Background Despite the widespread availability and high efficacy of HIV prevention services, HIV incidence remains disproportionately high. To reduce HIV incidence, this investigation will focus on missed opportunities for HIV prevention. In evaluating retrospective HIV risk status and HIV prevention utilization in persons living with HIV prior to seroconversion, new strategies for HIV prevention may be developed. Methods 29 individuals between January 2012 and October 2022 met inclusion criteria of a history of primary care who acquired an incident HIV diagnosis at MedStar Health. Administrative, laboratory, medication, and diagnostic data were collected from the Cerner Powerchart electronic medical record system. Data analysis includes the chi-square test (or Fisher’s exact test), the two-sample t‐test, and odds ratios from logistic regression models. Results Gender-based differences in predominant sexual identity were observed (LGBTQIA/male: 58.8%, LGBTQIA/female: 8.30%, p< 0.01). More males utilized primary care within 2 years of diagnosis (p<0.01), were tested more recently (p<0.05), and obtained PrEP prescription (p<0.01) than females prior to seroconversion. In addition, HIV testing was more likely to occur among Black (OR=35.0, 95% CI 3.66,905) and LGBTQIA identifying persons (OR=11.4, 95% CI 1.61, 234). Conclusions Biomedical and behavioral prevention utilization must be improved throughout primary and other ambulatory care sites within the studied regional health care system, despite progress noted in some prevention with some groups at elevated risk.
Lickfeld et al. (Wed,) studied this question.
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