SHM Converge Scientific Abstract ePoster Gallery-Healthcare Providers Knowledge, Attitudes and Perceptions on Pre-Exposure Prophylaxis (Prep) for Hiv

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This document summarizes a study on healthcare providers’ knowledge, attitudes, and perceptions of HIV pre-exposure prophylaxis (PrEP) at Lincoln Hospital in the South Bronx. The aim was to explore barriers to PrEP prescribing and identify ways to improve uptake in a borough with one of the highest HIV rates in New York City, where PrEP use remains far below need.<br /><br />From January to July 2024, anonymous SurveyMonkey questionnaires were distributed to ambulatory clinic providers. The survey assessed demographics, knowledge, attitudes, perceptions, and prescribing experience. Ninety-one providers participated: 72 residents and 19 attendings. Data were analyzed using SPSS, including chi-square tests and binary logistic regression.<br /><br />Key findings showed that attendings were more likely to prescribe PrEP than residents. Among non-prescribers, common concerns included cost/insurance issues, medication non-compliance, and riskier sexual behaviors. Insufficient education on PrEP was the main concern for 71% of non-prescribers. Factors most likely to encourage prescribing included patients asking about PrEP, more training and education, a clear prescribing protocol, and pharmacy support with insurance coverage.<br /><br />The study found that perceived knowledge had a stronger influence on prescribing behavior than actual knowledge. Education increased confidence in prescribing PrEP even when providers lacked full knowledge. Differences between prescribers and non-prescribers also revealed misconceptions that may limit prescribing.<br /><br />Overall, the study concludes that targeted education, improved provider confidence, better patient-provider communication, and practical prescribing support are needed to increase PrEP use in the Bronx and address HIV prevention gaps.

Asset Subtitle

Betina Sinanova

Meta Tag

Author List Alexander Mandadjiev, Betina Sinanova, Carmen Oviedo, Luis Hermosillo Gallardo, Vidya Menon

Category Research

Concept HIV Burden

Concept HIV Pre-Exposure Prophylaxis

Concept PrEP Prescribing Behavior

Concept Healthcare Provider Knowledge

Concept Healthcare Provider Attitude

Distinguished Non-Finalist

Presenter Organization Lincoln Medical Center

Presenting Author Betina Sinanova

Track Quality Improvement

Keywords

HIV pre-exposure prophylaxis

PrEP prescribing

healthcare providers

South Bronx

provider knowledge

attitudes and perceptions

HIV prevention

barriers to prescribing

provider education

insurance coverage

HIV Burden

HIV Pre-Exposure Prophylaxis

PrEP Prescribing Behavior

Healthcare Provider Knowledge

Healthcare Provider Attitude