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AIDS Behav. 2017 Apr;21(4):1025-1033. doi: 10.1007/s10461-016-1612-6.

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

Author information

1
Yale University School of Medicine, 367 Cedar Street, ESH A, suite 401, New Haven, CT, 06510, USA. ejennifer.edelman@yale.edu.
2
Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT, USA. ejennifer.edelman@yale.edu.
3
Yale University School of Public Health, New Haven, CT, USA. ejennifer.edelman@yale.edu.
4
Yale University School of Medicine, 367 Cedar Street, ESH A, suite 401, New Haven, CT, 06510, USA.
5
Center for Interdisciplinary Research on AIDS, Yale University School of Public Health, New Haven, CT, USA.
6
Yale University School of Public Health, New Haven, CT, USA.
7
George Washington University, Washington, DC, USA.
8
Johns Hopkins University, Baltimore, MD, USA.
9
Montefiore and Albert Einstein College of Medicine, Bronx, NY, USA.
10
NIDA-IRP, NIH, Baltimore, MD, USA.
11
University of Illinois - Chicago, Chicago, IL, USA.

Abstract

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.

KEYWORDS:

Attitude of health personnel; HIV prevention; Pre-exposure prophylaxis; Substance abuse

PMID:
27896552
PMCID:
PMC5344709
DOI:
10.1007/s10461-016-1612-6
[Indexed for MEDLINE]
Free PMC Article

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