Journal article
Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran's Health Administration
AIDS and behavior, Vol.23(7), pp.1803-1811
12/13/2018
DOI: 10.1007/s10461-018-2360-6
PMID: 30547331
Abstract
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.
Details
- Title: Subtitle
- Health Care Facility Characteristics are Associated with Variation in Human Immunodeficiency Virus Pre-exposure Prophylaxis Initiation in Veteran's Health Administration
- Creators
- Marissa M Maier - Oregon Health & Science UniversityIna Gylys-Colwell - VA Puget Sound Health Care SystemElliott Lowy - University of WashingtonPuja Van Epps - Louis Stokes Cleveland VA Medical CenterMichael Ohl - University of Iowa, Internal MedicineMaggie Chartier - Office of Patient Care ServicesLauren A Beste - University of Washington
- Resource Type
- Journal article
- Publication Details
- AIDS and behavior, Vol.23(7), pp.1803-1811
- DOI
- 10.1007/s10461-018-2360-6
- PMID
- 30547331
- ISSN
- 1090-7165
- eISSN
- 1573-3254
- Language
- English
- Date published
- 12/13/2018
- Academic Unit
- Psychiatry; Internal Medicine
- Record Identifier
- 9984359922302771
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