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Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration

AIDS and behavior, 2019-07, Vol.23 (7), p.1803-1811 [Peer Reviewed Journal]

This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018 ;AIDS and Behavior is a copyright of Springer, (2018). All Rights Reserved. ;ISSN: 1090-7165 ;EISSN: 1573-3254 ;DOI: 10.1007/s10461-018-2360-6 ;PMID: 30547331

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Title:
Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration
Author: Maier, Marissa M. ; Gylys-Colwell, Ina ; Lowy, Elliott ; Van Epps, Puja ; Ohl, Michael ; Chartier, Maggie ; Beste, Lauren A.
Subjects: Access ; Disease prevention ; Exposure ; Health care ; Health facilities ; Health problems ; Health Psychology ; Health services utilization ; HIV ; Human immunodeficiency virus ; Infectious Diseases ; Medicare ; Medicine ; Medicine & Public Health ; Original Paper ; Prophylaxis ; Public Health ; Quartiles ; Regression analysis ; Viruses
Is Part Of: AIDS and behavior, 2019-07, Vol.23 (7), p.1803-1811
Description: To quantify health care facility-level variation in pre-exposure prophylaxis (PrEP) use in the Veteran’s Health Administration (VHA); to identify facility characteristics associated with PrEP use. Retrospective analysis of the health care facility-level rate of PrEP initiation in VHA through June 30, 2017. Standardized PrEP initiation rates were used to rank facilities. Characteristics of facilities, prescribers, and PrEP recipients were examined within quartiles. Multiple linear regression was used to identify associations between facility characteristics and PrEP use. We identified 1600 PrEP recipients. Mean PrEP initiation rate was 20.0/100,000 (SD 22.8), ranging from 3.0/100,000 (SD 2.0) in the lowest quartile to 48.1/100,000 (SD 29.1) in the highest. PrEP prescribing was positively associated with proportions of urban dwellers and individuals < 45, tertiary care status, and location. Variability in PrEP uptake across a national health care system highlights opportunities to expand access in non-tertiary care facilities and underserved areas.
Publisher: New York: Springer US
Language: English
Identifier: ISSN: 1090-7165
EISSN: 1573-3254
DOI: 10.1007/s10461-018-2360-6
PMID: 30547331
Source: ProQuest One Psychology
ProQuest Central

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Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran’s Health Administration

This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018 ;AIDS and Behavior is a copyright of Springer, (2018). All Rights Reserved. ;ISSN: 1090-7165 ;EISSN: 1573-3254 ;DOI: 10.1007/s10461-018-2360-6 ;PMID: 30547331

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