AC-2020-12-1420.R1 – HIV care providers' familiarity, concerns, and attitudes about HIV PrEP in Colombia: insights from the PrEP-Col-Study.

In 2019, Colombia approved the combination of tenofovir disoproxil fumarate/emtricitabine for HIV Pre-Exposure Prophylaxis (PrEP). Therefore, we conducted a situational analysis in HIV-care providers to identify barriers and facilitators for PrEP implementation. A survey was applied to a non-probabi...

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Publicado en:AIDS Care Vol. 34; no. 11; pp. 1428 - 1435
Autores principales: Martínez-Cajas, Jorge, Alvarado-Llano, Beatriz, Martínez-Buitrago, Ernesto, Torres-Isasiga, Julian, Arrivillaga, Marcela, Camargo, Pilar, Galindo-Orrego, Ximena, Mueses-Marín, Héctor
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: AC-2020-12-1420.R1 – HIV care providers' familiarity, concerns, and attitudes about HIV PrEP in Colombia: insights from the PrEP-Col-Study.
      aug:
        au:
          Martínez-Cajas, Jorge
          Alvarado-Llano, Beatriz
          Martínez-Buitrago, Ernesto
          Torres-Isasiga, Julian
          Arrivillaga, Marcela
          Camargo, Pilar
          Galindo-Orrego, Ximena
          Mueses-Marín, Héctor
        affil: Department of Medicine, Queen's University, Kingston, Canada
      sug:
        subj:
          HIV Infections Prevention and Control
          Attitude of Health Personnel
          Pre-Exposure Prophylaxis
          Emtricitabine Tenofovir Therapeutic Use
          Professional Knowledge
          Implementation Science
          Human
          Colombia
          Nonprobability Sample
          Poisson Distribution
          Physicians
          Work Experiences
          Nurses
          Drug Resistance
          Medication Compliance
          Condoms
          Counseling
          Comfort
      ab: In 2019, Colombia approved the combination of tenofovir disoproxil fumarate/emtricitabine for HIV Pre-Exposure Prophylaxis (PrEP). Therefore, we conducted a situational analysis in HIV-care providers to identify barriers and facilitators for PrEP implementation. A survey was applied to a non-probabilistic sample of health care workers of HIV-specialized clinics. We examined PrEP awareness and familiarity, comfort with PrEP-related activities, perceived barriers for PrEP implementation, concerns, and attitudes. Poisson regressions assessed the relationship between these factors and the variable "having a plan to offer PrEP". The participation rate was 41% and included physicians (42.6%) and other health professionals (57.4%). Fifty-one percent of the participants reported more than five years of experience caring for people living with HIV. Forty-two percent of non-physician health care workers were nurses. Most reported high familiarity/comfort with PrEP-relevant activities. Concerns about PrEP were prevalent (> 50%) and included causing more harm than good, reducing condom use, medication non-adherence, drug resistance, and healthcare system barriers. Physicians had a plan to offer PrEP (72.2%) more often than other health professionals (52.6). Having a plan to offer PrEP was related to PrEP knowledge and comfort assessing sexual behavior and providing HIV counseling. Overall, about half of HIV-care providers seemed ready to offer PrEP and constitute an asset for PrEP implementation efforts in Colombia. PrEP awareness among non-physicians, PrEP concerns, and negative attitudes need to be addressed to enhance implementation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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