Evidence map›Paper›PMID 38777921›Full record

ArticleArchives of sexual behavior2024

Factors Associated with PrEP Persistence and Loss of Follow-Up: A 5-Year Historic Cohort.

Clément Le Roux, Marc-Florent Tassi, Cathie Faussat, Catherine Aumond, Guillaume Gras, Karl Stefic, Leslie Grammatico-Guillon

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of sexual behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
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

7 authors.

Clément Le RouxEpidemiology Unit for Clinical Data in the Centre-Val de Loire (EpiDcliC), Public Health and Prevention Unit, University Hospital of Tours, 37000, Tours, France. clement.leroux@etu.univ-tours.fr.ORCID 0000-0002-3733-4085
Marc-Florent TassiEpidemiology Unit for Clinical Data in the Centre-Val de Loire (EpiDcliC), Public Health and Prevention Unit, University Hospital of Tours, 37000, Tours, France.
Cathie FaussatPublic Health Department, Medical School, University of Tours, Tours, France.
Catherine AumondAIDES Association, Centre Val de Loire Region, Orléans, France.
Guillaume GrasFree Information, Screening and Diagnostic Center 37 (CeGIDD 37), University Hospital of Tours, Tours, France.
Karl SteficINSERM U1259, MAVIVH, University of Tours, Tours, France.
Leslie Grammatico-GuillonEpidemiology Unit for Clinical Data in the Centre-Val de Loire (EpiDcliC), Public Health and Prevention Unit, University Hospital of Tours, 37000, Tours, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHIV Pre-Exposure Prophylaxis (PrEP) has been used in France since 2016. Its effectiveness is no longer to be demonstrated. However, follow-up and adherence remain the main pitfalls. The main objective of this study was to identify factors associated with persistence or loss of PrEP follow-up.

designAn historic cohort of PrEP users was compiled from the database of consultations in the Indre-et-Loire dedicated sexual health centers (CeGIDD) from June 2016 to June 2021.

methodsKaplan-Meier curves were performed to compare the group of persistent PrEP users to the discontinuation group. Factors associated with PrEP discontinuation were identified using Cox modelling, considering time-dependent variables. Final variables included in the model were selected based on the Akaike Information Criterion (AIC) and clinical relevance.

resultsOver the period, 568 PrEP users were included in the cohort. Median follow-up was 2.3 years. A quarter of users were lost to follow-up within 3 months after PrEP initiation. Sexual risk reduction AIDS community-based support (HR = 0.65[0.42;0.99]), being in a couple (HR = 0.51[0.38;0.68]), and history of syphilis (HR = 0.57[0.40;0.81]) were significantly associated with persistence of follow-up. Remote consultations (HR = 2.74[1.63;4.61]), chemsex practices (HR = 2.01[1.29;3.14]), and side effects (HR=1.72[1.03;2.88]) were significantly associated with a loss of follow-up.

conclusionThese results suggest that more sexual risk reduction AIDS community-based counseling could be a key, necessary for supporting PrEP users in their follow-up pathway. Indeed, AIDS community-based support could be used to build a basis for developing safe pathways. Remote consultations could represent a response to the issue of access to PrEP. To create a significant impact on global HIV incidence, the PrEP offer must be extended, and at-risk PrEP users supported to maintain PrEP use.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisAdultAnti-HIV AgentsCohort StudiesDrug MonitoringFemaleFollow-Up StudiesFranceHumansLost to Follow-UpMaleMiddle AgedAnti-HIV Agentscommunity based-supportHIV pre-exposure prophylaxisHIV preventionPrEP adherenceSexually transmitted infections

Identifiers

PMID38777921

What OpenQuestion holds

Textmetadata
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.