Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida

Objectives: Florida ranks highest in the United States among newly diagnosed HIV infections. This ranking reflects the need for investigation of healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers to routine HIV testing and pre-exposure prophylaxis. Methods: We...

Full description

Bibliographic Details
Main Authors: Laura H Gunn, Brittani Janson, Ismode Lorjuste, Lindsay Summers, Paula Burns, Thomas Bryant
Format: Article
Language:English
Published: SAGE Publishing 2019-03-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/2050312119836030
_version_ 1818533229403045888
author Laura H Gunn
Brittani Janson
Ismode Lorjuste
Lindsay Summers
Paula Burns
Thomas Bryant
author_facet Laura H Gunn
Brittani Janson
Ismode Lorjuste
Lindsay Summers
Paula Burns
Thomas Bryant
author_sort Laura H Gunn
collection DOAJ
description Objectives: Florida ranks highest in the United States among newly diagnosed HIV infections. This ranking reflects the need for investigation of healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers to routine HIV testing and pre-exposure prophylaxis. Methods: We adapted national questionnaires with questions co-developed with Florida Department of Health to form a 25-item instrument. Questionnaires were distributed to the population of eligible healthcare providers in DeLand, Florida. Results: Results from an approximate 20% response rate that encompasses 12 providers demonstrate baseline findings to inform future studies. For example, 75% of respondents were aware of FL Administrative Code 64D-3.042 that pregnant women should receive HIV testing during first and third trimesters. However, 50% of respondents rarely or never offer tests to pregnant women according to practice guidelines. About 75% of respondents strongly agree or agree with willingness to prescribe pre-exposure prophylaxis to high-risk patients, yet 8.3% always or very often prescribe pre-exposure prophylaxis. Conclusions: Results convey the importance of and need for greater collaboration between providers and the Florida Department of Health to enhance providers’ knowledge, readiness, and, ultimately, behaviors regarding routine HIV testing and pre-exposure prophylaxis prescription.
first_indexed 2024-12-11T17:55:56Z
format Article
id doaj.art-143cf97596cb4f4b8ca5241f55f2ca35
institution Directory Open Access Journal
issn 2050-3121
language English
last_indexed 2024-12-11T17:55:56Z
publishDate 2019-03-01
publisher SAGE Publishing
record_format Article
series SAGE Open Medicine
spelling doaj.art-143cf97596cb4f4b8ca5241f55f2ca352022-12-22T00:56:04ZengSAGE PublishingSAGE Open Medicine2050-31212019-03-01710.1177/2050312119836030Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, FloridaLaura H Gunn0Brittani Janson1Ismode Lorjuste2Lindsay Summers3Paula Burns4Thomas Bryant5School of Public Health, Imperial College London, London, UKPublic Health Program, Stetson University, DeLand, FL, USAPublic Health Program, Stetson University, DeLand, FL, USAInfectious Disease Management, Intervention, and Community Practice, University of Pittsburgh, Pittsburgh, PA, USADisease Control and Health Protection, Florida Department of Health in Volusia County, Daytona Beach, FL, USAOffice of Planning and Performance Management, Florida Department of Health in Volusia County, Daytona Beach, FL, USAObjectives: Florida ranks highest in the United States among newly diagnosed HIV infections. This ranking reflects the need for investigation of healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers to routine HIV testing and pre-exposure prophylaxis. Methods: We adapted national questionnaires with questions co-developed with Florida Department of Health to form a 25-item instrument. Questionnaires were distributed to the population of eligible healthcare providers in DeLand, Florida. Results: Results from an approximate 20% response rate that encompasses 12 providers demonstrate baseline findings to inform future studies. For example, 75% of respondents were aware of FL Administrative Code 64D-3.042 that pregnant women should receive HIV testing during first and third trimesters. However, 50% of respondents rarely or never offer tests to pregnant women according to practice guidelines. About 75% of respondents strongly agree or agree with willingness to prescribe pre-exposure prophylaxis to high-risk patients, yet 8.3% always or very often prescribe pre-exposure prophylaxis. Conclusions: Results convey the importance of and need for greater collaboration between providers and the Florida Department of Health to enhance providers’ knowledge, readiness, and, ultimately, behaviors regarding routine HIV testing and pre-exposure prophylaxis prescription.https://doi.org/10.1177/2050312119836030
spellingShingle Laura H Gunn
Brittani Janson
Ismode Lorjuste
Lindsay Summers
Paula Burns
Thomas Bryant
Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
SAGE Open Medicine
title Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
title_full Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
title_fullStr Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
title_full_unstemmed Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
title_short Healthcare providers’ knowledge, readiness, prescribing behaviors, and perceived barriers regarding routine HIV testing and pre-exposure prophylaxis in DeLand, Florida
title_sort healthcare providers knowledge readiness prescribing behaviors and perceived barriers regarding routine hiv testing and pre exposure prophylaxis in deland florida
url https://doi.org/10.1177/2050312119836030
work_keys_str_mv AT laurahgunn healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida
AT brittanijanson healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida
AT ismodelorjuste healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida
AT lindsaysummers healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida
AT paulaburns healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida
AT thomasbryant healthcareprovidersknowledgereadinessprescribingbehaviorsandperceivedbarriersregardingroutinehivtestingandpreexposureprophylaxisindelandflorida