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Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States

Author

Listed:
  • Chen Zhang

    (School of Nursing, University of Rochester, Rochester, NY 14627, USA)

  • Kevin Fiscella

    (School of Dentistry and Medicine, University of Rochester, Rochester, NY 14627, USA)

  • Yu Liu

    (School of Dentistry and Medicine, University of Rochester, Rochester, NY 14627, USA)

Abstract

Background: Women shoulder a disproportionate burden of HIV infection in the United States and worldwide. Pre-exposure prophylaxis (PrEP) is an effective tool for HIV prevention, but its use is suboptimal. Primary care providers (PCP) are considered the ideal PrEP caregivers, but they generally underperform in PrEP care implementation. Methods: From 2020 to 2022, we employed semi-structured in-depth interviews to collect information about barriers and facilitators in PrEP care and beliefs and opinions regarding sexual wellness among 18 PCP and 29 PrEP-eligible women. We employed content analysis and thematic analysis to explore the transcribed narrative data. Results: The current study was guided by the “Communication Pathways” Framework. We studied how communication functions affect PrEP care and women’s sexual wellness on the pathways. We identified several specific pathways between communication and PrEP care implementation in primary care settings, including patient knowledge, linkage to care, therapeutic alliance, and decision making on PrEP care. A paradox regarding who should initiate the discussion regarding sexual history and PrEP care was identified. Conclusions: Findings suggested that a navigation and assistance system for PrEP care in patients and providers is urgently needed. Future studies should facilitate PrEP discussion, engagement, and monitoring in primary care settings.

Suggested Citation

  • Chen Zhang & Kevin Fiscella & Yu Liu, 2022. "Exploring the Role of Provider–Patient Communication in Women’s Sexual Health and Pre-Exposure Prophylaxis Care in the Primary Care Settings in New York State of the United States," IJERPH, MDPI, vol. 19(13), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:13:p:8084-:d:853625
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    References listed on IDEAS

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    2. Calabrese, S.K. & Krakower, D.S. & Mayer, K.H., 2017. "Integrating HIV preexposure prophylaxis (PrEP) into routine preventive health care to avoid exacerbating disparities," American Journal of Public Health, American Public Health Association, vol. 107(12), pages 1883-1889.
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    5. Higgins, J.A. & Hoffman, S. & Dworkin, S.L., 2010. "Rethinking gender, heterosexual men, and women's vulnerability to HIV/AIDS," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 435-445.
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