

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

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1 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

8 authors at 2 institutions in 1 country.

Susanne Doblecki-Lewis*Department of Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL; †Department of Medicine, University of California; Bridge HIV, San Francisco Department of Public Health, San Francisco, CA; and ‡Population Health Division, Disease Prevention and Control Branch; Division of Infectious Diseases, University of California San Francisco (UCSF), San Francisco, CA.
Albert Liu
Daniel Feaster
Stephanie E Cohen
Gabriel Cardenas
Oliver Bacon
Erin Andrew
Michael A Kolber
San Francisco Department of Public Health · USUniversity of Miami · US

Funding

The Florida Node Alliance of the National Drug Abuse Treatment Clinical Trials NetworkUG1DA013720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel J Feaster, Viviana Elizabeth Horigian · 2015 to 2026
$50.6M
University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALLAN E RODRIGUEZ · 2007 to 2026
$33.8M
University of Miami Pediatric Perinatal HIV/AIDS Clinical Trails UnitU01AI069451 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SCOTT, GWENDOLYN BARBARA · 2007 to 2011
$5.5M
Enhancing PrEP in Community Settings (EPIC)R01MH095628 · NIMH · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI LIU, ALBERT YING-HWA · 2011 to 2015
$2.4M
NIAID NIH HHS P30 AI073961NIAID NIH HHS U01 AI069451NIMH NIH HHS R01 MH095628
6 · The paper itself

Abstract

backgroundPre-exposure prophylaxis (PrEP) for prevention of HIV infection has demonstrated efficacy in randomized controlled trials and in demonstration projects. For PrEP implementation to result in significant reductions in HIV incidence for men who have sex with men in the United States, sufficient access to PrEP care and continued engagement outside of demonstration projects is required.

methodsWe report the results of a follow-up survey of 173 former participants from the Miami and San Francisco sites of the US PrEP Demo Project, administered 4-6 months after study completion.

resultsSurvey respondents continued to frequently access medical care and had a high incidence of sexually transmitted infections after completion of the Demo Project, indicating ongoing sexual risk behavior. Interest in continuing PrEP was high with 70.8% indicating that they were "very interested" in continuing PrEP. Among respondents, 39.9% reported continuation of PrEP after completion of the Demo Project, largely through their primary care providers and frequently at low or no cost. Variability in access and engagement was seen, with participants from the San Francisco site, those with medical insurance, and those with a primary care provider at the end of the Demo Project more likely to successfully obtain PrEP medication. Two respondents reported HIV seroconversion in the period between study completion and the follow-up survey.

conclusionsAdditional effort to increase equitable access to PrEP outside of demonstration projects is needed to realize the potential impact of this evidence-based prevention intervention.

Indexed as

Health Services AccessibilityAdolescentAdultAgedDisease Transmission, InfectiousFemaleFloridaFollow-Up StudiesHIV InfectionsHumansMaleMiddle AgedPre-Exposure ProphylaxisSan FranciscoSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID27861236
PMCPMC5340616
OpenAlexW2557147206

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.