Adherence to Pre-Exposure Prophylaxis for HIV Prevention in a Clinical Setting

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.

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Awareness of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention among Sexually Active Adults in Omoku, Rivers State, Nigeria

10.7176/jhmn/88-08 ◽

2021 ◽

Keyword(s):

Hiv Prevention ◽

Sexually Active ◽

Exposure Prophylaxis ◽

Rivers State ◽

Active Adults

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Birth Cohort Variations Across Functional Knowledge of HIV Prevention Strategies, Perceived Risk, and HIV-Associated Behaviors Among Gay, Bisexual, and Other Men Who Have Sex With Men in the United States

American Journal of Men s Health ◽

10.1177/1557988318790875 ◽

2018 ◽

Vol 12 (6) ◽

pp. 1824-1834 ◽

Cited By ~ 4

Author(s):

Akshay Sharma ◽

Erin M. Kahle ◽

Stephen P. Sullivan ◽

Rob Stephenson

Keyword(s):

Hiv Prevention ◽

Birth Cohort ◽

Perceived Risk ◽

The United States ◽

Prevention Strategies ◽

The Past ◽

Hiv Prevention Strategies ◽

Functional Knowledge ◽

Sex With Men ◽

Exposure Prophylaxis

Gay, bisexual, and other men who have sex with men (GBMSM) in the United States remain heavily impacted by HIV. The purpose of this study was to describe intergenerational differences in functional knowledge of HIV prevention strategies, perceived risk, recent condomless anal sex (CAS), and HIV testing behavior. Eight hundred sexually active GBMSM were recruited via Facebook from August to September 2015, and administered a Web-based survey which included 12 multiple-choice questions to elicit data regarding functional knowledge of different HIV prevention approaches (e.g., condom use, pre-exposure prophylaxis post-exposure prophylaxis, treatment as prevention, circumcision). Cumulative logit and multivariable logistic models were formulated to examine birth cohort variations across four analytic outcomes. Younger generations were significantly more knowledgeable, as were GBMSM with higher education. Non-Hispanic non-White GBMSM and those reporting a bisexual/other sexual orientation had lower functional knowledge. Younger generations were equally concerned about contracting HIV as their older counterparts. Perceived risk was significantly higher among non-Hispanic non-White and Hispanic GBMSM, but lower among those with higher education and those in a relationship. Finally, birth cohort variations with respect to engaging in CAS with ≥2 men in the past 3 months and testing for HIV in the past year were not markedly pronounced. Younger GBMSM might be more knowledgeable about HIV prevention strategies compared to their predecessors, but are equally concerned about contracting HIV. Researchers and practitioners should consider intergenerational and other demographic differences while designing multifaceted HIV prevention programs for GBMSM.

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Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study

Current HIV Research ◽

10.2174/1570162x16666180730144455 ◽

2018 ◽

Vol 16 (3) ◽

pp. 237-249 ◽

Cited By ~ 16

Author(s):

Jessica Jaiswal ◽

Marybec Griffin ◽

Stuart N. Singer ◽

Richard E. Greene ◽

Ingrid Lizette Zambrano Acosta ◽

...

Keyword(s):

Health Care ◽

Cohort Study ◽

Hiv Prevention ◽

Sexual Behaviors ◽

Sexual Minority ◽

Structural Level ◽

Sexual Minority Men ◽

Hiv Prevention Strategies ◽

Minority Men ◽

Exposure Prophylaxis

Background: Despite decreasing rates of HIV among many populations, HIV-related health disparities among gay, bisexual and other men who have sex with men persist, with disproportional percentages of new HIV diagnoses among racial and ethnic minority men. Despite increasing awareness of HIV pre-exposure prophylaxis (PrEP), PrEP use remains low. In addition to exploring individual-level factors for this slow uptake, structural drivers of PrEP use must also be identified in order to maximize the effectiveness of biomedical HIV prevention strategies. Method: Using cross-sectional data from an ongoing cohort study of young sexual minority men (N=492), we examine the extent to which structural-level barriers, including access to health care, medication logistics, counseling support, and stigma are related to PrEP use. Results: While almost all participants indicated awareness of PrEP, only 14% had ever used PrEP. PrEP use was associated with lower concerns about health care access, particularly paying for PrEP. Those with greater concerns talking with their provider about their sexual behaviors were less likely to use PrEP. Conclusion: Paying for PrEP and talking to one’s provider about sexual behaviors are concerns for young sexual minority men. In particular, stigma from healthcare providers poses a significant barrier to PrEP use in this population. Providers need not only to increase their own awareness of and advocacy for PrEP as an effective risk-management strategy for HIV prevention, but also must work to create open and non-judgmental spaces in which patients can discuss sexual behaviors without the fear of stigma.

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The review of pre-exposure prophylaxis (PreP) for HIV prevention

Cultura del cuidado ◽

10.18041/1794-5232/cultrua.2014v11n1.3808 ◽

2014 ◽

Vol 11 (1) ◽

pp. 50-59

Author(s):

Meriam Caboral Stevens ◽

Godfrey Aneke ◽

Andrew Neplock

Keyword(s):

Hiv Prevention ◽

Global Health ◽

Hiv Infection ◽

Condom Use ◽

Biomedical Research ◽

Prevention Strategies ◽

Global Health Issue ◽

Exposure Prophylaxis ◽

Current Guidelines ◽

Prevention Of Hiv

Human lmmunodeficiency Virus (HlV) epidemic continues to represent a major global health issue. Today, there are several tools available to prevent the spread of HIV infection. However, there are several constraints to the current prevention strategies including low condom use, low acceptance of testing, low awareness of vulnerability and more emphasis on treatment. Prevention strategy is redirected towards reducing acquisition of HIV. Pre-exposure prophylaxis or PrEP is the latest groundbreaking innovation in biomedical research in the prevention of HIV transmission.The purpose of this paper is to review preex ding the current guidelines in the use of PreP.

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