Implementation of HIV pre-exposure prophylaxis for women of color: Perspectives from healthcare providers and staff from three clinical settings.
Implementation of HIV pre-exposure prophylaxis for women of color: Perspectives from healthcare providers and staff from three clinical settings.
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DOI：
10.1080/15381501.2021.1887038
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Drainoni ML
中科院分区：
文献类型：
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作者：
Kimmel AL;Messersmith LJ;Bazzi AR;Sullivan MM;Boudreau J;Drainoni ML
有色人种女性（WOC）占美国女性新感染艾滋病毒的83%。虽然暴露前预防（PrEP）是一种安全，有效的女性艾滋病毒预防方法，但WOC比其他人群更不可能被处方PrEP。在实施科学研究框架的指导下，我们调查了美国艾滋病高发城市WOC的PrEP计划的实施情况。在三个临床站点中，一年后只有三个WOC被规定为PrEP。定性访谈与诊所的工作人员和供应商的分析确定时间限制，不愿开PrEP，并与咨询的实施障碍的不适。实施促进者包括工作人员和领导对PrEP的支持，PrEP服务与组织使命的一致性，以及集中的PrEP协调员。通过解决这些已确定的实施障碍和促进因素，诊所工作人员和提供者可以确保为WOC提供全方位的艾滋病毒预防选择。
Women of color (WOC) account for 83% of new HIV infections among women in the United States. While pre-exposure prophylaxis (PrEP) is a safe, effective HIV prevention method for women, WOC are less likely to be prescribed PrEP than other populations. Guided by an implementation science research framework, we investigated the implementation of a PrEP initiative for WOC in a US city with high HIV incidence. Across three clinical sites, only three WOC were prescribed PrEP after one year. Analysis of qualitative interviews with clinic staff and providers identified time constraints, reluctance to prescribe PrEP, and discomfort with counseling as implementation barriers. Implementation facilitators included staff and leadership support for PrEP, alignment of PrEP services with organizational missions, and having a centralized PrEP Coordinator. By addressing these identified implementation barriers and facilitators, clinic staff and providers can ensure that WOC are provided with the full range of HIV prevention options.