Adolescent Health Providers' Willingness to Prescribe Pre-Exposure Prophylaxis (PrEP) to Youth at Risk of HIV Infection in the United States.
J Adolesc Health
; 63(2): 242-244, 2018 08.
Article
em En
| MEDLINE
| ID: mdl-29843969
ABSTRACT
PURPOSE:
HIV disproportionately affects young men who have sex with men. Pre-exposure prophylaxis (PrEP) can prevent HIV acquisition; however, youth access to PrEP is limited by provider willingness to prescribe PrEP.METHODS:
We conducted an online survey of clinicians working with adolescents (aged 13-17 years) and young adults (aged 18-26 years) in the United States through the Society of Adolescent Health and Medicine. We used multivariate logistic regression to assess provider beliefs associated with willingness to provide PrEP.RESULTS:
Nearly all (93.2%) providers had heard of PrEP, and 57 (35.2%) had prescribed PrEP. While almost all providers (95%) agreed that PrEP prevents HIV, fewer were willing to prescribe to young adults (77.8%) or adolescents (64.8%). Willingness to prescribe PrEP was strongly associated with the belief that providers had enough knowledge to safely provide PrEP to adolescents (OR 2.11, confidence interval [CI] 1.18-3.76, p = .01) and young adults (odds ratio 5.19, CI 2.15-12.50, p ≤ .001), and that adolescents would be adherent (odds ratio 3, CI 1.30-6.90, p = .01). Response rate was 17%.CONCLUSIONS:
Almost all providers had heard of PrEP and most providers were willing to prescribe PrEP. Provider education and tools to promote provider self-efficacy and adolescent adherence might improve provider willingness to provide PrEP.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Atitude do Pessoal de Saúde
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Infecções por HIV
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Fármacos Anti-HIV
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Profilaxia Pré-Exposição
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article