Evidence map›Paper›PMID 37222734›Full record

ArticleAIDS patient care and STDs2023

HIV Incidence Among Individuals Accessing Pre-Exposure Prophylaxis in Jackson, Mississippi.

Taylor Riley, Melverta Bender, Xueyuan Wang, Leandro Mena, June Gipson, Alicia Barnes, Kendra L Johnson, Kandis V Backus, Courtney E Gomillia, Lori M Ward and 1 more

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Trial
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

11 authors.

Taylor RileyDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-4963-0455
Melverta BenderMississippi State Department of Health, Jackson, Mississippi, USA.
Xueyuan WangMississippi State Department of Health, Jackson, Mississippi, USA.
Leandro MenaDepartment of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
June GipsonOpen Arms Healthcare Center, Jackson, Mississippi, USA.
Alicia BarnesOpen Arms Healthcare Center, Jackson, Mississippi, USA.
Kendra L JohnsonDepartment of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Kandis V BackusDepartment of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Courtney E GomilliaDepartment of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Lori M WardDepartment of Population Health Science, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Christine M KhosropourDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-9743-0829

Funding

Determining the effectiveness of a new model of PrEP initiation in MississippiR21MH125608 · NIMH · UNIVERSITY OF WASHINGTON · PI KHOSROPOUR, CHRISTINE MITRA · 2021 to 2022
$430k
NIMH NIH HHS R21 MH125608
6 · The paper itself

Abstract

Although pre-exposure prophylaxis (PrEP) is an efficacious biomedical intervention, the effectiveness of same-day PrEP programs has not been widely studied. We utilized data from three of the four largest PrEP providers in Mississippi from September 2018 to September 2021 linked to the Mississippi State Department of Health's Enhanced HIV/AIDS reporting system. HIV diagnosis was defined as testing newly positive for HIV at least 2 weeks after the initial PrEP visit. We calculated the cumulative incidence and incidence rate of HIV per 100 person-years (PY). Person-time was calculated as time from the initial PrEP visit to (1) HIV diagnosis or (2) December 31, 2021 (HIV surveillance data end date). We did not censor individuals if they discontinued PrEP to obtain an estimate of PrEP effectiveness rather than efficacy. Among the 427 clients initiating PrEP during the study period, 2.3% [95% confidence interval (CI): 0.9-3.8] subsequently tested positive for HIV. The HIV incidence rate was 1.18 per 100 PY (95% CI: 0.64-2.19) and median time to HIV diagnosis after the initial PrEP visit was 321 days (95% CI: 62-686). HIV incidence rates were highest among transgender and nonbinary individuals [10.35 per 100 PY (95% CI: 2.59-41.40)] compared with cisgender men and women, and among people racialized as Black [1.45 per 100 PY (95% CI: 0.76-2.80)] compared with White and other racialized groups. These findings indicate a need for more clinical and community interventions that support PrEP persistence and restarts among those at high risk of HIV acquisition.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisTransgender PersonsFemaleHomosexuality, MaleHumansIncidenceMaleAnti-HIV Agentshealth disparitiesHIVmen who have sex with menMississippipre-exposure prophylaxis

Identifiers

PMID37222734
PMCPMC10354303

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Registered trials

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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.