Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs
Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members o...
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| Veröffentlicht in: | AIDS and behavior 2017-04, Vol.21 (4), p.1025-1033 |
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| container_title | AIDS and behavior |
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| creator | Edelman, E. Jennifer Moore, Brent A. Calabrese, Sarah K. Berkenblit, Gail Cunningham, Chinazo Patel, Viraj Phillips, Karran Tetrault, Jeanette M. Shah, Minesh Fiellin, David A. Blackstock, Oni |
| description | Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members of a society for academic general internists regarding PrEP. Among 250 respondents, 74% (n = 185) of PCPs reported high willingness to prescribe PrEP to PWID. PCPs were more likely to report high willingness to prescribe PrEP to all other HIV risk groups (p’s |
| doi_str_mv | 10.1007/s10461-016-1612-6 |
| format | Article |
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Jennifer ; Moore, Brent A. ; Calabrese, Sarah K. ; Berkenblit, Gail ; Cunningham, Chinazo ; Patel, Viraj ; Phillips, Karran ; Tetrault, Jeanette M. ; Shah, Minesh ; Fiellin, David A. ; Blackstock, Oni</creator><creatorcontrib>Edelman, E. Jennifer ; Moore, Brent A. ; Calabrese, Sarah K. ; Berkenblit, Gail ; Cunningham, Chinazo ; Patel, Viraj ; Phillips, Karran ; Tetrault, Jeanette M. ; Shah, Minesh ; Fiellin, David A. ; Blackstock, Oni</creatorcontrib><description>Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members of a society for academic general internists regarding PrEP. Among 250 respondents, 74% (n = 185) of PCPs reported high willingness to prescribe PrEP to PWID. PCPs were more likely to report high willingness to prescribe PrEP to all other HIV risk groups (p’s < 0.03 for all pair comparisons). Compared with PCPs delivering care to more HIV-infected clinic patients, PCPs delivering care to fewer HIV-infected patients were more likely to report low willingness to prescribe PrEP to PWID (Odds Ratio [95% CI] = 6.38 [1.48–27.47]). PCP and practice characteristics were not otherwise associated with low willingness to prescribe PrEP to PWID. Interventions to improve PCPs’ willingness to prescribe PrEP to PWID are needed.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-016-1612-6</identifier><identifier>PMID: 27896552</identifier><identifier>CODEN: AIBEFC</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acquired immune deficiency syndrome ; Adult ; AIDS ; Anti-HIV Agents - administration & dosage ; Attitude of Health Personnel ; Disease prevention ; Drug abuse ; Female ; Health care ; Health Care Surveys ; Health Psychology ; Health risks ; Health Services Needs and Demand - statistics & numerical data ; HIV ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Internet ; Lentivirus ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Odds Ratio ; Original Paper ; Patients ; Physicians ; Physicians, Primary Care - psychology ; Pre-Exposure Prophylaxis - methods ; Prevention ; Preventive medicine ; Primary care ; Prophylaxis ; Public Health ; Retroviridae ; Risk groups ; Substance Abuse, Intravenous - complications ; Substance Abuse, Intravenous - epidemiology ; United States ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data</subject><ispartof>AIDS and behavior, 2017-04, Vol.21 (4), p.1025-1033</ispartof><rights>Springer Science+Business Media New York 2017</rights><rights>AIDS and Behavior is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-5980f50b8b9c983654a7155de4ab5df39adcd94d3f3ad2422ce4224b6c9fcda3</citedby><cites>FETCH-LOGICAL-c448t-5980f50b8b9c983654a7155de4ab5df39adcd94d3f3ad2422ce4224b6c9fcda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-016-1612-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-016-1612-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27896552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Edelman, E. Jennifer</creatorcontrib><creatorcontrib>Moore, Brent A.</creatorcontrib><creatorcontrib>Calabrese, Sarah K.</creatorcontrib><creatorcontrib>Berkenblit, Gail</creatorcontrib><creatorcontrib>Cunningham, Chinazo</creatorcontrib><creatorcontrib>Patel, Viraj</creatorcontrib><creatorcontrib>Phillips, Karran</creatorcontrib><creatorcontrib>Tetrault, Jeanette M.</creatorcontrib><creatorcontrib>Shah, Minesh</creatorcontrib><creatorcontrib>Fiellin, David A.</creatorcontrib><creatorcontrib>Blackstock, Oni</creatorcontrib><title>Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members of a society for academic general internists regarding PrEP. Among 250 respondents, 74% (n = 185) of PCPs reported high willingness to prescribe PrEP to PWID. PCPs were more likely to report high willingness to prescribe PrEP to all other HIV risk groups (p’s < 0.03 for all pair comparisons). Compared with PCPs delivering care to more HIV-infected clinic patients, PCPs delivering care to fewer HIV-infected patients were more likely to report low willingness to prescribe PrEP to PWID (Odds Ratio [95% CI] = 6.38 [1.48–27.47]). PCP and practice characteristics were not otherwise associated with low willingness to prescribe PrEP to PWID. Interventions to improve PCPs’ willingness to prescribe PrEP to PWID are needed.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Anti-HIV Agents - administration & dosage</subject><subject>Attitude of Health Personnel</subject><subject>Disease prevention</subject><subject>Drug abuse</subject><subject>Female</subject><subject>Health care</subject><subject>Health Care Surveys</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Internet</subject><subject>Lentivirus</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Physicians</subject><subject>Physicians, Primary Care - psychology</subject><subject>Pre-Exposure Prophylaxis - methods</subject><subject>Prevention</subject><subject>Preventive medicine</subject><subject>Primary care</subject><subject>Prophylaxis</subject><subject>Public Health</subject><subject>Retroviridae</subject><subject>Risk groups</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>United States</subject><subject>Unsafe Sex - psychology</subject><subject>Unsafe Sex - statistics & numerical data</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkc1q3DAURkVoadK0D5BNEHTTjVpJlmRpGSZJMxDoLEK7FLIsz3jwWI7umGR2fY28Xp-kMk5LKBS60Q869xP3HoTOGP3EKC0_A6NCMUKZIkwxTtQROmGyLEjBpXiVz9RQUjIlj9FbgC2l1KjSvEHHvNRGSclPULdK7c6lA164FPBqc4DWt66Hnz-e8Pe269p-3QcAvI94lQL41FYB3yy_TTcSHocI41SX4rA5dO6xBdzEhFchDl3AD5uIl_02-D2-TOMa3qHXjesgvH_eT9Hd9dXd4obcfv2yXFzcEi-E3hNpNG0krXRlvNGFksKVTMo6CFfJuimMq31tRF00hau54NyHvIhKedP42hWn6OMcO6R4PwbY210LPnSd60McwTKtWSmZ0uw_UCEU1VSqjH74C93GMfW5j0zlOMaV0JliM-VTBEihscM8YMuonaTZWZrN0uwkzU7J58_JY7UL9Z-K35YywGcA8lO_DunF1_9M_QUGbqK4</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Edelman, E. 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Jennifer</au><au>Moore, Brent A.</au><au>Calabrese, Sarah K.</au><au>Berkenblit, Gail</au><au>Cunningham, Chinazo</au><au>Patel, Viraj</au><au>Phillips, Karran</au><au>Tetrault, Jeanette M.</au><au>Shah, Minesh</au><au>Fiellin, David A.</au><au>Blackstock, Oni</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>21</volume><issue>4</issue><spage>1025</spage><epage>1033</epage><pages>1025-1033</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members of a society for academic general internists regarding PrEP. Among 250 respondents, 74% (n = 185) of PCPs reported high willingness to prescribe PrEP to PWID. PCPs were more likely to report high willingness to prescribe PrEP to all other HIV risk groups (p’s < 0.03 for all pair comparisons). Compared with PCPs delivering care to more HIV-infected clinic patients, PCPs delivering care to fewer HIV-infected patients were more likely to report low willingness to prescribe PrEP to PWID (Odds Ratio [95% CI] = 6.38 [1.48–27.47]). PCP and practice characteristics were not otherwise associated with low willingness to prescribe PrEP to PWID. Interventions to improve PCPs’ willingness to prescribe PrEP to PWID are needed.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27896552</pmid><doi>10.1007/s10461-016-1612-6</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | AIDS and behavior, 2017-04, Vol.21 (4), p.1025-1033 |
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| subjects | Acquired immune deficiency syndrome Adult AIDS Anti-HIV Agents - administration & dosage Attitude of Health Personnel Disease prevention Drug abuse Female Health care Health Care Surveys Health Psychology Health risks Health Services Needs and Demand - statistics & numerical data HIV HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - psychology HIV Infections - transmission Human immunodeficiency virus Humans Infectious Diseases Internet Lentivirus Male Medicine Medicine & Public Health Middle Aged Odds Ratio Original Paper Patients Physicians Physicians, Primary Care - psychology Pre-Exposure Prophylaxis - methods Prevention Preventive medicine Primary care Prophylaxis Public Health Retroviridae Risk groups Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - epidemiology United States Unsafe Sex - psychology Unsafe Sex - statistics & numerical data |
| title | Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs |
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