Out-of-pocket costs and HIV pre-exposure prophylaxis persistence in a US multicity demonstration project.

ABSTRACT:

Objective

To evaluate whether out-of-pocket (OOP) costs reduced HIV pre-exposure prophylaxis (PrEP) persistence.

Data source

Participants from five urban community health centers (CHCs) in four US cities enrolled in a PrEP demonstration project from September 2014 to August 2017.

Study design

Patients initiating PrEP were followed quarterly until they withdrew from PrEP care or the study ended. Self-reported OOP medication and clinic visit costs were assessed by semiannual questionnaires. Persistence was defined as the time from study enrollment to the last visit after which two subsequent 3-month visits were missed. Multivariable Cox proportional hazard regression was used to assess the effect of demographics, insurance, and OOP costs on PrEP persistence.

Principa

SUBMITTER: Furukawa NW 

PROVIDER: S-EPMC7375996 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature