{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:02:48Z","timestamp":1777554168353,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>\n                    Innovative delivery strategies are needed to facilitate access to HIV pre-exposure prophylaxis (PrEP). The objective of this study was to evaluate a navigator-facilitated PrEP referral process from a sexual health center (SHC) to a co-located PrEP clinic as an alternative delivery model. Electronic health record (EHR) data were used to calculate the number of clients seen at the SHC in 2019. Charts were manually reviewed to determine whether a PrEP clinic referral was made and document type of referral method: face-to-face appointment scheduling with the navigator (\n                    <jats:italic toggle=\"yes\">warm handoff<\/jats:italic>\n                    ), EHR messaging to navigator to schedule the appointment at a later time (\n                    <jats:italic toggle=\"yes\">EHR message<\/jats:italic>\n                    ), or provision of navigator's contact information to the client (\n                    <jats:italic toggle=\"yes\">card only<\/jats:italic>\n                    ). In 2019, 2481 unique potentially PrEP-eligible clients were seen at the SHC; 220 (9%) received a PrEP referral. Of referred clients, median age was 30 years (interquartile range, 24\u201334), 182 (83%) were male, 89 (40%) were non-Hispanic Black, and 24 (11%) were Latinx. In total, 94\/220 (43%) referred clients attended an initial PrEP visit with a provider, and the proportion attending by referral method was 81%, 36%, and 27% for warm handoff, EHR message, and card only, respectively (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u20090.0001). Despite co-location of these two clinics, there were significant drop-offs along the PrEP care continuum for this referral system. Warm handoff was the most effective referral method, but further efforts are needed to understand barriers to referral. Implementation of same-day PrEP services at SHCs is one potential solution to engaging additional clients.\n                  <\/jats:p>","DOI":"10.1089\/apc.2021.0050","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T11:53:36Z","timestamp":1630065216000},"page":"354-359","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of an HIV Pre-Exposure Prophylaxis Referral System: From Sexual Health Center to Federally Qualified Health Center Pre-Exposure Prophylaxis Clinic"],"prefix":"10.1177","volume":"35","author":[{"given":"Rebecca","family":"Lillis","sequence":"first","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Medicine, Section of Infectious Diseases, New Orleans, Louisiana, USA."},{"name":"LSU-CrescentCare Sexual Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Beckford","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Medicine, Section of Infectious Diseases, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Fegley","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Siren","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Hinton","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Gomez","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie N.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Medicine, Section of Infectious Diseases, New Orleans, Louisiana, USA."},{"name":"LSU-CrescentCare Sexual Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isolde","family":"Butler","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Halperin","sequence":"additional","affiliation":[{"name":"CrescentCare Federally Qualified Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0283-6368","authenticated-orcid":false,"given":"Meredith Edwards","family":"Clement","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, Department of Medicine, Section of Infectious Diseases, New Orleans, Louisiana, USA."},{"name":"LSU-CrescentCare Sexual Health Center, New Orleans, Louisiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"United States. PrEPWatch. Available at: https:\/\/www.prepwatch.org\/country\/united-states\/ (Last accessed January25 2021)."},{"key":"e_1_3_4_3_2","unstructured":"Mapping PrEP: First Ever Data on PrEP Users Across the U.S. AIDSVu. 2018. Available at: https:\/\/aidsvu.org\/prep\/ (Last accessed January25 2021)."},{"key":"e_1_3_4_4_2","unstructured":"2018 CROI PrEP Press Release | CDC. 2019. Available at: https:\/\/www.cdc.gov\/nchhstp\/newsroom\/2018\/croi-2018-PrEP-press-release.html (Last accessed January25 2021)."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0054"},{"key":"e_1_3_4_6_2","first-page":"480","article-title":"Engaging United States black communities in HIV pre-exposure prophylaxis: Analysis of a PrEP engagement cascade","volume":"110","author":"Kwakwa HA","year":"2018","unstructured":"Kwakwa HA, , Bessias S, , Sturgis D, et al. Engaging United States black communities in HIV pre-exposure prophylaxis: Analysis of a PrEP engagement cascade. J Natl Med Assoc, 2018; 110:480\u2013485.","journal-title":"J Natl Med Assoc"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000690"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002274"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325958219848848"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00705-x"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2015.0013"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ289"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-02951-w"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.31486\/toj.19.0004"},{"key":"e_1_3_4_16_2","unstructured":"CDC. HIV in the United States by Region. Centers for Disease Control and Prevention. 2020. Available at: https:\/\/www.cdc.gov\/hiv\/statistics\/overview\/geographicdistribution.html (Last accessed January26 2021)."},{"key":"e_1_3_4_17_2","unstructured":"2018 STD Surveillance Report: State Ranking Tables. 2018:5. Available at: CDC.GOV\/STD\/Stats18\/tables.htm (Last accessed January15 2021)."},{"key":"e_1_3_4_18_2","unstructured":"Geographic Priorities | Ending the HIV Epidemic | CDC. 2020. Available at: https:\/\/www.cdc.gov\/endhiv\/priorities.html (Last accessed August29 2020)."},{"key":"e_1_3_4_19_2","unstructured":"AIDSVu Share Map. Available at: https:\/\/map.aidsvu.org\/map (Last accessed January26 2021)."},{"key":"e_1_3_4_20_2","unstructured":"Sugimori E Clement ME Holcombe D et al. TelePrEP in Louisiana to reach those living in the rural Southern United States. Virtual AIDS 2020 2020. Presented as abstract at AIDS 2020: Virtual. July 6\u201310 2020."},{"key":"e_1_3_4_21_2","unstructured":"Clement ME Perry B McKenna K et al. Getting to [NO]ne in New Orleans: Enhancing PrEP uptake among black women to end the epidemic. In: National Ending the HIV Epidemic Meeting. Virtual. April 14\u201315 2021."},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0004"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.12.018"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2017.0201"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02529-1"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2020.03.013"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofz310"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciz1093"},{"key":"e_1_3_4_29_2","unstructured":"Mikati T Jamison K Daskalakis D. Immediate PrEP initiation at New York City Sexual Health Clinics. In: Conference on Retroviruses and Opportunistic Infections. 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Seattle March 4\u20137 2019."},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2020.0151"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(20)30256-3"}],"container-title":["AIDS Patient Care and STDs"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/apc.2021.0050","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2021.0050","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/apc.2021.0050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:04:16Z","timestamp":1777399456000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/apc.2021.0050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":30,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1089\/apc.2021.0050"],"URL":"https:\/\/doi.org\/10.1089\/apc.2021.0050","relation":{},"ISSN":["1087-2914","1557-7449"],"issn-type":[{"value":"1087-2914","type":"print"},{"value":"1557-7449","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}