{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:41:44Z","timestamp":1787582504014,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Gay, bisexual, and other men who have sex with men (gbMSM) are 131 times more likely to acquire HIV compared with other Canadian men. Pre\u2010Exposure Prophylaxis (PrEP) for HIV has the potential to reduce or eliminate disparities in HIV acquisition among key affected populations. This paper aims to discuss the feasibility and utility of a nurse\u2010led PrEP program administered by the Cool Aid Community Health Centre (CACHC) in Victoria, British Columbia as a public health PrEP program was initiated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Sample and Measurements<\/jats:title><jats:p>A retrospective chart review of 124 gbMSM patients accessing PrEP at CACHC in 2018 collected information on patient demographics, STI testing results, and PrEP prescription pick\u2010ups at 3 time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010nine (79.8%) patients have continued on PrEP, as defined as having picked up their second 90\u2010day PrEP prescription. Both older age and having an Sexually Transmitted Infection after PrEP enrolment were significantly associated with staying on PrEP; decreased risk perceptions contributed most to clinic\u2010level discontinuance. Very few patients who stayed on PrEP have transitioned to their own General Practitioner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients appear to recognize their risk and are continuing on PrEP to reduce their risk of HIV. As evidenced by ability to recruit and maintain patients, we conclude that nurse\u2010led PrEP at community health centres supports access and uptake of essential health services to optimize individual and population health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12813","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T00:05:06Z","timestamp":1601424306000},"page":"871-879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Exploring nurse\u2010led HIV Pre\u2010Exposure Prophylaxis in a community health care clinic"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9829-2870","authenticated-orcid":false,"given":"Marion","family":"Selfridge","sequence":"first","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"},{"name":"Canadian Institute of Substance Use Research Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6545-1249","authenticated-orcid":false,"given":"Kiffer G.","family":"Card","sequence":"additional","affiliation":[{"name":"Canadian Institute of Substance Use Research Victoria BC Canada"},{"name":"Community Based Research Centre Society Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Lundgren","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Barnett","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellie","family":"Guarasci","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Drost","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Gray\u2010Schleihauf","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roz","family":"Milne","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Degenhardt","sequence":"additional","affiliation":[{"name":"AIDS Vancouver Island Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aeron","family":"Stark","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Hull","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Fraser","sequence":"additional","affiliation":[{"name":"Cool Aid Community Health Centre Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6336-8780","authenticated-orcid":false,"given":"Nathan J.","family":"Lachowsky","sequence":"additional","affiliation":[{"name":"Community Based Research Centre Society Vancouver BC Canada"},{"name":"School of Public Health and Social Policy University of Victoria Victoria BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"BC\u2010CfE. (2020).BC\u2010CfE refers to the British Columbia Centre for Excellence in HIV\/AIDS and the website document: accessed June 2020 Guidance for the use of Pre\u2010Exposure Prophylaxis (PrEP) for the prevention of HIV acquisition in British Columbia. British Columbia Centre for Excellence in HIV\/AIDS.http:\/\/www.cfenet.ubc.ca\/sites\/default\/files\/uploads\/publications\/centredocs\/prep_guidelines_17\u2010jun\u20102020.pdf"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/10661"},{"issue":"6","key":"e_1_2_6_4_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0157324","article-title":"Putting PrEP into practice: Lessons learned from early\u2010adopting US providers' firsthand experiences providing HIV pre\u2010exposure prophylaxis and associated care","volume":"11","author":"Calabrese S. 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