Details:

Alternative Title:
AIDS Behav
Personal Author:
Henny, Kirk D. ; Duke, Christopher C. ; Geter, Angelica ; Gaul, Zaneta ; Frazier, Chantell ; ... More +
Henny, Kirk D. ; Duke, Christopher C. ; Geter, Angelica ; Gaul, Zaneta ; Frazier, Chantell ; Peterson, Jennifer ; Buchacz, Kate ; Sutton, Madeline Y. ; Less -
Description:
The Southeast accounted for most HIV diagnoses (52%) in the United States in 2015. Primary care providers (PCPs) play a vital role in HIV prevention for at-risk persons and treatment of persons living with HIV. We studied HIV-related training, knowledge, and clinical practices among PCPs in the Southeast to address knowledge gaps to inform HIV prevention strategies. Between April and August 2017, we conducted an on-line survey of a representative sample of PCPs in six Southeast jurisdictions with high rates of HIV diagnoses (Atlanta; Baltimore; Baton Rouge; District of Columbia; Miami; New Orleans). We defined HIV-related training as self-reported completion of any certified HIV/STD course or continuing education in past 24 months (prior to survey completion). We assessed associations between training and HIV testing practices, familiarity with nonoccupational post-exposure prophylaxis (nPEP) and pre-exposure prophylaxis (PrEP), and ever prescribing nPEP or PrEP. There were 820 participants after fielding 4595 surveys (29.6% adjusted response rate). In weighted analyses, 36.3% reported HIV-related training. Using adjusted prevalence ratio (aPR) and confidence intervals (CI), we found that PCPs with HIV-related training (compared to those with no training) were more likely to be familiar with nPEP (aPR = 1.32, 95% CI 1.05, 1.67) and PrEP (aPR = 1.67, 95% CI 1.19, 2.38); and to have ever prescribed PrEP to patients (aPR = 1.75, 95% CI 1.10, 2.78). Increased HIV-related trainings among PCPs in high HIV prevalence Southeast jurisdictions may be warranted. Strengthening nPEP and PrEP familiarity among PCPs in Southeast may advance national HIV prevention goals.
Subject:
[+]
Article
HIV
PEP
PrEP
Primary Care Providers
Training

Source:
AIDS Behav. 23(11):2926-2935 ;
Pubmed ID:
31172333
Pubmed Central ID:
PMC6803031
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ; 200-2015-F-87651/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/ ;
CC999999/Intramural CDC HHS/United States ; 200-2015-F-87651/National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention/ ; Less -
Place as Subject:
Southeastern United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e95287bf8c82485175e8c4e020ec864ba4cb978570f40dbc2b9f39502afb79fe
File Type:

Supporting Files

• 	nihms-1034485.nxml	xml
  	NIHMS1034485-supplement-Appendices.docx	docx

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