@article{3f0cb5a86f98402dbe24b551becfaaf3,
title = "WHAT PREDICTS A CLINICAL DISCUSSION ABOUT PREP? RESULTS FROM ANALYSIS OF A U.S. NATIONAL COHORT OF HIV-VULNERABLE SEXUAL AND GENDER MINORITIES",
abstract = "HIV-outcome inequities remain prevalent in the U.S. Medical providers (MPs) are gatekeepers of PrEP, and understanding the dynamics of PrEP assessments is of major interest for public health. We analyzed data from Together 5000, an internet-based U.S. national cohort of sexual and gender minority (SGM) individuals aged 16-49 years and at risk for HIV. Among those eligible for PrEP uptake (n = 6264), we modeled predictors of discussing PrEP with an MP. A third (31%) of participants had spoken to a MP about PrEP. Among those who spoke to a MP, 45% suggested they would initiate PrEP; this outcome was more common among participants older than 24. With a persistent stagnant uptake nationwide, new opportunities to influence PrEP uptake must be explored. An attractive less targeted space is the medical office, specifically ways to support an initial and continued discussion about PrEP between MPs and their patients.",
keywords = "HIV prevention, PrEP assessment, PrEP uptake, provider communication",
author = "Carneiro, {Pedro B.} and Victoria Frye and Chloe Mirzayi and Viraj Patel and David Lounsbury and Huang, {Terry T.K.} and Nasim Sabounchi and Christian Grov",
note = "Funding Information: Pedro B. Carneiro and Christian Grov are with the Department of Community Health and Social Sciences, City University of New York (CUNY) Graduate School of Public Health and Health Policy, New York, New York. Victoria Frye is with the CUNY School of Medicine. Chloe Mirzayi and Christian Grov are with the CUNY Institute for Implementation Science in Population Health. Viraj Patel is with the Division of General Internal Medicine, Montefiore Health System, Albert Einstein College of Medicine, Bronx, New York. David Lounsbury is with the Department of Epidemiology & Population Health, Montefiore Health System, Albert Einstein College of Medicine. Terry T.-K. Huang and Nasim Sabounchi are with the Department of Health Policy and Management, CUNY Graduate School of Public Health and Health Policy. We are thankful to participants for their time as well as other members of the Together 5000 study team. This research was supported in part by the National Institutes for Health (UH3 AI 133675, Grov) and the Einstein-Rockefeller-CUNY Center for AIDS Research (ERC CFAR, P30 AI124414, Goldstein). The NIH does not necessarily endorse these study findings. In addition, TH was also partially supported by a grant from the Centers for Disease Control and Prevention (U48DP006396). Address correspondence to Pedro B. Carneiro, MPH, CUNY Graduate School of Public Health and Health Policy, 55 W. 125th St., 7th Floor mailroom (c/o: Dr. C. Grov), New York, NY 10027. E-mail: pedro.carneiro74@sphmail.cuny.edu Publisher Copyright: {\textcopyright} 2022 The Guilford Press.",
year = "2022",
month = oct,
doi = "10.1521/AEAP.2022.34.3.195",
language = "English (US)",
volume = "34",
pages = "195--208",
journal = "AIDS Education and Prevention",
issn = "0899-9546",
publisher = "Guilford Publications",
number = "5",
}
