Sexual health discussion practices and HIV clinical care provided by primary care providers in the Southeast United States, K-BAP Study (2017–2018)

Details

• Alternative Title:
  Fam Pract
• Personal Author:
  Townes, Ashley ; Gaul, Zaneta ; Henny, Kirk D.
• Description:
  Objective:
  
  Research underscores the importance of providers having routine discussions with patients about their sexual health. We examined the occurrences and association of routine sexual health discussion practices and human immunodeficiency virus (HIV) clinical care among primary care providers (PCPs) in areas with high HIV prevalence.
  
  Methods:
  
  We analysed data collected between April and August 2017 from an online survey that assessed PCPs knowledge, behaviours, attitudes, and practices of HIV-related care in 6 Southeast US jurisdictions (Atlanta, Baltimore, Baton Rouge, District of Columbia, Miami, and New Orleans).
  
  Results:
  
  Among PCPs, we found that 39.2% routinely obtained sexual health histories, 78.5% offered HIV testing, and 16.0% ever prescribed preexposure prophylaxis (PrEP). Based on adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs), the proportion of PCPs who routinely obtained sexual histories was higher among female PCPs (aPR = 1.47, 95% CI 1.04, 2.08), PCPs who had a patient population that was >50% men who have sex with men (MSM) (aPR = 1.94, 95% CI 1.72, 2.18), offered HIV testing (aPR = 3.60, 95% CI 2.23, 5.79), and ever prescribed PrEP (aPR = 1.43, 95% CI 1.06, 1.93).
  
  Conclusion:
  
  Improving patient-provider discussions are needed to reduce HIV-related service barriers for disproportionately affected populations.
  
  Practice implications:
  
  Routine discussions can reduce barriers to important HIV prevention and care services and help reduce disparities among patients living in highly prevalent HIV locations.
  
  
• Subjects:
  Female Health Knowledge, Attitudes, Practice HIV HIV Infections Homosexuality, Male Humans Male Primary Health Care Sexual And Gender Minorities Sexual Health Southeastern United States

  More +
• Keywords:
  HIV Prevention PrEP Primary Care Providers Sexual Health History
• Source:
  Fam Pract. 40(1):39-46
• Pubmed ID:
  35899789
• Pubmed Central ID:
  PMC11299194
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  40
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2ba83f2de4f5081b2ad26f8d4282acd3b5b11cb25a0e84117cc7dfa191d3ab08d64f9b4043589b854796753090daa50f646b6599063097bccb759c9571e44ebd
• Download URL:
  https://stacks.cdc.gov/view/cdc/159571/cdc_159571_DS1.pdf
• File Type:
  [PDF - 121.28 KB ]