{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T21:04:14Z","timestamp":1793912654981,"version":"4.8.0"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>This study aimed to analyze factors associated with the unwillingness to prescribe pre-exposure prophylaxis (PrEP) by health care professionals of specialized HIV\/AIDS services. This is a cross-sectional study with 252 health care professionals in 29 specialized care services (SCSs) in HIV\/AIDS in 21 municipalities in the state of Bahia, Brazil. The inclusion criterion was that the professional had worked for at least six months in the service. Sociodemographic, occupational, and behavioral data were collected using a questionnaire. Logistic regression was performed with an estimation of crude and adjusted odds ratio (OR) and respective 95% confidence intervals (95%CI). The unwillingness to prescribe PrEP was 15.2% (95%CI: 10.8-19.6). The factors associated with unwillingness to prescribe PrEP were non-prescription of HIV self-tests for key populations (adjustedOR = 5.4; 95%CI: 1.3-22.4) nor post-exposure prophylaxis (adjustedOR = 2.00; 95%CI: 1.3-3.1), location of the SCS in the state capital (adjustedOR = 3.9; 95%CI: 1.4-10.2), and SCSs without PrEP offer (adjustedOR = 1.7; 95%CI: 1.1-2.8); professionals who have not reported the need to conduct training and courses (adjustedOR = 1.3; 95%CI: 1.1-1.8), or training with more experienced professionals (adjustedOR = 1.8; 95%CI: 1.1-3.8), was associated with a lower proportion of unwillingness to prescribe PrEP. Our results indicate that health care professionals\u2019 contextual, organizational, and training factors can contribute to PrEP indication. We suggest expanding ongoing training in combined HIV prevention among health care professionals and increasing the availability of PrEP in health services.<\/jats:p>","DOI":"10.1590\/0102-311xen121322","type":"journal-article","created":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T20:13:09Z","timestamp":1714680789000},"source":"Crossref","is-referenced-by-count":15,"title":["Unwillingness to prescribe PrEP by health care professionals of specialized HIV\/AIDS services in Northeastern Brazil"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6785-4516","authenticated-orcid":false,"given":"Juliana de Souza","family":"Lam\u00f4nica","sequence":"first","affiliation":[{"name":"Universidade do Estado da Bahia,  Brazil; Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3752-0782","authenticated-orcid":false,"given":"Laio","family":"Magno","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil; Universidade do Estado da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Elen Jesus da Silva","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade do Estado da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1675-2146","authenticated-orcid":false,"given":"Ines","family":"Dourado","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9718-1562","authenticated-orcid":false,"given":"Adriano Maia dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3766-2502","authenticated-orcid":false,"given":"Marcos","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1712","DOI":"10.1007\/s10461-014-0839-3","article-title":"HIV providers' perceived barriers and facilitators to implementing pre-exposure prophylaxis in care settings a qualitative study","volume":"18","author":"Krakower D","year":"2014","journal-title":"AIDS Behav"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e363","DOI":"10.1016\/S2352-3018(22)00006-6","article-title":"Scaling up access to HIV pre-exposure prophylaxis (PrEP): should nurses do the job?","volume":"9","author":"Schmidt H-MA","year":"2022","journal-title":"Lancet HIV"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/COH.0000000000000568","article-title":"Strategies to improve access for MSM in low-income and middle-income countries","volume":"14","author":"Rebe K","year":"2019","journal-title":"Curr Opin HIV AIDS"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1089\/apc.2019.0189","article-title":"Health care provider barriers to HIV pre-exposure prophylaxis in the United States a systematic review","volume":"34","author":"Pleuhs B","year":"2020","journal-title":"AIDS Patient Care STDS"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00290620","article-title":"Barreiras e facilitadores do acesso de popula\u00e7\u00f5es vulner\u00e1veis \u00e0 PrEP no Brasil Estudo ImPrEP Stakeholders","volume":"38","author":"Pimenta MC","year":"2022","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00206617","article-title":"Da evid\u00eancia \u00e0 a\u00e7\u00e3o desafios do Sistema \u00danico de Sa\u00fade para ofertar a profilaxia pr\u00e9-exposi\u00e7\u00e3o sexual (PrEP) ao HIV \u00e0s pessoas em maior vulnerabilidade","volume":"34","author":"Zucchi EM","year":"2018","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref7","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0132398","article-title":"Knowledge, beliefs and practices regarding antiretroviral medications for HIV prevention results from a survey of healthcare providers in New England","volume":"10","author":"Krakower DS","year":"2015","journal-title":"PLoS One"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s10461-016-1627-z","article-title":"Values and preferences on the use of oral pre-exposure prophylaxis (PrEP) for HIV prevention among multiple populations: a systematic review of the literature.","volume":"21","author":"Koechlin FM","year":"2017","journal-title":"AIDS Behav"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3389\/fpubh.2018.00005","article-title":"The