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We conducted a secondary data analysis and calculated adjusted Prevalence Odds Ratios (aPORs) for PrEP retention along with 95% CIs at 90, 180, and 360 days at an organization running safety net clinics in Texas for gay and bisexual men. We found statistically significant association with age, race, in-clinic versus telehealth appointments, and having healthcare insurance. White clients had an aPOR of 1.29 [1.00, 1.67] as compared to Black clients at 90 days. Age group of 18\u201324 had a lower aPOR than all other age groups except 55 or older at all three time periods. Clients who met providers in person had an aPOR of 2.6 [2.14, 3.19] at 90, 2.6 [2.2, 3.30] at 180 days and 2.84 [2.27, 3.54] at 360 days. Our findings highlight the need for population-specific targeted interventions.<\/jats:p>","DOI":"10.1177\/23259582241275857","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T04:42:45Z","timestamp":1725252165000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Lower PrEP Retention among Young  and Black Clients Accessing PrEP  at a Cluster of Safety Net Clinics  for Gay and Bisexual Men"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8506-9039","authenticated-orcid":false,"given":"Harsh","family":"Agarwal","sequence":"first","affiliation":[{"name":"Gillings School of Global Public Health, UNC Chapel Hill, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Erwin","sequence":"additional","affiliation":[{"name":"Center for Health Empowerment, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Lyles","sequence":"additional","affiliation":[{"name":"Center for Health Empowerment, Austin, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Esposito","sequence":"additional","affiliation":[{"name":"Gillings School of Global Public Health, UNC Chapel Hill, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zunaid","family":"Ahsan","sequence":"additional","affiliation":[{"name":"Gillings School of Global Public Health, UNC Chapel Hill, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"bibr1-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2012.732911"},{"key":"bibr2-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200404150-00011"},{"key":"bibr3-23259582241275857","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300921"},{"key":"bibr4-23259582241275857","doi-asserted-by":"publisher","DOI":"10.7326\/M17-2082"},{"key":"bibr5-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3182a98bae"},{"key":"bibr6-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2023.101579"},{"key":"bibr7-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2021.0401"},{"key":"bibr8-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-014-0331-1"},{"key":"bibr9-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-048478"},{"key":"bibr10-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001145"},{"key":"bibr11-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-016-1565-9"},{"key":"bibr12-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000733"},{"key":"bibr13-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1021\/acs.biochem.1c00157"},{"key":"bibr14-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-016-1619-z"},{"key":"bibr15-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2012.0419"},{"key":"bibr16-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-020-02951-w"},{"key":"bibr17-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2015-052382"},{"key":"bibr18-23259582241275857","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-021-03262-4"},{"key":"bibr19-23259582241275857","doi-asserted-by":"crossref","unstructured":"Mounzer KC, Fusco JS, Hsu RK, et al. 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