scholarly journals Knowledge, Beliefs and Practices Regarding Antiretroviral Medications for HIV Prevention: Results from a Survey of Healthcare Providers in New England

PLoS ONE ◽  
2015 ◽  
Vol 10 (7) ◽  
pp. e0132398 ◽  
Author(s):  
Douglas S. Krakower ◽  
Catherine E. Oldenburg ◽  
Jennifer A. Mitty ◽  
Ira B. Wilson ◽  
Ann E. Kurth ◽  
...  
2021 ◽  
Vol 12 ◽  
pp. 215013272110287
Author(s):  
Robert L. Cooper ◽  
Mohammad Tabatabai ◽  
Paul D. Juarez ◽  
Aramandla Ramesh ◽  
Matthew C. Morris ◽  
...  

Pre-Exposure Prophylaxis (PrEP) has been shown to be an effective method of HIV prevention for men who have sex with-men (MSM) and -transgender women (MSTGWs), serodiscordant couples, and injection drug users; however fewer than 50 000 individuals currently take this regimen. Knowledge of PrEP is low among healthcare providers and much of this lack of knowledge stems from the lack or exposure to PrEP in medical school. We conducted a cross sectional survey of medical schools in the United States to assess the degree to which PrEP for HIV prevention is taught. The survey consisted Likert scale questions assessing how well the students were prepared to perform each skill associated with PrEP delivery, as well as how PrEP education was delivered to students. We contacted 141 medical schools and 71 responded to the survey (50.4%). PrEP education was only reported to be offered at 38% of schools, and only 15.4% reported specific training for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients. The most common delivery methods of PrEP content were didactic sessions with 11 schools reporting this method followed by problem-based learning, direct patient contact, workshops, and small group discussions. Students were more prepared to provide PrEP to MSM compared to other high-risk patients. Few medical schools are preparing their students to prescribe PrEP upon graduation. Further, there is a need to increase the number of direct patient contacts or simulations for students to be better prepared.


1945 ◽  
Vol 38 (2) ◽  
pp. 111-140
Author(s):  
Maurice W. Armstrong

Thomas Underhill, a citizen of London during the Commonwealth, described that period of English history as “Hell Broke Loose.” Partly as a result of Anabaptist influence, and partly as a continuation of the indigenous Lollard movement, large numbers of persons in every part of England separated themselves from the Established Church and formed themselves into independent religious societies. Some of these groups were very eccentric in their beliefs and practices. Thomas Edwards, their bitter opponent, made a Catalogue of “the Errors, Heresies, Blasphemies and Pernicious Practices … vented and acted in England” between the years 1642 and 1646, which he called, Gangraena. In it he distinguishes no less than two hundred and ten errors which were held by one or other of the sixteen groups into which he divides the sectaries. The sixteen were, “Independents, Brownists, Chiliasts or Millenaries, Antinomians, Anabaptists, Manifestarians or Arminians, Libertines, Familists, Enthusiasts, Seekers and Waiters, Perfectists, Socinians, Arians, Anti-Trinitarians, Anti-Scripturalists, Sceptics and Quietists.” The Parliamentary army especially abounded with men whose “great religion” was “liberty of conscience and liberty of preaching.” G. P. Gooch and others have shown how deeply the roots of modern democracy are embedded in the religious struggles of these seventeenth century sects. Most of them disappeared with the Commonwealth, or were absorbed in the rising Quaker movement, but certain fundamental principles for which they stood continued to exist and to mold public opinion.


2017 ◽  
Vol 34 (1) ◽  
pp. 164-175 ◽  
Author(s):  
Camilia Kamoun ◽  
Diane Spatz

Background: Little is known regarding the influence of religion on breastfeeding in African American communities. In particular, whether Islamic traditions influence breastfeeding beliefs and practices among African American Muslims has not been studied. Research aim: This study sought to gain understanding of breastfeeding attitudes, rates, and education among African American Muslims in West Philadelphia and to examine if engaging Islamic teachings in breastfeeding education can positively influence breastfeeding attitudes. Methods: Open-ended, in-person, digitally recorded qualitative interviews were conducted with 10 community leaders and analyzed by conventional content analysis. A study tool distributed to a convenience sample of 44 community members and 11 leaders was used to gather information about education received from community leaders, breastfeeding attitudes and practices, and the potential for Islamic teachings to positively affect breastfeeding attitudes and practices. To obtain further data on this last topic, preliminary data analysis guided the creation of an education pamphlet, about which feedback was gathered through another study tool. Results: Education surrounding Islamic perspectives on breastfeeding was not prevalent. African American Muslims in West Philadelphia view breastfeeding favorably and have higher rates of breastfeeding than African Americans as a whole. Community education about breastfeeding that engaged Islamic teachings improved respondents’ breastfeeding attitudes. Conclusion: Increasing education among providers and African American Muslims about Islamic perspectives on breastfeeding may improve breastfeeding exclusivity and duration. Healthcare providers who care for Muslim women should be aware of Islam’s tradition of positive attitudes toward breastfeeding and partner with Muslim leaders to improve breastfeeding rates and duration among such women.


