Student Education About Pre-exposure Prophylaxis (PrEP) Varies Between Regions of the United States
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Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA; 2Pharmaceutical Sciences, College of Pharmacy, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA; 3Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; 4Department of Psychology, Saint Xavier University, Chicago, IL, USA; 5DeWitt C. Baldwin Institute for Interprofessional Education, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA; 6 Stanford University School of Medicine, Stanford, CA, USA.
BACKGROUND: Daily, oral pre-exposure prophylaxis (PrEP) is an effective and safe prevention strategy for people at risk for HIV. However, prescription of PrEP has been limited for patients at the highest risk. Disparities in PrEP prescription are pronounced among racial and gender minority patients. A significant body of literature indicates that practicing healthcare providers have little awareness and knowledge of PrEP. Very little work has investigated the education about PrEP among health professionals in training. OBJECTIVE: The objective of this study was to compare health professions students’ awareness of PrEP and education about PrEP between regions of the US, and to determine if correlations between regional HIV incidence and PrEP use were present. DESIGN: Survey study. PARTICIPANTS: A cross-sectional sample of health professions students (N = 1859) representing future prescribers (MD, DO, PA), pharmacists, and nurses in the US. KEY RESULTS: Overall, 83.4% of students were aware of PrEP, but only 62.2% of fourth-year students indicated they had been taught about PrEP at any time during their training. Education about PrEP was most comprehensive in the Northeastern US, the area with the highest PrEP to need ratio (4.7). In all regions, transgender patients and heterosexual men and women were least likely to be presented in education as PrEP candidates, and men who have sex with men were the most frequently presented. CONCLUSIONS: There are marked differences in education regarding PrEP both between academic programs and regions of the USA. KEY WORDS: HIV; Pre-exposure prophylaxis; Health professions education; Students.
ABBREVIATIONS HIV PrEP PA
human immunodeficiency virus pre-exposure prophylaxis physician assistant
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11606-020-05736-y) contains supplementary material, which is available to authorized users. Received November 27, 2019 Accepted February 10, 2020
PWID HMW TWSM MSM CDC LGBTQ+ ANOVA ANCOVA PnR
people who inject drugs heterosexual men and women transgender women who have sex with men men who have sex with men Centers for Disease Control and Prevention lesbian, gay, bisexual, transgender, queer analysis of variance analysis of covariance PrEP-to-need ratio
J Gen Intern Med DOI: 10.1007/s11606-020-05736-y © Society of General Internal Medicine 2020
INTRODUCTION
HIV incidence
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