Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey

Detalhes bibliográficos
Autor(a) principal: Vega-Ramirez, Hamid
Data de Publicação: 2022
Outros Autores: Torres, Thiago S., Guillen-Diaz, Centli, Pimenta, Cristina, Diaz-Sosa, Dulce, Konda, Kelika A., Cunha, Alessandro Ricardo Caruso da, Robles-Garcia, Rebeca, Benedetti, Marcos, Hoagland, Brenda, Bezerra, Daniel R. B., Caceres, Carlos F., Grinsztejn, Beatriz, Veloso, Valdiléa G., ImPrEP Study Group
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/53163
Resumo: National Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.
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spelling Vega-Ramirez, HamidTorres, Thiago S.Guillen-Diaz, CentliPimenta, CristinaDiaz-Sosa, DulceKonda, Kelika A.Cunha, Alessandro Ricardo Caruso daRobles-Garcia, RebecaBenedetti, MarcosHoagland, BrendaBezerra, Daniel R. B.Caceres, Carlos F.Grinsztejn, BeatrizVeloso, Valdiléa G.ImPrEP Study Group2022-06-09T22:07:48Z2022-06-09T22:07:48Z2022VEGA-RAMIREZ, Hamid et al. Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey. BMC health services research, v. 22, n. 1, p. 1-12, 20221472-6963https://www.arca.fiocruz.br/handle/icict/5316310.1186/s12913-022-07900-yengBMCAwareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based surveyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleNational Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.National Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.Ministry of Health. Brasilia, DF, Brazil.National Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.Universidad Peruana Cayetano Heredia. Center for Interdisciplinary Research in Sexuality, Health, and AIDS. Lima, Peru.Ministry of Health. Brasilia, DF, Brazil.National Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Universidad Peruana Cayetano Heredia. Center for Interdisciplinary Research in Sexuality, Health, and AIDS. Lima, Peru.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Background: In order to end the HIV epidemic by 2030, combination HIV prevention including pre-exposure prophylaxis (PrEP) should be widely available, especially for the most vulnerable populations. In Latin America and the Caribbean (LAC), only 14 out of 46 countries have access to PrEP. In Brazil and Mexico, PrEP has been provided at no cost through the Public Health System since 2017 and 2021, respectively. Thus, HIV physicians' perspectives about PrEP and other prevention strategies may differ. This study aimed to compare awareness, knowledge, and attitudes related to PrEP and other prevention strategies among HIV physicians from Brazil and Mexico. Methods: Cross-sectional, web-based survey targeting physicians who prescribe antiretrovirals from both countries. Participants answered questions on socio-demographic, medical experience, awareness, knowledge, and attitudes towards PrEP and other HIV prevention strategies. We stratified all variables per country and compared frequencies using Chi-square, Fisher exact, and Wilcoxon-Mann-Whitney tests, as appropriate. Results: From January-October 2020, 481 HIV physicians were included: 339(70.5%) from Brazil, 276(57.4%) male, and median age was 43 years (IQR = 36-53). Awareness of PrEP did not differ between Brazil and Mexico (84.6%), while awareness of other prevention strategies, including post-exposure prophylaxis and new PrEP technologies, was higher in Brazil. More Brazilians perceived U=U as completely accurate compared to Mexicans (74.0% vs. 62.0%, P < .001). Willingness to prescribe PrEP was 74.2%, higher among Brazilians (78.2%, P = .01). Overall, participants had concerns about consistent access to PrEP medication and the risk of antiretroviral resistance in case of acute HIV infection or seroconversion. The main barriers reported were assumptions that users could have low PrEP knowledge (62.0%) or limited capacity for adherence (59.0%). Compared to Brazilians, Mexicans reported more concerns and barriers to PrEP prescription (all; P ≤ .05), except for consistent access to PrEP medication and the lack of professionals to prescribe PrEP (both; P ≤ .01). Conclusions: Although awareness of PrEP was similar in Brazil and Mexico, differences in knowledge and attitudes may reflect the availability and stage of PrEP implementation in these countries. Strengthening and increasing information on PrEP technologies and other HIV prevention strategies among HIV physicians could improve their comfort to prescribe these strategies and facilitate their scale-up in LAC.BrazilHIVLatin AmericaMexicoPhysiciansPost-exposure prophylaxisPre-exposure prophylaxisTreatment as preventionU=U sloganinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/53163/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALAwareness_Valdilea_Veloso_etal_INI_2022.pdfAwareness_Valdilea_Veloso_etal_INI_2022.pdfapplication/pdf1107641https://www.arca.fiocruz.br/bitstream/icict/53163/2/Awareness_Valdilea_Veloso_etal_INI_2022.pdfacab0428e3bbca599d8e3e7bded38c38MD52icict/531632023-04-04 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dc.title.pt_BR.fl_str_mv Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
title Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
spellingShingle Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
Vega-Ramirez, Hamid
Brazil
HIV
Latin America
Mexico
Physicians
Post-exposure prophylaxis
Pre-exposure prophylaxis
Treatment as prevention
U=U slogan
title_short Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
title_full Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
title_fullStr Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
title_full_unstemmed Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
title_sort Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey
author Vega-Ramirez, Hamid
author_facet Vega-Ramirez, Hamid
Torres, Thiago S.
