Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis

Jad Sinno,1,2 Nicole Doria,1 Nicholas Cochkanoff,1 Matthew Numer,1 Heather Neyedli,1 Darrell Tan2,3 1School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; 3Department of Medicine, St. Michae...

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Autores principales:	Sinno J, Doria N, Cochkanoff N, Numer M, Neyedli H, Tan D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	hiv pre-exposure prophylaxis health care providers attitudes knowledge barriers accessibility health care access information-motivation-behavior skills model. Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/24cd1a97ff7e4ebda71ee04528a8efcc
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spelling	oai:doaj.org-article:24cd1a97ff7e4ebda71ee04528a8efcc2021-12-02T14:16:31ZAttitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis1179-1373https://doaj.org/article/24cd1a97ff7e4ebda71ee04528a8efcc2021-02-01T00:00:00Zhttps://www.dovepress.com/attitudes-and-practices-of-a-sample-of-nova-scotian-physicians-for-the-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Jad Sinno,1,2 Nicole Doria,1 Nicholas Cochkanoff,1 Matthew Numer,1 Heather Neyedli,1 Darrell Tan2,3 1School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; 3Department of Medicine, St. Michael’s Hospital, Toronto, ON, CanadaCorrespondence: Jad SinnoSchool of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, Halifax, NS, B3H 4R2, CanadaTel +1 (902) 402-9596Fax +1 (902) 494-5120Email jad.sinno@dal.caIntroduction: Pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool that requires the ongoing support of physicians to be accessible. Recently, Nova Scotia experienced a 100% increase in HIV diagnoses. The purpose of this study is to explore the relationship between physicians’ support of PrEP, knowledge of PrEP, and PrEP prescribing history using the information-motivation-behavioral (IMB) skills model.Methods: An online survey was distributed to physicians in Nova Scotia, Canada, and eighty physicians participated. Two exploratory factor analyses were conducted with items from the Support of PrEP scale and Knowledge of PrEP scale. A mediation analysis was conducted to assess if knowledge of PrEP mediated the relationship between support of PrEP and whether physicians have prescribed PrEP in the past.Results: On average, physicians reported strong support for PrEP, and as support for PrEP increased so did knowledge of PrEP. Further, physicians who had prescribed PrEP demonstrated strong knowledge of PrEP and physicians who had not prescribed PrEP reported feeling neutral. The 95% bootstrap confidence interval indirect effect of Support for PrEP on prescription history did not include zero (B = 1.59, 95% BsCI [0.83, 3.57]) demonstrating that the effect of support for PrEP is mediated by knowledge of PrEP. The most commonly identified barrier to prescribing PrEP was the lack of drug coverage among patients.Conclusion: The results of the mediation analysis support the IMB skills model regarding support for PrEP, Knowledge of PrEP, and having prescribed PrEP in the past. Our findings suggest that to improve PrEP uptake in Nova Scotia, educational interventions for physicians and universal coverage of the drug would be necessary.Keywords: HIV pre-exposure prophylaxis, health care providers, attitudes, knowledge, barriers, accessibility, health care access, information-motivation-behavior skills modelSinno JDoria NCochkanoff NNumer MNeyedli HTan DDove Medical Pressarticlehiv pre-exposure prophylaxishealth care providersattitudesknowledgebarriersaccessibilityhealth care accessinformation-motivation-behavior skills model.Immunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 157-170 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv pre-exposure prophylaxis health care providers attitudes knowledge barriers accessibility health care access information-motivation-behavior skills model. Immunologic diseases. Allergy RC581-607
spellingShingle	hiv pre-exposure prophylaxis health care providers attitudes knowledge barriers accessibility health care access information-motivation-behavior skills model. Immunologic diseases. Allergy RC581-607 Sinno J Doria N Cochkanoff N Numer M Neyedli H Tan D Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
description	Jad Sinno,1,2 Nicole Doria,1 Nicholas Cochkanoff,1 Matthew Numer,1 Heather Neyedli,1 Darrell Tan2,3 1School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada; 2Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada; 3Department of Medicine, St. Michael’s Hospital, Toronto, ON, CanadaCorrespondence: Jad SinnoSchool of Health and Human Performance, Dalhousie University, Stairs House, 6230 South Street, Halifax, NS, B3H 4R2, CanadaTel +1 (902) 402-9596Fax +1 (902) 494-5120Email jad.sinno@dal.caIntroduction: Pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool that requires the ongoing support of physicians to be accessible. Recently, Nova Scotia experienced a 100% increase in HIV diagnoses. The purpose of this study is to explore the relationship between physicians’ support of PrEP, knowledge of PrEP, and PrEP prescribing history using the information-motivation-behavioral (IMB) skills model.Methods: An online survey was distributed to physicians in Nova Scotia, Canada, and eighty physicians participated. Two exploratory factor analyses were conducted with items from the Support of PrEP scale and Knowledge of PrEP scale. A mediation analysis was conducted to assess if knowledge of PrEP mediated the relationship between support of PrEP and whether physicians have prescribed PrEP in the past.Results: On average, physicians reported strong support for PrEP, and as support for PrEP increased so did knowledge of PrEP. Further, physicians who had prescribed PrEP demonstrated strong knowledge of PrEP and physicians who had not prescribed PrEP reported feeling neutral. The 95% bootstrap confidence interval indirect effect of Support for PrEP on prescription history did not include zero (B = 1.59, 95% BsCI [0.83, 3.57]) demonstrating that the effect of support for PrEP is mediated by knowledge of PrEP. The most commonly identified barrier to prescribing PrEP was the lack of drug coverage among patients.Conclusion: The results of the mediation analysis support the IMB skills model regarding support for PrEP, Knowledge of PrEP, and having prescribed PrEP in the past. Our findings suggest that to improve PrEP uptake in Nova Scotia, educational interventions for physicians and universal coverage of the drug would be necessary.Keywords: HIV pre-exposure prophylaxis, health care providers, attitudes, knowledge, barriers, accessibility, health care access, information-motivation-behavior skills model
format	article
author	Sinno J Doria N Cochkanoff N Numer M Neyedli H Tan D
author_facet	Sinno J Doria N Cochkanoff N Numer M Neyedli H Tan D
author_sort	Sinno J
title	Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
title_short	Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
title_full	Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
title_fullStr	Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
title_full_unstemmed	Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis
title_sort	attitudes and practices of a sample of nova scotian physicians for the implementation of hiv pre-exposure prophylaxis
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/24cd1a97ff7e4ebda71ee04528a8efcc
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Attitudes and Practices of a Sample of Nova Scotian Physicians for the Implementation of HIV Pre-Exposure Prophylaxis

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