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

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Geoffrey D Hart-CooperHyman Scott

Abstract

HIV disproportionately affects young men who have sex with men. Pre-exposure prophylaxis (PrEP) can prevent HIV acquisition; however, youth access to PrEP is limited by provider willingness to prescribe PrEP. We conducted an online survey of clinicians working with adolescents (aged 13-17 years) and young adults (aged 18-26 years) in the United States through the Society of Adolescent Health and Medicine. We used multivariate logistic regression to assess provider beliefs associated with willingness to provide PrEP. Nearly all (93.2%) providers had heard of PrEP, and 57 (35.2%) had prescribed PrEP. While almost all providers (95%) agreed that PrEP prevents HIV, fewer were willing to prescribe to young adults (77.8%) or adolescents (64.8%). Willingness to prescribe PrEP was strongly associated with the belief that providers had enough knowledge to safely provide PrEP to adolescents (OR 2.11, confidence interval [CI]: 1.18-3.76, p = .01) and young adults (odds ratio 5.19, CI: 2.15-12.50, p ≤ .001), and that adolescents would be adherent (odds ratio 3, CI: 1.30-6.90, p = .01). Response rate was 17%. Almost all providers had heard of PrEP and most providers were willing to prescribe PrEP. Provider education and tools to promote pro...Continue Reading

Citations

Nov 2, 2019·Archives of Sexual Behavior·David M Huebner, Brian Mustanski
Apr 24, 2020·MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports·Mary R TannerDawn K Smith
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Oct 9, 2021·AIDS Patient Care and STDs·Paulo PinaTashuna Albritton
Jun 2, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Bianca A AllisonMartha Perry
Dec 21, 2019·Pediatrics·Sybil Hosek, Lisa Henry-Reid

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