Although Human Immunodeficiency Virus (HIV) rates have dropped for the first time in the United States, there are still patients who remain at high risk for acquiring HIV due to sexual practices. The Centers for Disease Control and Prevention (CDC) estimates that 1 in 6 men who have sex with men (MSM) will be diagnosed with HIV in their lifetime. Some patients, as well as some clinicians, are not aware of pre-exposure prophylaxis (PrEP), a medication that can be prescribed to reduce the risk of HIV acquisition.
The purpose of this doctoral project was to improve patient outcomes in the Oregon MSM population by conducting a statewide assessment of HIV PrEP understanding and prescribing practices among primary care providers in Oregon. The results were shared with representatives of a mixture of local and state groups and organizations. Through meetings with local stakeholders, a brochure was created outlining various community opportunities for action related to PrEP access in Oregon, including the initiation of a learning module to train primary care providers about PrEP.