PrEP in the Real World: Predictors of 6-Month Retention in a Diverse Urban Cohort

Alexander J. Lankowski, Cedric H. Bien-Gund, Viraj V. Patel, Uriel R. Felsen, Richard Silvera, Oni J. Blackstock

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


The effectiveness of HIV pre-exposure prophylaxis (PrEP) depends on adherence, which requires retention in PrEP care. We sought to examine factors associated with six-month retention in PrEP care among individuals prescribed PrEP between 2011 and 2015 in a large, academic health system in the Bronx, New York. We used multivariable logistic regression to identify factors independently associated with six-month retention. Among 107 patients, retention at 6 months was 42%. In the multivariable analysis, heterosexual individuals were less likely to be retained in PrEP care at 6 months, but individuals who received prescriptions from attending physicians were more likely to be retained in care. Larger prospective studies are needed to better evaluate the individual and health system factors associated with long-term engagement in PrEP care.

Original languageEnglish (US)
Pages (from-to)1797-1802
Number of pages6
JournalAIDS and Behavior
Issue number7
StatePublished - Jul 15 2019


  • HIV prevention
  • Implementation
  • PrEP
  • PrEP
  • Retention in care
  • implementación
  • prevención del VIH
  • retención en cuidado

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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