- Adherence to HIV testing and monitoring/testing for sexually transmitted infections (STIs) before/during follow-up for preexposure prophylaxis (PrEP) is suboptimal among primary care providers.
Why this matters
- Lack of testing/monitoring among at-risk patients is linked to HIV drug resistance and HIV transmission.
- Clinical management strategies, particularly those geared toward improving HIV and STI testing, especially in older males, African Americans, and men who have sex with men (MSM), are recommended.
- 405 patients, 85% male (median age, 34 years); approximately two-thirds were MSM.
- HIV and STI testing were ordered only 77% and 81% of the time, respectively.
- Follow-up HIV testing was ordered in 68% of 4-month intervals, 67% of 6-month intervals.
- In MSM, extragenital screening was ordered 70% of the time along with urine test.
- Factors associated with lower HIV testing rates included older patients, males, and prescriptions exceeding 90 days.
- Lack of timely STI follow-up was associated with African American ethnicity, serodifferent relationships.
- Retrospective data analysis of factors associated with provider adherence to PrEP monitoring guidelines in a network of 15 safety net, primary care clinics.
- Funding: National Institutes of Mental Health.
- Data limitations.
- Inability to account for out-of-network testing.
- Limited generalizability.