An Experimental Study of the Effects of Patient Race, Sexual Orientation, and Injection Drug Use on Providers' PrEP-Related Clinical Judgments.

Autor: Calabrese SK; Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA. skcalabrese@gwu.edu.; Department of Prevention and Community Health, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu., Kalwicz DA; Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA., Modrakovic D; Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA., Earnshaw VA; Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA., Edelman EJ; Department of General Internal Medicine, Yale University, New Haven, CT, USA., Bunting SR; Department of Psychiatry & Behavioral Neuroscience, University of Chicago, Chicago, IL, USA., Del Río-González AM; Department of Psychological and Brain Sciences, George Washington University, 2125 G Street NW, Washington, DC, 20052, USA., Magnus M; Department of Epidemiology, George Washington University, Washington, DC, USA., Mayer KH; The Fenway Institute, Fenway Health, Boston, MA, USA.; Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA., Hansen NB; Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA., Kershaw TS; Department of Social and Behavioral Sciences, Yale University, New Haven, CT, USA., Rosenberger JG; Department of Biobehavioral Health, Penn State University, University Park, PA, USA., Krakower DS; The Fenway Institute, Fenway Health, Boston, MA, USA.; Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA., Dovidio JF; Department of Social and Behavioral Sciences, Yale University, New Haven, CT, USA.; Department of Psychology, Yale University, New Haven, CT, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2022 May; Vol. 26 (5), pp. 1393-1421. Date of Electronic Publication: 2021 Nov 09.
DOI: 10.1007/s10461-021-03495-3
Abstrakt: Social biases may influence providers' judgments related to pre-exposure prophylaxis (PrEP) and patients' consequent PrEP access. US primary and HIV care providers (n = 370) completed an experimental survey. Each provider reviewed one fictitious medical record of a patient seeking PrEP. Records varied by patient race (Black or White) and risk behavior (man who has sex with men [MSM], has sex with women [MSW], or injects drugs [MID]). Providers reported clinical judgments and completed measures of prejudice. Minimal evidence of racially biased judgments emerged. Providers expressing low-to-moderate sexual prejudice judged the MSM as more likely than the MSW to adhere to PrEP, which was associated with greater PrEP prescribing intention; sexual prejudice was negatively associated with anticipated MSM adherence. Providers judged the MID to be at higher risk, less likely to adhere, less safety-conscious, and less responsible than both the MSM and MSW; adverse adherence and responsibility judgments were associated with lower prescribing intention.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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