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. 2025 Oct;115(10):1584-1588.
doi: 10.2105/AJPH.2025.308209. Epub 2025 Aug 14.

Implementation of Doxy-PEP in a Diverse Sexual Health Program in Northern Manhattan: The Doxy-Care Study

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Implementation of Doxy-PEP in a Diverse Sexual Health Program in Northern Manhattan: The Doxy-Care Study

Simian Huang et al. Am J Public Health. 2025 Oct.

Abstract

This prospective cohort study evaluated the real-world effectiveness of doxycycline postexposure prophylaxis use in reducing bacterial sexually transmitted infections (STIs) within a diverse urban sexual health program. Propensity-matched analyses showed significant STI reductions, particularly in rectal Chlamydia trachomatis infections, among early adopters. Uptake was disproportionately higher in non-Hispanic White individuals and those more engaged in care. Findings emphasize the need for targeted outreach to improve care engagement and equitable access to this STI prevention strategy. (Am J Public Health. 2025;115(10):1584-1588. https://doi.org/10.2105/AJPH.2025.308209).

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References

    1. Bachmann LH , Barbee LA , Chan P , et al. CDC clinical guidelines on the use of doxycycline postexposure prophylaxis for bacterial sexually transmitted infection prevention, United States, 2024 . MMWR Recomm Rep. 2024. ; 73 ( 2 ): 1 – 8 . 10.15585/mmwr.rr7302a1 - DOI - PMC - PubMed
    1. Carter G , Tavares T. PrEP prescription in Indiana 2017‒2022: implications for clinical practice . Res Nurs Health. 2024. ; 47 ( 1 ): 49 – 59 . 10.1002/nur.22354 - DOI - PubMed
    1. Pleuhs B , Quinn KG , Walsh JL , Petroll AE , John SA. Health care provider barriers to HIV pre-exposure prophylaxis in the United States: a systematic review . AIDS Patient Care STDS. 2020. ; 34 ( 3 ): 111 – 123 . 10.1089/apc.2019.0189 - DOI - PMC - PubMed
    1. Kamitani E , Johnson WD , Wichser ME , Adegbite AH , Mullins MM , Sipe TA. Growth in proportion and disparities of HIV PrEP use among key populations identified in the United States national goals: systematic review and meta-analysis of published surveys . J Acquir Immune Defic Syndr. 2020. ; 84 ( 4 ): 379 – 386 . 10.1097/QAI.0000000000002345 - DOI - PMC - PubMed
    1. New York City Department of Health and Mental Hygiene, Bureau of Hepatitis, HIV, and Sexually Transmitted Infections . Sexually transmitted infections surveillance report, 2023 . December 2024. . Available at: https://www.nyc.gov/assets/doh/downloads/pdf/std/sti-2023-report.pdf . Accessed February 15, 2025.

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