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Health Serv Res. 2017 Jul 25. doi: 10.1111/1475-6773.12746. [Epub ahead of print]

An Evaluation of a Clinical Pre-Exposure Prophylaxis Education Intervention among Men Who Have Sex with Men.

Author information

1
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
2
Rhode Island Public Health Institute, Brown University School of Public Health, Providence, RI.
3
Department of Ophthalmology, Department of Epidemiology and Biostatistics, Francis I. Proctor Foundation, University of California San Francisco, San Francisco, CA.
4
Division of Infectious Diseases, The Miriam Hospital, Providence, RI.
5
Divisions of Pediatric and Adult Infectious Diseases, Johns Hopkins School of Medicine, Baltimore, MD.
6
Division of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, Baltimore, MD.

Abstract

OBJECTIVE:

To evaluate the impact of an HIV pre-exposure prophylaxis (PrEP) education intervention on PrEP awareness and use among men who have sex with men (MSM) attending a sexually transmitted diseases (STD) clinic.

DATA SOURCES/STUDY SETTING:

Men who have sex with men STD clinic patients.

STUDY DESIGN:

We estimated a difference-in-differences linear regression model, comparing MSM whose first visit to the clinic was before ("control") or after ("treatment") intervention implementation and controlling for patient.

DATA COLLECTION/EXTRACTION:

We used self-reported data on PrEP awareness and use from STD clinic intake forms.

PRINCIPAL FINDINGS:

Pre-exposure prophylaxis awareness between first and second clinic visits increased 27.2 percentage points (pp) in the treatment group, relative to 13.7 pp in the control group. Similarly, PrEP use increased 7.1 pp in the treatment group versus 2.4 pp in the control group. Based on adjusted estimates, the PrEP intervention increased PrEP awareness by 24 pp (p < .01) and PrEP use by 5 pp (p = .01), increases of 63 percent and 159 percent relative to the 6 months prior to the intervention.

CONCLUSION:

A brief, scalable STD clinic PrEP education intervention led to significantly increased PrEP awareness and use among MSM. Health care providers should consider implementing brief PrEP education interventions in sexual health care settings.

KEYWORDS:

Human immunodeficiency virus; PrEP; health education; intervention; prevention

PMID:
28744983
PMCID:
PMC6051979
[Available on 2019-08-01]
DOI:
10.1111/1475-6773.12746

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