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Delivering Preexposure Prophylaxis to People Who Use Drugs and Experience Homelessness, Boston, MA, 2018-2020
Katie B Biello1, Angela R Bazzi1, Seamus Vahey1
1Katie B. Biello is with the School of Public Health, Brown University, Providence, RI. Angela R. Bazzi is with the School of Public Health, Boston University, Boston, MA. Seamus Vahey, Mary Harris, Leah Shaw, and Jennifer Brody are with the Boston Healthcare for the Homeless Program, Boston.
Abstract:
Despite high need, HIV preexposure prophylaxis (PrEP) utilization among people who use drugs (PWUD) remains low. Boston Health Care for the Homeless Program implemented an innovative "low-threshold" PrEP Program for PWUD experiencing homelessness in Boston, Massachusetts. From October 1, 2018 to February 29, 2020, 239 clients were linked to PrEP services, and 152 were prescribed PrEP (mean = 8.9/month), over twice the number of PrEP prescriptions over the previous 12 months (n = 48; mean = 4/month). The cumulative probability of remaining on PrEP for 6 months was 44% (95% confidence interval = 36%, 52%).
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