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

Huang, Simian; Carnevale, Caroline; Neu, Natalie; Klein, Joshua; Quigee, Daniela; Perez, Edward; Burrell, Lauren; Meyers, Kathrine et al. · Am J Public Health · 2025

prospective_cohort · Level II

Where this comes from

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 <i>Chlamydia trachomatis</i> 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. (<i>Am J Public Health</i>. 2025;115(10):1584-1588. https://doi.org/10.2105/AJPH.2025.308209).

Medical subject headings