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Exploring nurse‐led HIV Pre‐Exposure Prophylaxis in a community health care clinic.
- Source :
-
Public Health Nursing . Nov/Dec2020, Vol. 37 Issue 6, p871-879. 9p. - Publication Year :
- 2020
-
Abstract
- Objectives: Gay, bisexual, and other men who have sex with men (gbMSM) are 131 times more likely to acquire HIV compared with other Canadian men. Pre‐Exposure Prophylaxis (PrEP) for HIV has the potential to reduce or eliminate disparities in HIV acquisition among key affected populations. This paper aims to discuss the feasibility and utility of a nurse‐led PrEP program administered by the Cool Aid Community Health Centre (CACHC) in Victoria, British Columbia as a public health PrEP program was initiated. Design, Sample and Measurements: A retrospective chart review of 124 gbMSM patients accessing PrEP at CACHC in 2018 collected information on patient demographics, STI testing results, and PrEP prescription pick‐ups at 3 time points. Results: Ninety‐nine (79.8%) patients have continued on PrEP, as defined as having picked up their second 90‐day PrEP prescription. Both older age and having an Sexually Transmitted Infection after PrEP enrolment were significantly associated with staying on PrEP; decreased risk perceptions contributed most to clinic‐level discontinuance. Very few patients who stayed on PrEP have transitioned to their own General Practitioner. Conclusions: Patients appear to recognize their risk and are continuing on PrEP to reduce their risk of HIV. As evidenced by ability to recruit and maintain patients, we conclude that nurse‐led PrEP at community health centres supports access and uptake of essential health services to optimize individual and population health. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV prevention
*HIV infection risk factors
*AGE distribution
*ATTITUDE (Psychology)
*COMMUNITY health nursing
*COMMUNITY health services
*DRUGS
*GAY men
*HEALTH services accessibility
*MEDICAL records
*MEDICAL prescriptions
*PREVENTIVE medicine
*MEN'S health
*MULTIVARIATE analysis
*PATIENT compliance
*PRIMARY health care
*RISK perception
*SEXUALLY transmitted diseases
*STATISTICS
*MULTIPLE regression analysis
*HUMAN services programs
*RETROSPECTIVE studies
*EVALUATION of human services programs
*DATA analysis software
*MEN who have sex with men
*DESCRIPTIVE statistics
*ACQUISITION of data methodology
Subjects
Details
- Language :
- English
- ISSN :
- 07371209
- Volume :
- 37
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Public Health Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 147196055
- Full Text :
- https://doi.org/10.1111/phn.12813