JAIDS Journal of Acquired Immune Deficiency Syndromes Publish Ahead of Print

1 DOI: 10.1097/QAI.0000000000001561 2

PrEP Use During Periods of HIV Risk Among East African Women in Serodiscordant Relationships

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Authors: Maria Pyra MPH1,2, Jessica E. Haberer MD MS7,8, Renee Heffron MPH PhD1,2, Lara Kidoguchi MPH2, Elizabeth R.

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Brown MS ScD3,6, Elizabeth A. Bukusi MM MPS PhD2,4,9, Stephen Asiimwe MBcHB MPH10, Connie Celum MD MPH1,2,5, Elly

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Katabira MD FRCP11, Nelly R. Mugo MBChB2,9, and Jared M. Baeten MD PhD1,2,5 for the Partners Demonstration Project

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Team

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Department of Epidemiology, 2Department of Global Health, 3Department of Biostatistics, 4Department of Obstetrics

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and Gynecology, 5Department of Medicine, University of Washington, Seattle USA; 6Vaccine and Infection Diseases and

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Public Health Science Division, Fred Hutchinson Cancer Research Center, Seattle USA; 7Massachusetts General Hospital

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Global Health and Harvard Medical School, Boston USA; 8Department of Medicine, Harvard Medical School, Boston USA;

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Makerere University, Uganda

Kenya Medical Research Institute (KEMRI); 10Kabwohe Clinical Research Center, Uganda; 11Infectious Disease Institute,

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16 Word count: 2004/2000

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Running Title: PrEP Adherence in East African Women

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*Corresponding author: Jared M. Baeten

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University of Washington Department of Global Health

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325 Ninth Avenue Box 359927

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Seattle, WA 98104

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Phone: +1-206-520-3808

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Fax: +1-206-520-3831

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Email: [email protected]

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Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc.

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Data was presented at HIV Research for Prevention (HIV R4P) 2016, October 17-21, in Chicago, IL , USA.

29 Funding

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The Partners Demonstration Project was funded by the National Institute of Mental Health of the US National Institutes

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of Health (R01 MH095507), the Bill & Melinda Gates Foundation (OPP1056051), and the US Agency for International

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Development (AID-OAA-A-12-00023). The contents are the responsibility of the authors and do not necessarily reflect

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the views of USAID, NIH, or the United States Government.

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The authors report no conflicts of interest related to this work.

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Abstract (255/250):

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Background: PrEP is efficacious for African women at risk for HIV, but data on adherence outside of clinical trials are

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sparse. We describe the persistence and execution of PrEP use among women participating in a large open-label PrEP

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demonstration project, particularly during periods of HIV risk.

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Setting & Methods: 310 HIV-uninfected women in HIV serodiscordant couples in Kenya and Uganda were offered and

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accepted PrEP. Electronic monitoring caps were used to measure daily PrEP adherence. Time on PrEP while at risk for

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HIV (when the HIV-infected partner was on ART

PrEP Use During Periods of HIV Risk Among East African Women in Serodiscordant Relationships.

PrEP is efficacious for African women at risk for HIV, but data on adherence outside of clinical trials are sparse. We describe the persistence and ex...
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