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Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium. / Reyniers, Thijs; Vuylsteke, Bea; Pirotte, Benoit; Hoornenborg, Elske; Bil, Janneke P.; Wouters, Kristien; Laga, Marie; Noestlinger, Christiana.

In: Sexual Health, Vol. 15, Nr. 6, 2018, blz. 606-611.

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@article{62d0205251bb42ec9570e820646491e1,
title = "Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium",
abstract = "Background: Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians' PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6{\%}) scored their knowledge of PrEP to be good, 263 (79.0{\%}) had an accepting attitude towards PrEP and 198 (59.5{\%}) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95{\%}CI: 1.0-5.7) and higher PrEP acceptance (OR: 3.8; 95{\%}CI: 2.1-6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.",
keywords = "family physicians, HIV prevention, HIV specialists, primary care physician, HEALTH-CARE PROVIDERS, HIV PREVENTION, PREP, KNOWLEDGE, ATTITUDES, PRESCRIPTION, MEN, SEX",
author = "Thijs Reyniers and Bea Vuylsteke and Benoit Pirotte and Elske Hoornenborg and Bil, {Janneke P.} and Kristien Wouters and Marie Laga and Christiana Noestlinger",
note = "CPDF",
year = "2018",
doi = "10.1071/SH18072",
language = "English",
volume = "15",
pages = "606--611",
journal = "Sexual Health",
issn = "1448-5028",
publisher = "CSIRO PUBLISHING",
number = "6",

}

RIS

TY - JOUR

T1 - Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium

AU - Reyniers, Thijs

AU - Vuylsteke, Bea

AU - Pirotte, Benoit

AU - Hoornenborg, Elske

AU - Bil, Janneke P.

AU - Wouters, Kristien

AU - Laga, Marie

AU - Noestlinger, Christiana

N1 - CPDF

PY - 2018

Y1 - 2018

N2 - Background: Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians' PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0-5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1-6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

AB - Background: Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians' PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0-5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1-6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

KW - family physicians

KW - HIV prevention

KW - HIV specialists

KW - primary care physician

KW - HEALTH-CARE PROVIDERS

KW - HIV PREVENTION

KW - PREP

KW - KNOWLEDGE

KW - ATTITUDES

KW - PRESCRIPTION

KW - MEN

KW - SEX

U2 - 10.1071/SH18072

DO - 10.1071/SH18072

M3 - A1: Web of Science-article

VL - 15

SP - 606

EP - 611

JO - Sexual Health

T2 - Sexual Health

JF - Sexual Health

SN - 1448-5028

IS - 6

ER -

ID: 2841929