Prevention paradox: Medical students are less inclined to prescribe HIV pre-exposure prophylaxis for patients in highest need.

ABSTRACT: INTRODUCTION:Despite healthcare providers' growing awareness of pre-exposure prophylaxis (PrEP), prescription rates remain low. PrEP is an efficacious HIV prevention strategy recommended for use with condoms but still protective in their absence. Concern about the impact of PrEP on condom use and other risk behaviour is, nonetheless, among the barriers to prescription commonly reported. To understand the implications of this concern for PrEP access, we examined how medical students' willingness to prescribe PrEP varied by patients' condom use and partnering practices. We also assessed the perceived acceptability of various reasons for condom discontinuation with PrEP. METHODS:An online survey was distributed to 854 medical students in the Northeastern US in 2015. Participants (n = 111) wer

SUBMITTER: Calabrese SK 

PROVIDER: S-EPMC6016621 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature