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AIDS Behav. 2018 Nov;22(11):3645-3648. doi: 10.1007/s10461-018-2125-2.

High Rate of Discontinuation May Diminish PrEP Coverage Among Young Men Who Have Sex with Men.

Author information

1
Department of Medical Social Sciences, Northwestern University, 625 N Michigan Ave Suite 14-044A, Chicago, IL, 60611, USA. ethan.morgan@northwestern.edu.
2
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA. ethan.morgan@northwestern.edu.
3
Department of Medical Social Sciences, Northwestern University, 625 N Michigan Ave Suite 14-044A, Chicago, IL, 60611, USA.
4
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.

Abstract

Understanding pre-exposure prophylaxis (PrEP) discontinuation is key to maximizing its effectiveness at the individual and population levels. Data came from the RADAR cohort study of MSM aged 16-29 years, 2015-2017. Participants included those who reported past 6-month PrEP use and discontinued its use by the interview date. Of the 197 participants who had used PrEP in the past 6 months, 65 discontinued use. Primary reasons for PrEP discontinuation included trouble getting to doctor's appointments (14, 21.5%) and issues related to insurance coverage or loss (13, 20.0%). Few (21%) who discontinued spoke to their doctor first, which has important implications for future long acting formulations.

KEYWORDS:

Discontinuation; HIV; PrEP; YMSM

PMID:
29728950
PMCID:
PMC6204096
[Available on 2019-11-01]
DOI:
10.1007/s10461-018-2125-2
[Indexed for MEDLINE]

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