Evidence map›Paper›PMID 42189813›Full record

ArticlePloS one2026

Knowledge gaps and structural barriers to prescribing pre-exposure prophylaxis among healthcare providers in North Louisiana: A cross-sectional study.

Deborah G Smith, Camila Castro, Patricia Pichilingue-Reto, Catherine G Dean, Alexandre Malek, Luis Enrique Espinoza

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Deborah G SmithSchool of Health Professions and Sciences, Louisiana State University Health Sciences Center-Shreveport, Shreveport, Louisiana, United States of America.ORCID https://orcid.org/0000-0002-7880-9614
Camila CastroDepartamento de Odontologia, Centro Universitário Christus (UNICHRISTUS), Fortaleza, CE, Brazil.
Patricia Pichilingue-RetoDepartment of Medicine, Louisiana State University Health Sciences Center-Shreveport, Shreveport, Louisiana, United States of America.
Catherine G DeanSchool of Medicine, Louisiana State University Health Sciences Center-Shreveport, Shreveport, Louisiana, United States of America.
Alexandre MalekDepartment of Medicine, Division of Infectious Diseases, Louisiana State University Health Sciences Center-Shreveport, Shreveport, Louisiana, United States of America.
Luis Enrique EspinozaCollege of Nursing and Health Sciences, Texas A&M University - Corpus Christi, Corpus Christi, Texas, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-exposure prophylaxis (PrEP) uptake remains low in the Southern United States, despite disproportionate HIV burden. This study aimed to assess knowledge, attitudes, and structural barriers influencing PrEP prescribing among healthcare providers in North Louisiana.

methodsWe conducted a cross-sectional survey from January 2024 to April 2025 among 102 healthcare providers at a medical school and an affiliated hospital in North Louisiana. The survey assessed knowledge of PrEP, prescribing practices, and the perceived barriers. Descriptive statistics and multivariable logistic regression analysis were performed.

resultsAmong 102 healthcare providers, only 27.5% had ever prescribed PrEP, and 48% had never discussed it with patients. The most frequently reported barriers to prescribing PrEP were lack of provider training (84.3%) and absence of clinical guidelines (68.6%). Multivariable analyses showed that providers with higher self-rated PrEP knowledge were significantly more likely to discuss PrEP with patients (adjusted odds ratio [aOR]: 5.10; 95% confidence interval [CI]: 2.31-11.27) and to prescribe PrEP (aOR: 3.29; 95% CI: 1.72-6.30).

conclusionSignificant gaps in provider knowledge and institutional readiness persist in high-burden Southern settings. Targeted provider training and supportive institutional policies are essential to improving PrEP implementation.

Indexed as

Anti-HIV AgentsHealth Knowledge, Attitudes, PracticeHealth PersonnelHIV InfectionsPractice Patterns, Physicians'Pre-Exposure ProphylaxisAdultCross-Sectional StudiesFemaleHumansLouisianaMaleMiddle AgedSurveys and QuestionnairesAnti-HIV Agents

Identifiers

PMID42189813
PMCPMC13210140

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LicenceCC BY
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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.