High Rate of Discontinuation May Diminish PrEP Coverage Among Young Men Who Have Sex with Men

Ethan Morgan; Daniel T. Ryan; Michael E. Newcomb; Brian Mustanski

doi:10.1007/s10461-018-2125-2

High Rate of Discontinuation May Diminish PrEP Coverage Among Young Men Who Have Sex with Men

Ethan Morgan^*, Daniel T. Ryan, Michael E. Newcomb, Brian Mustanski

^*Corresponding author for this work

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Understanding pre-exposure prophylaxis (PrEP) discontinuation is key to maximizing its effectiveness at the individual and population levels. Data came from the RADAR cohort study of MSM aged 16–29 years, 2015–2017. Participants included those who reported past 6-month PrEP use and discontinued its use by the interview date. Of the 197 participants who had used PrEP in the past 6 months, 65 discontinued use. Primary reasons for PrEP discontinuation included trouble getting to doctor’s appointments (14, 21.5%) and issues related to insurance coverage or loss (13, 20.0%). Few (21%) who discontinued spoke to their doctor first, which has important implications for future long acting formulations.

Original language	English (US)
Pages (from-to)	3645-3648
Number of pages	4
Journal	AIDS and behavior
Volume	22
Issue number	11
DOIs	https://doi.org/10.1007/s10461-018-2125-2
State	Published - Nov 1 2018

Keywords

Discontinuation
HIV
PrEP
YMSM

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-018-2125-2

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abstract = "Understanding pre-exposure prophylaxis (PrEP) discontinuation is key to maximizing its effectiveness at the individual and population levels. Data came from the RADAR cohort study of MSM aged 16–29 years, 2015–2017. Participants included those who reported past 6-month PrEP use and discontinued its use by the interview date. Of the 197 participants who had used PrEP in the past 6 months, 65 discontinued use. Primary reasons for PrEP discontinuation included trouble getting to doctor{\textquoteright}s appointments (14, 21.5%) and issues related to insurance coverage or loss (13, 20.0%). Few (21%) who discontinued spoke to their doctor first, which has important implications for future long acting formulations.",

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