{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:17:52Z","timestamp":1777555072032,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"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":[[2023,11]]},"abstract":"<jats:p>\n                    HIV pre-exposure prophylaxis (PrEP) remains underutilized among cis and trans women. The PrEP Initiative Program (PIP) is a novel public\u2013private partnership implemented at 12 local clinics in North Carolina. PIP provides HIV\/sexually transmitted infection (STI) testing and clinical and laboratory monitoring for PrEP to uninsured\/underinsured clients. We sought to understand service-related differences among both cis and trans women enrolled in PIP, including STIs diagnoses, clinic type, sources of referral, services needed, and reasons for PrEP discontinuation. The Kaplan\u2013Meier curves display retention on PrEP over the duration of the program. Since 2018, 142 women (cis\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009113; trans\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200929) enrolled, and 136 started PrEP. The majority were ages 25\u201334 years (31.7%) or 18\u201324 years (29.6%), Black (57.8%) or Latinx (24.7%). Approximately 20.6% of recipients reported at least one STI while enrolled. Overall, trans women requested fewer services than cis women. After accounting for the amount of time each patient was taking PrEP, there were higher rates of trans women diagnosed with syphilis than cis women. Rates of persons with other STIs were not notably different between trans and cis women. Clinic access varied by gender: 69% of trans women were enrolled at only one site. Trans women were retained significantly longer: The Kaplan\u2013Meier adjusted median time to discontinuation was 560 and 238 days for trans and cis women, respectively. PIP successfully reached historically marginalized and uninsured cis and trans women who may benefit from PrEP. Further investigations into factors contributing to recruitment and retention of women in HIV prevention programs are needed.\n                  <\/jats:p>","DOI":"10.1089\/apc.2023.0147","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T14:29:20Z","timestamp":1699885760000},"page":"525-534","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Uptake and Discontinuation of Pre-Exposure Prophylaxis Among Uninsured Transgender and Cisgender Women: A Public\u2013Private Partnership Model in North Carolina"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3562-7415","authenticated-orcid":false,"given":"Meagan","family":"Zarwell","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."},{"name":"Academy for Population Health Innovation, UNC Charlotte, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Witt","sequence":"additional","affiliation":[{"name":"Academy for Population Health Innovation, UNC Charlotte, Charlotte, North Carolina, USA."},{"name":"HIV\/STI Division, Mecklenburg County Public Health Department, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Marin-Cespedes","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."},{"name":"Academy for Population Health Innovation, UNC Charlotte, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Gorman","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makshwar U.","family":"Kumtap","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhoen","family":"Hoff","sequence":"additional","affiliation":[{"name":"Department of Psychology, UNC Charlotte, College of Liberal Arts and Sciences, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ainella","family":"Rysbayeva","sequence":"additional","affiliation":[{"name":"Department of Biology, UNC Charlotte, College of Liberal Arts and Sciences, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Biology, UNC Charlotte, College of Liberal Arts and Sciences, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsa L.","family":"Boehm","sequence":"additional","affiliation":[{"name":"BASIS DC High School, Washington, District of Columbia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sweta","family":"Harihar","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."},{"name":"Academy for Population Health Innovation, UNC Charlotte, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Michele","family":"Issel","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, UNC Charlotte, College of Health and Human Services, Charlotte, North Carolina, USA."},{"name":"Academy for Population Health Innovation, UNC Charlotte, Charlotte, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6848e1"},{"key":"e_1_3_5_3_2","unstructured":"CDCc. HIV in the United States by Region: HIV Incidence. Atlanta GA; 2022. 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