Evidence map›Paper›PMID 33356793›Full record

ArticleJournal of primary care & community health

Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis.

Emily Moore, Sean G Kelly, Leah Alexander, Patrick Luther, Robert Cooper, Peter F Rebeiro, Autumn D Zuckerman, Margaret Hargreaves, Kassem Bourgi, David Schlundt and 2 more

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Emily MooreVanderbilt University School of Medicine, Nashville, TN, USA.ORCID 0000-0002-4099-157X
Sean G KellyVanderbilt University Medical Center, Nashville, TN, USA.
Leah AlexanderMeharry Medical College, Nashville, TN, USA.
Patrick LutherNashville CARES, Nashville, TN, USA.
Robert CooperMeharry Medical College, Nashville, TN, USA.
Peter F RebeiroVanderbilt University Medical Center, Nashville, TN, USA.
Autumn D ZuckermanVanderbilt University Medical Center, Nashville, TN, USA.
Margaret HargreavesMeharry Medical College, Nashville, TN, USA.
Kassem BourgiIndiana University School of Medicine, Indianapolis, IN, USA.
David SchlundtVanderbilt University, Nashville, TN, USA.
Kemberlee BonnetVanderbilt University, Nashville, TN, USA.
April C PettitVanderbilt University Medical Center, Nashville, TN, USA.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Carolyn Audet · 2015 to 2026
$27.5M
Multi-level Social and Behavioral Determinants of Health and Missed HIV Healthcare Provider VisitsR01MH113438 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETTIT, APRIL · 2018 to 2020
$1.3M
NCATS NIH HHS UL1 TR000445NIAID NIH HHS P30 AI110527NIMH NIH HHS R01 MH113438
6 · The paper itself

Abstract

INTRODUCTION/

objectivesPre-exposure prophylaxis (PrEP) use in the southern United States is low despite its effectiveness in preventing HIV acquisition and high regional HIV prevalence. Our objectives were to assess PrEP knowledge, attitudes, and prescribing practices among Tennessee primary care providers.

methodsWe developed an anonymous cross-sectional electronic survey from March to November 2019. Survey development was guided by the Capability, Opportunity, Motivation, and Behavior framework and refined through piloting and interviews. Participants included members of professional society and health center listservs licensed to practice in Tennessee. Respondents were excluded if they did not complete the question regarding PrEP prescription in the previous year or were not in a position to prescribe PrEP (e.g., hospital medicine). Metrics included PrEP prescription in the preceding year, PrEP knowledge scores (range 0-8), provider attitudes about PrEP, and provider and practice characteristics. Knowledge scores and categorical variables were compared across PrEP prescriber status with Wilcoxon rank-sum and Fisher's exact tests, respectively.

resultsOf 147 survey responses, 99 were included and 43 (43%) reported PrEP prescription in the preceding year. Compared with non-prescribers: prescribers had higher median PrEP knowledge scores (7.3 vs 5.6,

conclusionPrEP provision is significantly associated with PrEP knowledge, patient PrEP inquiries, and provider sexual history taking ability and comfort. Future research should evaluate temporal relationships between these associations and PrEP prescription as potential routes to increase PrEP provision.

Indexed as

Anti-HIV AgentsHealth Knowledge, Attitudes, PracticeHIV InfectionsPre-Exposure ProphylaxisSexual and Gender MinoritiesAdultAttitude of Health PersonnelChildCross-Sectional StudiesFemaleHealth PersonnelHomosexuality, MaleHumansMalePractice Patterns, Physicians'Surveys and QuestionnairesAnti-HIV Agentscommunity healthpreventionprimary carerisky sexual behaviorunderserved communities

Identifiers

PMID33356793
PMCPMC7768326

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.