Guillen-Diaz, Centli
Pimenta, Cristina
Diaz-Sosa, Dulce
Konda, Kelika A.
Cunha, Alessandro Ricardo Caruso da
Robles-Garcia, Rebeca
Benedetti, Marcos
Hoagland, Brenda
Bezerra, Daniel R. B.
Caceres, Carlos F.
Grinsztejn, Beatriz
Veloso, Valdiléa G.
ImPrEP Study Group
author_role author
author2 Torres, Thiago S.
Guillen-Diaz, Centli
Pimenta, Cristina
Diaz-Sosa, Dulce
Konda, Kelika A.
Cunha, Alessandro Ricardo Caruso da
Robles-Garcia, Rebeca
Benedetti, Marcos
Hoagland, Brenda
Bezerra, Daniel R. B.
Caceres, Carlos F.
Grinsztejn, Beatriz
Veloso, Valdiléa G.
ImPrEP Study Group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Vega-Ramirez, Hamid
Torres, Thiago S.
Guillen-Diaz, Centli
Pimenta, Cristina
Diaz-Sosa, Dulce
Konda, Kelika A.
Cunha, Alessandro Ricardo Caruso da
Robles-Garcia, Rebeca
Benedetti, Marcos
Hoagland, Brenda
Bezerra, Daniel R. B.
Caceres, Carlos F.
Grinsztejn, Beatriz
Veloso, Valdiléa G.
ImPrEP Study Group
dc.subject.en.pt_BR.fl_str_mv Brazil
HIV
Latin America
Mexico
Physicians
Post-exposure prophylaxis
Pre-exposure prophylaxis
Treatment as prevention
U=U slogan
topic Brazil
HIV
Latin America
Mexico
Physicians
Post-exposure prophylaxis
Pre-exposure prophylaxis
Treatment as prevention
U=U slogan
description National Institute of Psychiatry Ramon de la Fuente Muñiz. Center for Research in Global Mental Health. Mexico City, Mexico.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-06-09T22:07:48Z
dc.date.available.fl_str_mv 2022-06-09T22:07:48Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv VEGA-RAMIREZ, Hamid et al. Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey. BMC health services research, v. 22, n. 1, p. 1-12, 2022
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/53163
dc.identifier.issn.pt_BR.fl_str_mv 1472-6963
dc.identifier.doi.none.fl_str_mv 10.1186/s12913-022-07900-y
identifier_str_mv VEGA-RAMIREZ, Hamid et al. Awareness, knowledge, and attitudes related to HIV pre-exposure prophylaxis and other prevention strategies among physicians from Brazil and Mexico: cross-sectional web-based survey. BMC health services research, v. 22, n. 1, p. 1-12, 2022
1472-6963
10.1186/s12913-022-07900-y
url https://www.arca.fiocruz.br/handle/icict/53163
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron:FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/53163/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/53163/2/Awareness_Valdilea_Veloso_etal_INI_2022.pdf
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