Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs

E. Jennifer Edelman, Brent A. Moore, Sarah K. Calabrese, Gail Berkenblit, Chinazo O. Cunningham, Viraj V. Patel, Karran Phillips, Jeanette M. Tetrault, Minesh Shah, David A. Fiellin, Oni Blackstock

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Pre-exposure prophylaxis for HIV (PrEP) is recommended for people who inject drugs (PWID). Despite their central role in disease prevention, willingness to prescribe PrEP to PWID among primary care physicians (PCPs) is largely understudied. We conducted an online survey (April–May 2015) of members of a society for academic general internists regarding PrEP. Among 250 respondents, 74% (n = 185) of PCPs reported high willingness to prescribe PrEP to PWID. PCPs were more likely to report high willingness to prescribe PrEP to all other HIV risk groups (p’s < 0.03 for all pair comparisons). Compared with PCPs delivering care to more HIV-infected clinic patients, PCPs delivering care to fewer HIV-infected patients were more likely to report low willingness to prescribe PrEP to PWID (Odds Ratio [95% CI] = 6.38 [1.48–27.47]). PCP and practice characteristics were not otherwise associated with low willingness to prescribe PrEP to PWID. Interventions to improve PCPs’ willingness to prescribe PrEP to PWID are needed.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Nov 28 2016

Keywords

  • Attitude of health personnel
  • HIV prevention
  • Pre-exposure prophylaxis
  • Substance abuse

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Jennifer Edelman, E., Moore, B. A., Calabrese, S. K., Berkenblit, G., Cunningham, C. O., Patel, V. V., Phillips, K., Tetrault, J. M., Shah, M., Fiellin, D. A., & Blackstock, O. (Accepted/In press). Primary Care Physicians’ Willingness to Prescribe HIV Pre-exposure Prophylaxis for People who Inject Drugs. AIDS and Behavior, 1-9. https://doi.org/10.1007/s10461-016-1612-6