Evidence map›Paper›PMID 29771790›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

Patterns and Correlates of Participant Retention in a Multi-City Pre-Exposure Prophylaxis Demonstration Project.

Susanne Doblecki-Lewis, Albert Y Liu, Daniel J Feaster, Stephanie E Cohen, Richard Elion, Oliver Bacon, Megan Coleman, Gabriel Cardenas, Michael A Kolber

Abstract readMulticenter Study
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 34 citations in OpenAlex.

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  13. Pre-exposure Prophylaxis Uptake and Discontinuation Among Young Black Men Who Have Sex With Men in Atlanta, Georgia: A Prospective Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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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

9 authors at 4 institutions in 1 country.

Susanne Doblecki-LewisDivision of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL.
Albert Y LiuBridgeHIV, San Francisco Department of Public Health, San Francisco, CA.
Daniel J FeasterDepartment of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL.
Stephanie E CohenSan Francisco Department of Public Health, San Francisco City Clinic, San Francisco, CA.
Richard ElionDepartment of Clinical Investigations, Whitman-Walker Clinic, Washington, DC.
Oliver BaconDivision of Infectious Diseases, University of California, San Francisco, San Francisco, CA.
Megan ColemanDepartment of Clinical Investigations, Whitman-Walker Clinic, Washington, DC.
Gabriel CardenasDepartment of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, FL.
Michael A KolberDivision of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL.
University of Miami · USSan Francisco Department of Public Health · USWhitman-Walker Health · USUniversity of California, San Francisco · 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

backgroundSafe and effective use of pre-exposure prophylaxis (PrEP) depends on retention in care after initial engagement.

settingThe United States PrEP Demonstration Project offered daily oral tenofovir/emtricitabine to participants in San Francisco, Miami, and Washington, D.C. for 48 weeks from 2012 to 2014.

methodsThe Demo Project participants' patterns of retention were assigned to 1 of 3 categories: early loss to follow-up (ELTF) within the first 12 weeks of the study, retention throughout the study, or intermittent retention in which missed or delayed visits resulted in gaps in medication availability. For each group, baseline characteristics were tabulated. A two-step multivariable analysis was performed.

resultsOverall, 366/554 (66.1%) of enrolled participants were retained for all study visits, 127/554 (22.9%) had intermittent retention, and 61/554 (11.0%) ELTF. In multivariable analysis, Miami compared with San Francisco site was associated with ELTF rather than full retention [aOR 2.84; confidence interval (CI): 1.24 to 6.47] and also with intermittent rather than full retention (aOR 2.70; CI: 1.43 to 5.11). Younger age was associated with ELTF (aOR 1.80 for each 10-year decrement in age; CI: 1.26 to 2.57) and intermittent retention (aOR 1.47; CI: 1.17 to 1.84) compared with full retention. Factors associated with ELTF (but not intermittent retention) compared with full retention were black compared with white (aOR 3.32; CI: 1.09 to 10.16), reporting sex work (aOR 4.67; CI: 1.49 to 14.58), lack of regular employment (aOR 2.53; CI: 1.27 to 5.05), and lack of previous PrEP awareness (aOR 2.01; CI: 1.01 to 3.96).

conclusionsTailored interventions addressing causes and risk factors for loss from PrEP care may improve retention and consistency of PrEP use.

Indexed as

Pre-Exposure ProphylaxisAdultAnti-HIV AgentsDistrict of ColumbiaDrug Therapy, CombinationEmtricitabineFemaleFloridaHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedSan FranciscoTenofovirAnti-HIV AgentsEmtricitabineTenofovir

Identifiers

PMID29771790
PMCPMC6092210
OpenAlexW2804765301

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.