Adolescent Health Providers’ Willingness to Prescribe Pre-Exposure Prophylaxis (PrEP) to Youth at Risk of HIV Infection in the United States

Hart-Cooper, Geoffrey; Allen, Isabel Elaine; Irwin, Charles E.; Scott, Hyman

doi:10.1016/j.jadohealth.2018.03.016

Cited by 43 publications

(22 citation statements)

References 7 publications

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“…18 Finally, an online survey of adolescent and young adult providers found that willingness to prescribe PrEP was strongly associated with the belief that the provider had enough knowledge to safely provide PrEP to adolescents and young adults and that adolescents would be adherent. 19…”

Section: Disparities In Uptakementioning

confidence: 99%

PrEP and Adolescents: The Role of Providers in Ending the AIDS Epidemic

Hosek

Henry-Reid

2020

Pediatrics

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Surveillance data on high school adolescent sexual activity, including teenaged pregnancy rates and incidence of sexually transmitted infections (STIs), require pediatricians and other youth providers to be competent and confident in addressing sexual and reproductive health care needs in adolescent and/or young adult populations. The American Academy of Pediatrics has published guidelines, recommendations, clinical reports, and resources on the promotion of healthy sexual development in clinical settings, encouraging sexual health assessments that are inclusive of HIV and STI testing as an integral component of comprehensive health visits. The need for a more determined effort to address sexual health as it relates to HIV specifically is evidenced by a decrease in the number of in-school youth reporting ever being tested, 15-to 24-year-olds representing 21% of new infections, and estimates that .40% of youth with HIV are undiagnosed. Ending the HIV epidemic requires adherence to published HIV testing recommendations, sexual health assessments, screening for STIs, and appropriate primary and secondary prevention education. Preexposure prophylaxis, an efficacious biomedical prevention intervention for reducing HIV acquisition, was approved in July 2012 and in May 2018 was authorized for use in minors. This state-of-the-art review article provides background information on preexposure prophylaxis, current guidelines and recommendations for use, and strategies to introduce and implement this valuable HIV prevention method in clinical practice with adolescents and young adults.

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Section: Disparities In Uptakementioning

confidence: 99%

PrEP and Adolescents: The Role of Providers in Ending the AIDS Epidemic

Hosek

Henry-Reid

2020

Pediatrics

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“…Current evidence indicates that many adolescents are not aware of PrEP, and many do not know how they could access PrEP if needed (19). In addition, certain providers who feel that they lack knowledge about providing PrEP to young persons might be unwilling to provide PrEP to adolescents and young adults (20).…”

Section: Introductionmentioning

confidence: 99%

Preexposure Prophylaxis for Prevention of HIV Acquisition Among Adolescents: Clinical Considerations, 2020

Tanner¹,

Miele²,

Carter³

et al. 2020

MMWR Recomm. Rep.

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“…One of the understated triumphs of PrEP revolves around general awareness among healthcare providers. Since FDA approval, overall PrEP awareness has grown with four recent surveys of clinicians demonstrating awareness between 64%-93% (10)(11)(12)(13). In addition, clinician willingness to prescribe PrEP has increased, particularly among infectious disease specialists and HIV care providers relative to primary care providers (14)(15)(16)(17)(18)(19).…”

Section: Introductionmentioning

confidence: 99%

HIV Pre-Exposure Prophylaxis (PrEP) Knowledge, Familiarity, and Attitudes among Healthcare Professional Students

Przybyla¹,

Fillo²,

Kamper‐DeMarco³

et al. 2019

Preprint

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Background The federal government’s plan to End the HIV Epidemic by 2030 includes a primary goal to reduce new HIV infections by 90 percent. One key contributor to this plan is pre-exposure prophylaxis (PrEP), a medication taken by HIV-uninfected individuals to prevent infection. While knowledge and acceptance of PrEP among clinicians is growing, few studies have assessed knowledge and awareness among future healthcare professionals in academic training programs. Given the limited research on PrEP among healthcare professional students, a better understanding of knowledge and familiarity with PrEP prescription may inform the development of educational interventions targeting this population in an effort to increase implementation. The present study aimed to assess and compare healthcare trainees’ PrEP awareness, knowledge, and familiarity with prescription guidelines with a broad goal to better understand and prevent gaps in academic training regarding PrEP. Methods A cross-sectional web-based survey of medical, nurse practitioner, and pharmacy students enrolled at two universities was conducted between October 2017-January 2018. The study assessed participants’ awareness, knowledge, and familiarity with PrEP prescribing guidelines and willingness to prescribe PrEP and refer to another healthcare provider. Results The survey was completed by 744 participants (overall response rate = 36.2%). There were significant differences among student groups in all domains. Pharmacy students had the greatest PrEP knowledge, awareness, and familiarity with prescribing guidelines. However, medical students reported the greatest comfort with performing PrEP-related clinical activities and willingness to refer a candidate to another provider. Greater familiarity with PrEP prescription guidelines was associated with willingness to prescribe the medication. Conclusions Healthcare professional students’ responses enhance our understanding of the relevant experiences and perspectives of future healthcare providers that influence their knowledge towards the promotion of PrEP through prescription and referral intentions. The gaps in students’ knowledge offer opportunities for the development of educational strategies to support HIV prevention among future healthcare professionals.

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Adolescent Health Providers’ Willingness to Prescribe Pre-Exposure Prophylaxis (PrEP) to Youth at Risk of HIV Infection in the United States

Cited by 43 publications

References 7 publications

PrEP and Adolescents: The Role of Providers in Ending the AIDS Epidemic

PrEP and Adolescents: The Role of Providers in Ending the AIDS Epidemic

Preexposure Prophylaxis for Prevention of HIV Acquisition Among Adolescents: Clinical Considerations, 2020

HIV Pre-Exposure Prophylaxis (PrEP) Knowledge, Familiarity, and Attitudes among Healthcare Professional Students

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