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Provider Knowledge Gaps in HIV PrEP Affect Practice Patterns in the US Navy.

Kerry Wilson1, Charmagne G Beckett2, Jason M Blaylock1

  • 1Walter Reed National Military Medical Center, Infectious Disease Service, 8901 Wisconsin Avenue, Bethesda, MD 20889.

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Summary
This summary is machine-generated.

U.S. Navy providers support HIV pre-exposure prophylaxis (PrEP) but have knowledge gaps. Increased provider knowledge about PrEP is linked to higher prescription rates, highlighting the need for targeted training.

Keywords:
HIV pre-exposure prophylaxisUnited States Navyhealth care providers

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Area of Science:

  • Public Health
  • Infectious Disease Prevention
  • Military Healthcare

Background:

  • HIV pre-exposure prophylaxis (PrEP) is available at no cost to U.S. military personnel.
  • Despite availability, PrEP uptake has been lower than anticipated within the military.
  • Understanding healthcare provider perspectives is crucial for improving PrEP implementation.

Purpose of the Study:

  • To assess knowledge, perceptions, and attitudes of U.S. Navy primary care providers regarding PrEP.
  • To identify factors associated with PrEP knowledge and prescription among Navy providers.
  • To inform strategies for enhancing PrEP utilization in military primary care.

Main Methods:

  • A cross-sectional, anonymous online survey was administered to active U.S. Navy healthcare providers.
  • The survey assessed provider demographics, practice characteristics, PrEP experience, and attitudes.
  • Self-rated PrEP knowledge was used as a primary assessment metric.

Main Results:

  • Over half of respondents reported being knowledgeable about PrEP, and 78% supported its provision.
  • Only 19% of providers had ever prescribed PrEP.
  • Higher PrEP knowledge was associated with increased likelihood of prescription (29% vs. 6% for knowledgeable vs. less knowledgeable providers).

Conclusions:

  • U.S. Navy providers generally support PrEP but exhibit significant knowledge gaps.
  • Factors associated with higher PrEP knowledge include patient inquiries, comfort discussing sexual risk, and specialty (infectious disease, occupational health, preventive medicine).
  • Targeted training to address knowledge deficits and improve sexual history-taking skills is recommended for PrEP implementation in primary care.