HIV Pre-exposure Prophylaxis (PrEP) Uptake and Retention Among Men Who Have Sex with Men in a Community-Based Sexual Health Clinic

J. Carlo Hojilla, David Vlahov, Pierre Cedric Crouch, Carol Dawson-Rose, Kellie Freeborn, Adam Carrico

Research output: Contribution to journalArticle

30 Scopus citations


In a community-based clinic serving men who have sex with men in San Francisco, California, this study characterized key steps of the pre-exposure prophylaxis (PrEP) cascade and identified correlates of retention in care. In total, 344 patients were evaluated for PrEP. Three-fourths (78%) of those who sought PrEP services initiated PrEP. The overall cumulative incidence of discontinuing PrEP at 13 months was 38%. Men with a sexually transmitted infection (STI) were 44% less likely to be retained (adjusted hazard ratio [aHR] 0.56, 95% confidence interval [0.33–0.95]). Comprehensive retention efforts for men with STIs are crucial to optimize the benefits of PrEP.

Original languageEnglish (US)
Pages (from-to)1096-1099
Number of pages4
JournalAIDS and Behavior
Issue number4
StatePublished - Apr 1 2018



  • HIV pre-exposure prophylaxis
  • Men who have sex with men
  • PrEP
  • PrEP cascade
  • Retention in care

ASJC Scopus subject areas

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

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