Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Avenue, Milwaukee, WI, 53202, USA.
Department of Human Development and Family Science, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.
AIDS Behav. 2021 Jun;25(6):1751-1760. doi: 10.1007/s10461-020-03105-8. Epub 2020 Nov 20.
Interventions are needed to expand HIV pre-exposure prophylaxis (PrEP) prescribing practices among healthcare providers, but research classifying providers to determine tailored intervention needs is lacking. Providers reported demographics, factors related to HIV treatment and prevention experience, and PrEP-related factors such as knowledge and community protection beliefs via online survey. Latent class analysis grouped providers with similar patterns of HIV prevention- and treatment-related care and tested for associations with demographics and PrEP-related factors. Three distinct classes of providers emerged: (1) PrEP naïve, (2) PrEP aware, and (3) PrEP prescribers. Providers with lower community protection beliefs and staff capacity were more likely to be classified as PrEP naïve compared to aware (ps < 0.05). Providers with concerns about PrEP-related tasks and staff capacity were more likely to be classified as PrEP aware compared to prescribers (ps < 0.05). PrEP-naïve providers could benefit from continuing education, whereas PrEP-aware providers might benefit from capacity building and prescribing optimization interventions.
需要采取干预措施来扩大医疗保健提供者中 HIV 暴露前预防 (PrEP) 的处方实践，但缺乏对确定定制干预需求的研究对提供者进行分类。通过在线调查，提供者报告了人口统计学特征、与 HIV 治疗和预防经验相关的因素以及 PrEP 相关因素，如知识和社区保护信念。潜在类别分析将具有相似 HIV 预防和治疗相关护理模式的提供者进行分组，并测试与人口统计学和 PrEP 相关因素的关联。出现了三种不同类型的提供者：(1) PrEP 新手，(2) PrEP 意识，和 (3) PrEP 处方者。与有认知者相比，社区保护信念和员工能力较低的提供者更有可能被归类为 PrEP 新手（p<0.05）。与处方者相比，对 PrEP 相关任务和员工能力表示关注的提供者更有可能被归类为 PrEP 意识者（p<0.05）。PrEP 新手提供者可能受益于继续教育，而 PrEP 意识者可能受益于能力建设和处方优化干预措施。
