Evidence map›Paper›PMID 41700631›Full record

ArticleAIDS patient care and STDs2026

Identification of Provider Barriers and Facilitators to Integration of Pre-Exposure Prophylaxis into Postpartum Care.

Caroline E Mullis, Jessica McWalters, Karina Avila, Cristal Finkenberg, Marla J Keller, Sarit A Golub

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Caroline E MullisDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Jessica McWaltersDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Karina AvilaDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Cristal FinkenbergDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Marla J KellerDepartment of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA.
Sarit A GolubDepartment of Psychology, Hunter College of the City University of New York, New York, New York, USA.

Funding

Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Vilma Gabbay · 2017 to 2026
$28.3M
Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
CTSA K12 Program at Einstein-MontefioreK12TR004411 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Deepa Rastogi · 2023 to 2026
$3.0M
NCATS NIH HHS K12 TR004411NCATS NIH HHS UM1 TR004400NIAID NIH HHS P30 AI124414
6 · The paper itself

Abstract

The postpartum period presents an opportunity to provide pre-exposure prophylaxis (PrEP) to cisgender women who may benefit. As patients rely on providers to provide PrEP education and frame relevance, barriers and facilitators to providers' initiating sexual health and HIV prevention discussions as a part of postpartum care must be identified to support implementation. Semi-structured interviews with 33 postpartum providers (10 residents, 6 advanced practice providers, 6 attendings, and 11 registered nurses) were conducted utilizing social cognitive theory as a framework. Providers expected that their postpartum patients would find HIV prevention discussions uncomfortable, not personally relevant, and/or stigmatizing. Providers identified normalization of PrEP discussions, universalization of PrEP discussions and tailoring conversations to meet their patients' needs as strategies to support comfort and confidence in discussing PrEP with their patients. Providers who believed that obstetrical care extended beyond an exclusive focus on pregnancy identified the postpartum context as an opportunity to provide PrEP education and other sexual health services. Providers identified environmental barriers, including frequent interruptions, language barriers, and lack of time for discussions. Nurses demonstrated receptivity to discussing PrEP, suggesting task shifting as a potential implementation strategy for integration of PrEP into postpartum care. Findings indicate that to support integration of PrEP into postpartum care, providers must be (1) educated on patient preferences surrounding sexual health discussions to align their expectations, (2) empowered with communication strategies that support normalization and tailoring of universally delivered PrEP education, and (3) supported in providing postpartum care that is comprehensive and includes education about HIV prevention.

Indexed as

Anti-HIV AgentsHealth PersonnelHIV InfectionsPostnatal CarePre-Exposure ProphylaxisAdultAttitude of Health PersonnelFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansInterviews as TopicPostpartum PeriodPregnancyQualitative ResearchAnti-HIV AgentsHIV preventionmaternal healthOB/GYNpostpartumpre-exposure prophylaxis

Identifiers

PMID41700631
PMCPMC13074394

What OpenQuestion holds

Textmetadata
LicenceTDM
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.