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Attitudes and referral practices for pre-exposure prophylaxis (PrEP) among HIV rapid testers and case managers in Philadelphia: A mixed methods study
Journal article   Open access   Peer reviewed

Attitudes and referral practices for pre-exposure prophylaxis (PrEP) among HIV rapid testers and case managers in Philadelphia: A mixed methods study

Iman Kundu, Ana Martinez-Donate, Navya Karkada, Alexis Roth, Marisa Felsher, Marcus Sandling and Zsofia Szep
PloS one, v 14(10), pp e0223486-e0223486
2019
PMID: 31589632
url
https://doi.org/10.1371/journal.pone.0223486View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Adult Case Managers - psychology Case Managers - statistics & numerical data Female Health Knowledge, Attitudes, Practice HIV Infections - prevention & control Humans Male Middle Aged Pennsylvania Pre-Exposure Prophylaxis - statistics & numerical data Referral and Consultation - statistics & numerical data
Adoption of pre-exposure prophylaxis (PrEP) to prevent HIV infection has been slow. The purpose of this study was to evaluate knowledge, attitudes and referral practices for PrEP among non-prescribing providers, who may play key role. We performed a cross-sectional survey on PrEP knowledge, attitudes, and referral practices among 66 non-prescribing HIV prevention providers (1st August to 31st December, 2016), in Philadelphia, followed by qualitative interviews with 12 of them (5th April to 10th May, 2017). Participants had a mean age of 36 years, with 62% females. Majority were HIV case managers and rapid testers. For half of the respondents, PrEP eligibility screening was part of rapid HIV testing at their organization, 40% never had PrEP training and only 27% indicated personally screening clients for eligibility. Qualitative data revealed that participants held positive attitudes about PrEP and perceived organizational support, but had concerns about potential negative impacts and barriers to routine HIV screening. Results highlight the importance of training non-prescribing HIV prevention providers about PrEP, addressing their concerns, and incorporating PrEP screening and referral into routine HIV testing.

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7 citations in Scopus

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Public, Environmental & Occupational Health
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