Perceptions on HIV Pre-Exposure Prophylaxis Among Urgent Care Clinicians in the Southern United States.

Autor:	Burns CM; Division of Infectious Diseases, Duke University, Durham North Carolina, NC, United States of America., Endres K; Center for Social and Behavioral Research, University of Northern Iowa, Cedar Falls, Iowa, IA, United States of America., Farrow L; Division of Infectious Diseases, Duke University, Durham North Carolina, NC, United States of America., Mhina C; Department of Population Health Sciences, Duke University, Durham, North Carolina, NC, United States of America., Cooper A; Duke Initiative on Survey Methodology, Duke University, Durham, North Carolina, NC, United States of America., Silverberg B; Department of Emergency Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia, WV, United States of America., McKellar MS; Division of Infectious Diseases, Duke University, Durham North Carolina, NC, United States of America., Okeke NL; Division of Infectious Diseases, Duke University, Durham North Carolina, NC, United States of America.
Jazyk:	angličtina
Zdroj:	Current HIV research [Curr HIV Res] 2022; Vol. 20 (3), pp. 204-212.
DOI:	10.2174/1570162X20666220426094920
Abstrakt:	Background: Underutilization of HIV pre-exposure prophylaxis (PrEP) in the Southern United States (US) is well-documented. Urgent care (UC) centers are positioned as communityfacing access points to PrEP, but the feasibility of integrating PrEP services into this setting is unclear. We conducted a survey of UC clinicians in the Southern US to better understand their perceptions of the feasibility of providing PrEP in their practice setting. Objective: The study aims to determine the feasibility and acceptability of providing PrEP services in the UC setting through a cross-sectional survey of UC clinicians. Methods: We conducted a 48-item cross-sectional survey of UC clinicians in the Southern US, between July and September 2020. The survey was distributed through the Urgent Care Association (UCA) and American Academy of Urgent Care Medicine (AAUCM) professional listservs as well as directly to publicly listed e-mail addresses. Results: Eighty-two clinicians responded to the survey. Most clinicians had familiarity with PrEP (97%). All respondents rated PrEP as an effective way to prevent HIV. However, less than half felt UC facilities were an appropriate place to prescribe PrEP. Few respondents (8%) expressed doubts that expansion of PrEP access would decrease the incidence of HIV in their community. Conclusion: These findings show UC clinicians are familiar with PrEP, and many believe it would benefit their patients; however, provider opinions on the appropriateness of providing PrEP in the UC setting differ. Further studies on PrEP implementation in UC centers are needed. (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.net.)
Databáze:	MEDLINE
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