Survey assessment of HIV pre-exposure prophylaxis availability in student health services in New England colleges and universities.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of American College Health Pub Date : 2025-02-01 Epub Date: 2023-07-18 DOI:10.1080/07448481.2023.2232465

Samantha Rawlins-Pilgrim, Alyse Wheelock, Carl G Streed, Margaret Higham, Douglas S Krakower, Jessica L Taylor

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Abstract

Objective: To determine HIV pre-exposure prophylaxis (PrEP) availability at student health services (SHS) in New England. Methods: We conducted an electronic survey of medical directors of SHS at New England colleges and universities. We measured the availability and volume of PrEP prescribing, barriers and facilitators to prescribing and provider knowledge. Results: Of 143 institutions surveyed, 39% completed questionnaires; 75% were private and 93% were 4 years. Thirty-six percent of institutions did not offer PrEP. Those offering PrEP started a mean of 2.0 per 1000 students/year. PrEP was available at more schools with higher vs. lower endowments (100 vs. 38%, p = 0.002), 4- vs. 2-year programs (68 vs. 0%, p = 0.042), and private vs. public schools (73 vs. 38%, p = 0.043). Conclusions: PrEP was not available at one in three New England SHS and prescribing rates at institutions that offered PrEP were low. Interventions are needed to improve PrEP access.

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新英格兰高校学生健康服务中HIV暴露前预防可用性的调查评估

目的:了解新英格兰地区学生卫生服务中心(SHS) HIV暴露前预防(PrEP)的可用性。方法:对新英格兰高校SHS医学主任进行电子调查。我们测量了PrEP处方的可获得性和数量，处方和提供者知识的障碍和促进因素。结果:在调查的143所院校中，39%完成了问卷调查;75%是私立的，93%是4年期的。36%的学校不提供预科课程。提供预科课程的学校平均每1000名学生每年开设2.0门课程。PrEP在更多的学校中使用，这些学校的捐赠额更高(100比38%，p = 0.002)， 4年制比2年制(68比0%，p = 0.042)，私立比公立学校(73比38%，p = 0.043)。结论:三分之一的新英格兰SHS没有提供PrEP，提供PrEP的机构的处方率很低。需要采取干预措施来改善PrEP的可及性。

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来源期刊

Journal of American College Health Multiple-

CiteScore

5.40

自引率

12.50%

发文量

388

期刊介绍： Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.