Health Care Provider Decisions to Initiate Oral HIV Preexposure Prophylaxis in New York City Public Sexual Health Clinics Article Swipe
YOU?
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· 2023
· Open Access
·
· DOI: https://doi.org/10.1097/olq.0000000000001782
Background Oral HIV preexposure prophylaxis (PrEP) is safe and effective but underutilized. Health care providers' beliefs about PrEP and attitudes toward people who could benefit may affect PrEP access. Methods This mixed-methods study (2016–2018) was conducted in 8 New York City public sexual health clinics that implemented a PrEP program. Data included 32 in-depth qualitative interviews with clinicians, quantitatively coded to reflect their PrEP beliefs; a provider questionnaire; and 6 months of medical record visit data for these providers. Among patients with a PrEP indication, we examined the odds of a patient being initiated on PrEP associated with providers' PrEP beliefs and demographic characteristics, and patient characteristics. Results Providers reported strong support for offering PrEP to eligible patients. The majority denied concerns about possible development of drug-resistant viral strains, giving PrEP to people who might not benefit, and PrEP toxicity. Nevertheless, about one-third agreed with each of these concerns, and 55% thought PrEP use might limit condom use. Of 2176 patients with a PrEP indication, 20% were initiated. Providers with more restrictive PrEP beliefs did not have lower odds of initiating patients on PrEP. Women as well as Black and Latinx patients were less likely to be initiated on PrEP. Conclusions Contrary to our hypotheses, providers' negative PrEP beliefs did not seem to reduce initiation of PrEP for eligible patients. This may be attributable to clear clinical protocols, strong staff support, and training on implementing PrEP in this setting. Racial and gender disparities in PrEP uptake urgently require attention.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/olq.0000000000001782
- OA Status
- green
- Cited By
- 1
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4319336743
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4319336743Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/olq.0000000000001782Digital Object Identifier
- Title
-
Health Care Provider Decisions to Initiate Oral HIV Preexposure Prophylaxis in New York City Public Sexual Health ClinicsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-07Full publication date if available
- Authors
-
Susie Hoffman, Kelly Jamison, Preeti Pathela, Tatiana Gonzalez-Argoti, Angelic Rivera, Cheng‐Shiun Leu, Stephanie Hubbard, Michael Castro, Christine Borges, Anisha D. Gandhi, Zoe R. Edelstein, Julie E. Myers, Joanne E. Mantell, Laurie J. BaumanList of authors in order
- Landing page
-
https://doi.org/10.1097/olq.0000000000001782Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://pmc.ncbi.nlm.nih.gov/articles/PMC10838661/pdf/nihms-1871132.pdfDirect OA link when available
- Concepts
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Medicine, Pre-exposure prophylaxis, Family medicine, Odds, Public health, Health care, Human immunodeficiency virus (HIV), Men who have sex with men, Nursing, Internal medicine, Logistic regression, Economic growth, Syphilis, EconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 1Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| primary_location.source.host_organization_name | Lippincott Williams & Wilkins |
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| publication_date | 2023-02-07 |
| publication_year | 2023 |
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