Table II.
Differences in Comfort with PrEP Clinical Activities, Awareness of PrEP, Familiarity with prescribing PrEP, PrEP Discussion, and PrEP Prescription Based on Provider Type.
| Overall (N = 515) | HIVPs (n = 237) | PCPs (n = 278) | B (SE) | OR | F (df) | η2 | |
|---|---|---|---|---|---|---|---|
| Comfort | |||||||
|
| |||||||
| Somewhat or completely comfortable with all activities | 73% | 89% | 59% | −1.63 (0.27)*** | 0.20 | – | – |
| Percent somewhat or completely comfortable | |||||||
| Discussing sexual orientation | 92% | 95% | 89% | −0.43 (0.40) | 0.65 | – | – |
| Discussing sexual activities | 83% | 94% | 75% | −1.49 (0.35)*** | 0.22 | – | – |
| Screening for STIs | 96% | 98% | 95% | −1.05 (0.68) | 0.35 | – | – |
| Screening for HIV | 98% | 98% | 97% | −0.16 (0.73) | 0.85 | – | – |
| Screening for HIV with sexual risk behavior | 97% | 99% | 95% | −1.27 (0.78) | 0.28 | – | – |
| Providing risk reduction counseling | 93% | 98% | 89% | −1.70 (0.60)** | 0.18 | – | – |
| Ordering a diagnostic test for acute HIV | 90% | 98% | 83% | −2.21 (0.53)*** | 0.11 | – | – |
| Giving a patient a new HIV diagnosis | 87% | 95% | 80% | −1.60 (0.37)*** | 0.20 | – | – |
|
| |||||||
| Awareness | |||||||
|
| |||||||
| Aware of PrEP | 86% | 98% | 76% | −2.56 (0.51)*** | 0.08 | – | – |
|
| |||||||
| Familiarity | |||||||
|
| |||||||
| Somewhat or very familiar with prescribing PrEP | 50% | 76% | 28% | −1.88 (0.22)*** | 0.15 | – | – |
|
| |||||||
| Discussion | |||||||
|
| |||||||
| Ever discussed PrEP | 58% | 87% | 33% | −2.45 (0.25)*** | 0.09 | – | – |
| Discussed PrEP in past year | 54% | 83% | 28% | −2.45 (0.24)*** | 0.09 | – | – |
| First year discussed | −1.45 (0.27)*** | – | – | – | |||
| Before 2011 | 9% | 10% | 6% | ||||
| 2011 | 7% | 8% | 5% | ||||
| 2012 | 21% | 27% | 8% | ||||
| 2013 | 34% | 38% | 24% | ||||
| 2014 | 29% | 17% | 58% | ||||
| Number of discussions in past year | 18.6 (22.5) | 23.5 (24.5) | 5.8 (6.3) | – | – | 43.15 (1,254)*** | 0.15 |
| Percentage patient-initiated | 47.5 (35.9) | 42.6 (33.0) | 60.2 (40.1) | – | – | 19.13 (1,254)*** | 0.07 |
|
| |||||||
| Prescription | |||||||
|
| |||||||
| Ever prescribed PrEP | 39% | 64% | 17% | 2.07 (0.23)*** | 0.13 | ||
| Number of PrEP prescriptions in past year | 15.0 (21.9) | 18.6 (23.8) | 3.3 (4.2) | – | – | 20.40 (1,183)*** | 0.10 |
***
p < .001
**
p < .01
*
p < .05
HIVPs and PCPs were compared using logistic regression, ordinal regression, and ANCOVA, controlling for geographic region and professional position.