PrEP Prescription for Black Adolescent Girls and Young Women in Alabama: Findings from a Survey of Healthcare Providers

Autor: Madeline C. Pratt MPH, Samantha V. Hill MD, MPH, Latesha Elopre MD, MSPH, Tina Simpson MD, MPH, Robin Lanzi PhD, MPH, Lynn T. Matthews MD, MPH
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of the International Association of Providers of AIDS Care, Vol 21 (2022)
Druh dokumentu: article
ISSN: 2325-9582
23259582
DOI: 10.1177/23259582221127936
Popis: Black adolescent girls and young women (AGYW) are disproportionately affected by HIV in the United States. HIV pre-exposure prophylaxis (PrEP) is effective for HIV prevention, but prescription rates remain low. We conducted a survey of medical providers caring for Black AGYW in Alabama to explore PrEP prescription practices. While over half of the N = 36 providers reported minimal HIV testing of AGYW in clinic, most (N = 29, 81%) reported feeling confident discussing HIV prevention. Most reported willingness to prescribe PrEP to Black AGYW (58%-72%), but only 11 (31%) had prescribed PrEP to any female client. Low familiarity with CDC guidelines (N = 20, 56%) and PrEP options (N = 19, 53%) were barriers to prescription. Prescribing PrEP to AGYW was associated with provider training, with internal medicine providers being least likely to prescribe. These findings support the need to develop training tools to directly address unique training needs of providers who care for this population.
Databáze: Directory of Open Access Journals