2000 ◽  
Vol 9 (2) ◽  
pp. 288-291
Author(s):  
Norman L. Cantor

George Annas serves a critical function as an incisive commentator on the interactions between law and medicine and law and public health. Along with Alex Capron, Dena Davis, Rebecca Dresser, and Larry Gostin—to pinpoint a few—Professor Annas analyses legal aspects of a spectrum of medicolegal issues both in a forum and in a manner that makes them accessible and understandable to a broad community of healthcare providers. His latest book, Some Choice, continues that valuable tradition. The bulk of the volume (17 out of 22 chapters) is drawn from essays originally published as the “Legal Issues in Medicine” feature of the New England Journal of Medicine. The topics include such staples of patients' rights debate as the boundaries of informed consent, authorization of medical experiments, and physician-assisted suicide. A treat is the inclusion of less frequently covered issues, such as access to health information concerning presidential candidates and constitutional bounds of limits on cigarette advertising.


2020 ◽  
Vol 26 (1) ◽  
pp. 17
Author(s):  
Maansi Arora ◽  
Kaete Walker ◽  
Judy Luu ◽  
Robbert J. Duvivier ◽  
Tinashe Dune ◽  
...  

Transgender individuals who desire medical transition need to access care through their local healthcare system. This is the first study to explore the perceptions of the community and attitudes of healthcare providers towards the delivery of transgender health care in an Australian context. An anonymous survey was conducted of trans and gender-diverse community members; and physicians and trainees in the Hunter New England Local Health District of New South Wales, Australia. Community members were surveyed about their healthcare experiences. Medical students, GPs and hospital physicians were surveyed on their attitudes towards the delivery of transgender health care before and after a 1-h education session that included the lived experience of a community member. Community members expressed a need for increased education for healthcare providers in transgender medicine. Following the intervention, significantly more healthcare providers felt confident to facilitate transgender health care for adults, adolescents and children; and more healthcare providers agreed that medical and surgical treatment should be offered to transgender patients if desired. The positive safety profile of treatment was felt to be the most persuasive factor for the provision of care. Healthcare providers identified a need for health education in transgender medicine; easy access to evidence-based resources; and local referral pathways as key strategies to improving transgender health care.


2019 ◽  
Vol 96 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Kristi E Gamarel ◽  
Raha Mouzoon ◽  
Alejandro Rivas ◽  
Rob Stephenson ◽  
Okeoma Mmeje

ObjectivesExpedited partner therapy (EPT) is an effective strategy to reduce rates of chlamydia and gonorrhoea infection and ensure sexual partners are treated. Currently, EPT is provided to heterosexual patients; however, EPT is not routinely recommended for use with gay, bisexual and other men who have sex with men (GBMSM) because of concerns about HIV coinfection. The objective of the qualitative study was to understand provider and community views on the use of EPT with GBMSM.MethodsUsing convenience sampling methods, we recruited a sample of 18 healthcare providers and 21 GBMSM to participate in in-depth, semistructured interviews. Interviews were conducted over the phone and included questions about knowledge, experiences and potential barriers and facilitators to the use of EPT with GBMSM.ResultsMost providers wanted to provide EPT to GBMSM and believed that the potential barriers and concerns to EPT use were not unique to a patient’s sexual orientation. Several providers noted that they were currently providing EPT to GBMSM as part of HIV prevention services. Community members were generally unaware of EPT as a service and most indicated that they would only use EPT if they were in a committed relationship. Barriers included partner allergies and resistance, pharmacy protocols, structural concerns (eg, insurance coverage, pharmacists onsite and transportation) and potential disclosure issues. Facilitators included cultural humility and telemedicine with patients’ partners to overcome these barriers.ConclusionsAcceptability of EPT use for both chlamydia and gonorrhoea was high among providers and community members. Barriers to EPT use, including concerns about patients’ partners’ allergies and resistance, disclosure concerns and linkage to HIV prevention services can be overcome through cultural humility trainings and telemedicine. Changing EPT recommendations at the national level to be inclusive of GBMSM is critical to curtail the rising STI and HIV epidemic.


2016 ◽  
Vol 27 (9) ◽  
pp. 1302-1315 ◽  
Author(s):  
Jennifer Dunn ◽  
Qingning Zhang ◽  
Margaret R. Weeks ◽  
Jianghong Li ◽  
Susu Liao ◽  
...  

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
David MacLaren ◽  
Rachael Tommbe ◽  
Tracie Mafile’o ◽  
Clement Manineng ◽  
Federica Fregonese ◽  
...  

2015 ◽  
Vol 130 (1) ◽  
pp. 56-65 ◽  
Author(s):  
N F Poole ◽  
M K Skilton ◽  
T C P Martin ◽  
M C F Smith

AbstractBackground:Nepal has a high prevalence of chronic suppurative otitis media and hearing impairment. An improved understanding of patients' knowledge, attitudes, beliefs and practices is therefore important for effective healthcare planning and intervention.Method:Questionnaires designed to explore their current knowledge, attitudes, beliefs and practices were completed by 153 participants: 71 were affected by a known ear disease and 82 were unaffected.Results:In the unaffected group, 31.7 per cent considered breast milk to be a risk factor for ear infection. Home remedies (e.g. leaf paste, oils, and urine and/or bodily fluids) had been used by 42.3 per cent of the affected group. Most participants (71.9 per cent) believed that society discriminates against those with hearing impairment.Conclusion:Knowledge deficits and false beliefs were found in both groups, along with a significant use of home remedies and a perception of discrimination against people with hearing impairment. These findings are relevant for healthcare providers and may aid the development of policy, interventions and public education initiatives.


Sign in / Sign up

Export Citation Format

Share Document