title: Reaching Key Populations: PrEP Uptake in an Urban Health Care System in the Bronx, New York.
abstract: Pre-exposure prophylaxis (PrEP) has been established as an effective HIV prevention tool, but real world studies are limited. To inform dissemination efforts, we sought to describe individuals prescribed PrEP in the largest health care system in the Bronx, New York, an urban region with a high burden of HIV. We used a clinical database and chart review to identify individuals prescribed PrEP between 2011 and 2015 (n = 108). A majority were Black and Hispanic, half were men who have sex with men, and nearly a third were cisgender women who have sex with men. Primary care settings were the most common site of PrEP prescription and PrEP prescription rates increased over time. Despite reaching a diverse patient population, PrEP prescribing rates were low, underscoring the urgent need for PrEP scale-up.
authors.affiliation: Division of General Internal Medicine, Albert Einstein College of Medicine, 3300 Kossuth Avenue, Bronx, NY, USA. cbien@montefiore.org.|Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY, USA. cbien@montefiore.org.
authors.forename: Cedric H
authors.initials: CH
authors.lastname: Bien
authors.affiliation: Division of General Internal Medicine, Albert Einstein College of Medicine, 3300 Kossuth Avenue, Bronx, NY, USA.
authors.forename: Viraj V
authors.initials: VV
authors.lastname: Patel
authors.affiliation: Division of General Internal Medicine, Albert Einstein College of Medicine, 3300 Kossuth Avenue, Bronx, NY, USA.
authors.forename: Oni J
authors.initials: OJ
authors.lastname: Blackstock
authors.affiliation: Division of Infectious Diseases, Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Uriel R
authors.initials: UR
authors.lastname: Felsen
mesh_terms: D000293:Adolescent; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D010342:Patient Acceptance of Health Care / Q000523:psychology; D065129:Pre-Exposure Prophylaxis; D011320:Primary Health Care; D012307:Risk Factors; D019037:Urban Health Services; D014505:Urban Population; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: HIV prevention; Implementation; New York; PrEP; Pre-exposure prophylaxis