Article Figures & Data
Figures
- Figure 1.
Adjusted Odds Ratio of missed opportunity for counseling on PrEP or Condom Use or PrEP prescribing based on Characteristics. Abbreviation: PrEP, pre-exposure prophylaxis.
Tables
- Table 1.
Demographic Characteristics of Patients Diagnosed with HIV Who Had Prior Health System Interactions by Site of Healthcare Interaction
Demographic Characteristics Total Sample (n = 454) N (%) or Mean (SD) Ambulatory Care Received* (n = 353) N (%) or Mean (SD) Emergency-Care Only† (n = 101) N (%) or Mean (SD) P-Value Age at diagnosis 38.6 (12.9) 39.3 (12.8) 36.1 (13.0) 0.014 < 30, n (%) 130 (28.6) 91 (25.8) 39 (38.6) 0.017 ≥ 30, n (%) 324 (71.4) 262 (74.2) 62 (61.4) Number of healthcare visits Total healthcare visits 11.4 (15.8) 13.3 (16.8) 4.7 (8.6) <0.01 ED visits 3.2 (5.4) 2.9 (4.6) 4.2 (7.5) <0.01 Inpatient admissions 0.5 (1.0) 0.6 (1.1) 0.3 (0.68) <0.01 Ambulatory visits 7.8 (14.0) 10 (15.1) – N/A Ethnicity/Race 0.544 Hispanic 147 (32.4) 111 (31.4) 36 (35.6) Non-Hispanic – Black 251 (55.3) 199 (56.4) 52 (51.5) Non-Hispanic – White 52 (11.5) 39 (11.0) 13 (12.9) – Other/Unknown 4 (0.9) 4 (1.1) 0 (0) Sex assigned at birth 0.008 Female 170 (37.4) 144 (40.8) 26 (25.7) Male 284 (62.6) 209 (59.2) 75 (74.3) Gender Identity 0.49 Cisgender 309 (68.1) 246 (69.7) 63 (62.4) Transgender 13 (2.9) 10 (2.8) 3 (3.0) Nonbinary 1 (0.2) 1 (0.3) 0 (0) Unknown 131 (28.9) 96 (27.2) 35 (34.7) Sexual Relationships 0.28 Heterosexual only 270 (59.5) 216 (61.2) 54 (53.5) Same sex partners‡ 155 (34.1) 117 (33.1) 38 (37.6) Unknown 29 (6.4) 20 (5.7) 9 (8.9) STI screen completed§§ 23 (5.1) 21 (5.9) 2 (2.0) 0.178 Year of HIV diagnosis 0.609 2015 36 (7.9) 32 (9.1) 4 (3.96) 2016 33 (7.3) 25 (7.1) 8 (7.9) 2017 75 (16.5) 58 (16.4) 17 (16.8) 2018 86 (18.9) 67 (19.0) 19 (18.8) 2019 96 (21.1) 77 (21.8) 19 (18.8) 2020 76 (16.7) 55 (15.6) 21 (20.8) 2021‖ 52 (11.5) 39 (11.0) 13 (12.9) Encounter after PrEP added to pharmacy formulary 224 (49.3) 171 (48.4) 53 (52.5) 0.547 * Ambulatory Care Received included patients who had at least 1 ambulatory visit and could include patients who also engaged with the emergency care setting.
† Emergency Care Only included patients who only interacted with the Emergency Department, Urgent Care Clinic, and/or Inpatient Settings.
‡ Same sex partners included patients that have both male and female partners and those who exclusively had same sex partners.
§Defined as having all 3 of the following STI tests: Gonorrhea, Chlamydia, and Syphilis test.
‖Ending 6/30/2021.
Abbreviation: SD, standard deviation.
- Table 2.
Patients with Indications for HIV PrEP Identified Before HIV Diagnosis by Site of Healthcare Interaction, n = 454
Indication for HIV PrEP* Total Patients, n (%), n = 454 Ambulatory Care Received, n (%), n = 353 Emergency-Care Only, n (%), n = 101 P-Value One or more PrEP Indication 166 (36.6) 139 (39.4) 27 (26.7) 0.027 IV Drug Use 82 (18.1) 65 (18.7) 17 (17.3) 0.878 Bacterial STI in last 5 years (one or more) 62 (13.7) 56 (15.9) 6 (5.9) 0.017 Type of Bacterial STI Gonorrhea 25 (5.5) 21 (5.9) 4 (4.0) 0.599 Chlamydia 21 (4.6) 20 (5.7) 1 (1.0) 0.088 Syphilis 10 (2.2) 10 (2.8) 0 (0) 0.185 Self-reported STI† 21 (4.6) 20 (5.7) 1 (1.0) 0.088 Patient requested STI screen‡ 8 (1.8) 7 (2.0) 1 (1.0) 0.81 Condomless Sex 0.013 Yes 63 (13.9) 57 (16.1) 6 (5.9) No 43 (9.5) 36 (10.2) 7 (6.9) Unknown 348 (76.7) 260 (73.7) 88 (87.1) ↵*Indications for HIV PrEP are those identified from documentation in the EHR for 5 years before the date of HIV diagnosis.
↵†Results not available in the EHR.
↵‡‡Patient requested STI screening before HIV diagnosis due to a known or suspected exposure.
Abbreviations: HIV, human immunodeficiency virus; STI, sexually transmitted infections.
