Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs

被引:0
作者
E. Jennifer Edelman
Brent A. Moore
Sarah K. Calabrese
Gail Berkenblit
Chinazo Cunningham
Viraj Patel
Karran Phillips
Jeanette M. Tetrault
Minesh Shah
David A. Fiellin
Oni Blackstock
机构
[1] Yale University School of Medicine,Center for Interdisciplinary Research on AIDS
[2] Yale University School of Public Health,undefined
[3] Yale University School of Public Health,undefined
[4] George Washington University,undefined
[5] Johns Hopkins University,undefined
[6] Montefiore and Albert Einstein College of Medicine,undefined
[7] NIDA-IRP,undefined
[8] NIH,undefined
[9] University of Illinois – Chicago,undefined
来源
AIDS and Behavior | 2017年 / 21卷
关键词
HIV prevention; Pre-exposure prophylaxis; Attitude of health personnel; Substance abuse; Prevención del VIH; Profilaxis previa a la exposición; Actitud del personal de salud; Abuso de sustancias;
D O I
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学科分类号
摘要
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.
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页码:1025 / 1033
页数:8
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