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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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West Ashley Library
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Village Library
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Hurd/St. Andrews Library
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Associations Between Sexual History Documentation in Electronic Health Records and Referral to Pre-Exposure Prophylaxis Navigator on Prescription of Pre-Exposure Prophylaxis at a Multi-Site Federally Qualified Health Center.
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- Author(s): Gagnon, Kelly W.; Coulter, Robert W.S.; Egan, James E.; Ho, Ken; Hawk, Mary
- Source:
AIDS Patient Care & STDs; Aug2023, Vol. 37 Issue 8, p403-415, 13p- Subject Terms:
HIV prevention; ANTI-HIV agents; HIV infections; HIV-positive persons; HEALTH services accessibility; CONFIDENCE intervals; CROSS-sectional method; DISEASE incidence; DOCUMENTATION; PRE-exposure prophylaxis; MEDICAL referrals; PUBLIC hospitals; HEALTH care teams; DESCRIPTIVE statistics; RESEARCH funding; ELECTRONIC health records; MEDICAL prescriptions; CLUSTER analysis (Statistics); ODDS ratio; SEXUAL health - Source:
- Additional Information
- Abstract: This cross-sectional study examined the relationships between sexual history screening (SHS) and referrals to a pre-exposure prophylaxis (PrEP) navigator (non-clinical staff member who assists patients in overcoming structural barriers to PrEP) on the proportion of days covered by PrEP for adult patients at a federally qualified health center. Patients' sociodemographics, PrEP prescriptions, referral to a PrEP navigator, and SHS data were extracted from the electronic health record (EHR). The analytic sample was 214 adult patients who were human immunodeficiency virus (HIV) negative and taking PrEP to prevent infection from January 2016 to December 2019. Mixed-effects negative binomial models were conducted accounting for clustering by patients' primary care providers. Documentation of SHS was associated with a higher proportion of days covered by PrEP (incidence rate ratio = 1.44, 95% confidence interval: 1.17–1.77). There was no significant effect of having a referral to the PrEP navigator on the proportion of days covered by PrEP, nor did having a referral to the PrEP navigator moderate the relationship between having SHS documented in the EHR and the proportion of days covered by PrEP. This study is the first to investigate the relationship between having sexual history documented in the EHR, referrals to a PrEP navigator, and their combined effect on the proportion of days covered by PrEP. Results of this study provide foundational evidence for future studies examining SHS as an opportunity to improve PrEP access and adherence and indicate the need for additional research exploring the value of PrEP navigators as an implementation strategy to overcome social and structural barriers to care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of AIDS Patient Care & STDs is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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