Primary Care Providers’ HIV Prevention Practices Among Older Adults

Davis, Tracy; Teaster, Pamela B.; Thornton, Alice; Watkins, John; Alexander, Linda; Zanjani, Faika

doi:10.1177/0733464815574093

Cited by 20 publications

(49 citation statements)

References 17 publications

(16 reference statements)

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“…Invariably the findings indicated older age to be an independent risk factor for late diagnosis. Where comparably reported, CD4 cell counts at diagnosis was <350 cells/mm 3 in more than 60% of cases [13,20,22,23]; and <200 cells/mm 3 in more than 40% of cases [13,20,24,25].…”

Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 76%

“…Additional 8 studies conducted in 5 different EU/EEA countries compared the epidemiological and socio-demographic characteristics of older adults newly diagnosed with HIV (or with AIDS) against younger age groups [13,14,[23][24][25][26][27][28]. There was high concordance among the findings.…”

Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 94%

“…Data on attitudes, barriers and enablers (theme 2) were extracted and classified according to the following framework, adapted from Davis et al [13]: …”

Section: Methodsmentioning

confidence: 99%

“…Patterns of transmission in general differed significantly across age groups, with older adults having a higher proportion of sexual transmission. Most of the studies [23][24][25][26] identified heterosexual route of sexual transmission to be predominant among older adults, as compared to sex between men [13]. Blood transfusion was mentioned as more frequent transmission route among older adults in at least one article [28].…”

Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 99%

“…Late diagnosis is associated with age and is as high as 63% among people aged 50 and over [4]. Methods to address late diagnosis include increasing awareness about HIV, reducing stigma and expanding the coverage and uptake of HIV testing to promote early diagnosis among older adults [12,13].…”

Section: Introductionmentioning

confidence: 99%

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New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Tavoschi¹,

Madeddu²,

Pharris³

2017

J AIDS Clin Res

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The rate of HIV diagnoses among older adults in the European Union/European Economic Area (EU/EEA) is increasing. We performed a literature review to investigate factors associated with HIV infection, diagnosis and testseeking behaviour among older adults in the EU/EEA.We defined older adults as ≥ 50 years. We searched Embase and PubMed to identify studies on socio-demographic and clinical characteristics associated with new HIV diagnosis and factors influencing provision and uptake of HIV testing among older adults in EU/EEA and other high-income countries using the concepts of HIV infection and disease; older adults, and; testing and attitude towards testing. We included original papers or systematic reviews published from 2000 onwards and reporting data on the following themes: Patterns of HIV test uptake and attitudes, barriers and enablers influencing offer and uptake of HIV testing.Published evidence indicated large proportion of late diagnoses and a low likelihood of HIV testing among older adults, although results varied widely between studies. HIV test uptake was a function of several factors related to patient and provider, including perception of one's risk. The active offer of an HIV test by the health care provider was the most significant factor positively associated with having a test. Scaling up HIV testing opportunities targeting older adults and the adult population at large is needed.

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Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 76%

Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 94%

“…Data on attitudes, barriers and enablers (theme 2) were extracted and classified according to the following framework, adapted from Davis et al [13]: …”

Section: Methodsmentioning

confidence: 99%

Section: Patterns Of New Hiv Diagnosis and Hiv Test Uptakementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Tavoschi¹,

Madeddu²,

Pharris³

2017

J AIDS Clin Res

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HIV-Related Training and Correlates of Knowledge, HIV Screening and Prescribing of nPEP and PrEP Among Primary Care Providers in Southeast United States, 2017

et al. 2019

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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.

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Poor HIV-related Knowledge, Perceived Risks and Attitudes Among Urban-dwelling Malaysian Older Adults: Key Barriers to Zero HIV Transmission by 2030

Ho,

Neelamegam,

Earnshaw

et al. 2024

AIDS Behav

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Primary Care Providers’ HIV Prevention Practices Among Older Adults

Cited by 20 publications

References 17 publications

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

HIV-Related Training and Correlates of Knowledge, HIV Screening and Prescribing of nPEP and PrEP Among Primary Care Providers in Southeast United States, 2017

Poor HIV-related Knowledge, Perceived Risks and Attitudes Among Urban-dwelling Malaysian Older Adults: Key Barriers to Zero HIV Transmission by 2030

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