acceptability of pre-exposure prophylaxis beliefs of health-care professionals working in sexually transmitted infections clinics and hiv treatment centers","volume":"6","author":"Bil JP","year":"2018","journal-title":"Front Public Health"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0196280","article-title":"Provider perspectives on PrEP for adolescent girls and young women in Tanzania the role of provider biases and quality of care","volume":"13","author":"Pilgrim N","year":"2018","journal-title":"PLoS One"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1089\/aid.2013.0090","article-title":"Knowledge of and opinions on HIV preexposure prophylaxis among front-line service providers at Canadian AIDS service organizations","volume":"29","author":"Senn H","year":"2013","journal-title":"AIDS Res Hum Retroviruses"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1331\/JAPhA.2014.14014","article-title":"Exploratory survey of Florida pharmacists' experience, knowledge, and perception of HIV pre-exposure prophylaxis","volume":"54","author":"Shaeer KM","year":"2014","journal-title":"J Am Pharm Assoc (2003)"},{"key":"ref13","first-page":"166","article-title":"Care providers' knowledge and willingness to prescribe pre-exposure prophylaxis (PrEP) in Kinshasa, Democratic Republic of Congo (DRC)","volume":"34","author":"Bepouka BI","year":"2019","journal-title":"Pan Afr Med J"},{"key":"ref14","first-page":"563","article-title":"Are we prescribing enough HIV pre-exposure prophylaxis in Missouri A cross-sectional study at University of Missouri health care","volume":"117","author":"Abu-Khalaf S","year":"2020","journal-title":"Mo Med"},{"key":"ref15","first-page":"275","article-title":"Attitudes and knowledge about HIV PrEP among infectious diseases physicians in Brazil","volume":"34","author":"Cerqueira N","year":"2018","journal-title":"AIDS Res Hum Retroviruses"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1186\/s12913-022-07900-y","article-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","volume":"22","author":"Vega-Ramirez H","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"ref17","article-title":"Condi\u00e7\u00f5es hist\u00f3ricas para a emerg\u00eancia da Pol\u00edtica Nacional de Sa\u00fade Integral LGBT no espa\u00e7o social da sa\u00fade no Estado da Bahia, Brasil","volume":"37","author":"Bezerra MVR","year":"2021","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref18","series-title":"Applied logistic regression.","author":"Hosmer Jr. DW","year":"2013"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1007\/s10461-015-1097-8","article-title":"Attitudes and acceptability on HIV self-testing among key populations a literature review","volume":"19","author":"Figueroa C","year":"2015","journal-title":"AIDS Behav"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1136\/bmjoq-2021-001749","article-title":"Improving access to pre-exposure prophylaxis for HIV prescribing in a primary care setting","volume":"11","author":"Lumsden J","year":"2022","journal-title":"BMJ Open Qual"},{"key":"ref21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0248626","article-title":"Decentralizing PrEP delivery implementation and dissemination strategies to increase PrEP uptake among MSM in Toronto, Canada","volume":"16","author":"Charest M","year":"2021","journal-title":"PLoS One"},{"key":"ref22","series-title":"PEP to prevent HIV infection","author":"DeHaan E","year":"2021"},{"key":"ref23","doi-asserted-by":"crossref","DOI":"10.1590\/interface.180410","article-title":"Preven\u00e7\u00e3o do HIV\/Aids em munic\u00edpios da Baixada Fluminense, Rio de Janeiro, Brasil hiatos entre a pol\u00edtica global atual e as respostas locais","volume":"23","author":"Monteiro S","year":"2019","journal-title":"Interface (Botucatu)"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/hiv.12285","article-title":"Healthcare providers' knowledge of, attitudes to and practice of pre-exposure prophylaxis for HIV infection","volume":"17","author":"Desai M","year":"2016","journal-title":"HIV Med"},{"key":"ref25","series-title":"Previnir ou remediar? Atitudes dos profissionais de sa\u00fade frente a profilaxia pr\u00e9-exposi\u00e7\u00e3o ao HIV\/AIDS","author":"Batista AT","year":"2017"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1089\/apc.2019.0119","article-title":"HIV pre-exposure prophylaxis implementation cascade among health care professionals in the United States implications from a systematic review and meta-analysis","volume":"33","author":"Zhang C","year":"2019","journal-title":"AIDS Patient Care STDS"},{"key":"ref27","article-title":"Factors influencing clinicians' willingness to prescribe pre-exposure prophylaxis for persons at high risk of HIV in China cross-sectional online survey study","volume":"7","author":"Cui S","year":"2021","journal-title":"JMIR Public Health Surveill"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Disposi\u00e7\u00e3o para oferta de PrEP por profissionais de sa\u00fade de servi\u00e7os especializados em HIV\/aids no Nordeste do Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2023001305008&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T20:13:31Z","timestamp":1714680811000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2023001305008&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":27,"journal-issue":{"issue":"suppl 1","published-online":{"date-parts":[[2023]]}},"alternative-id":["S0102-311X2023001305008"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xen121322","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e00121322"}}