Attitudes and referral practices for pre-exposure prophylaxis (PrEP) among HIV rapid testers and case managers in Philadelphia: A mixed methods study

Autoři: Iman Kundu aff001;  Ana Martinez-Donate aff002;  Navya Karkada aff002;  Alexis Roth aff002;  Marisa Felsher aff002;  Marcus Sandling aff003;  Zsofia Szep aff003
Působiště autorů: Department of Environmental and Occupational Health, Drexel University Dornsife School of Public Health, Philadelphia, PA, United States of America aff001;  Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, United States of America aff002;  Department of Medicine, Division of Infectious Diseases & HIV Medicine, Drexel University College of Medicine, Philadelphia, PA, United States of America aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article



Adoption of pre-exposure prophylaxis (PrEP) to prevent HIV infection has been slow. The purpose of this study was to evaluate knowledge, attitudes and referral practices for PrEP among non-prescribing providers, who may play key role.


We performed a cross-sectional survey on PrEP knowledge, attitudes, and referral practices among 66 non-prescribing HIV prevention providers (1st August to 31st December, 2016), in Philadelphia, followed by qualitative interviews with 12 of them (5th April to 10th May, 2017).


Participants had a mean age of 36 years, with 62% females. Majority were HIV case managers and rapid testers. For half of the respondents, PrEP eligibility screening was part of rapid HIV testing at their organization, 40% never had PrEP training and only 27% indicated personally screening clients for eligibility. Qualitative data revealed that participants held positive attitudes about PrEP and perceived organizational support, but had concerns about potential negative impacts and barriers to routine HIV screening.


Results highlight the importance of training non-prescribing HIV prevention providers about PrEP, addressing their concerns, and incorporating PrEP screening and referral into routine HIV testing.

Klíčová slova:

HIV diagnosis and management – HIV epidemiology – HIV prevention – Men who have sex with men – Physicians – Pre-exposure prophylaxis – Qualitative studies


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2019 Číslo 10
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