WHAT PREDICTS A CLINICAL DISCUSSION ABOUT PREP? RESULTS FROM ANALYSIS OF A US NATIONAL COHORT OF HIV-VULNERABLE SEXUAL AND GENDER MINORITIES

被引：4

作者：

Carneiro, Pedro B. ^{[1
]}

Frye, Victoria ^{[2
]}

Mirzayi, Chloe ^{[3
]}

Patel, Viraj ^{[4
]}

Lounsbury, David ^{[5
]}

Huang, Terry T-K ^{[6
]}

Sabounchi, Nasim ^{[6
]}

Grov, Christian ^{[1
,3
]}

机构：

[1] CUNY, Grad Sch Publ Hlth & Hlth Policy, Dept Community Hlth & Social Sci, New York, NY 10027 USA

[2] CUNY, Sch Med, New York, NY 10027 USA

[3] CUNY, Inst Implementat Sci Populat Hlth, New York, NY 10027 USA

[4] Albert Einstein Coll Med, Montefiore Hlth Syst, Div Gen Internal Med, Bronx, NY 10467 USA

[5] Albert Einstein Coll Med, Montefiore Hlth Syst, Dept Epidemiol & Populat Hlth, Bronx, NY 10467 USA

[6] CUNY, Grad Sch Publ Hlth & Hlth Policy, Dept Hlth Policy & Management, New York, NY 10027 USA

来源：

AIDS EDUCATION AND PREVENTION | 2022年 / 34卷 / 03期

关键词：

PrEP uptake; PrEP assessment; provider communication; HIV prevention; PREEXPOSURE PROPHYLAXIS; MEN;

D O I：

10.1521/aeap.2022.34.3.195

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

HIV-outcome inequities remain prevalent in the U.S. Medical providers (MPs) are gatekeepers of PrEP, and understanding the dynamics of PrEP assessments is of major interest for public health. We analyzed data from Together 5000, an internet-based U.S. national cohort of sexual and gender minority (SGM) individuals aged 16-49 years and at risk for HIV. Among those eligible for PrEP uptake (n = 6264), we modeled predictors of discussing PrEP with an MP. A third (31%) of participants had spoken to a MP about PrEP. Among those who spoke to a MP, 45% suggested they would initiate PrEP; this outcome was more common among participants older than 24. With a persistent stagnant uptake nationwide, new opportunities to influence PrEP uptake must be explored. An attractive less targeted space is the medical office, specifically ways to support an initial and continued discussion about PrEP between MPs and their patients.

引用

页码：195 / 208

页数：14

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