Your Daily digest for NYU Information for Practice Daily Digest (Unofficial)

Sun Apr 21 12:59:49 PDT 2024

NYU Information for Practice Daily Digest (Unofficial)

(https://ifp.nyu.edu/2024/open-access-journal-articles/what-influences-stroke-survivors-with-physical-disabilities-to-be-physically-active-a-qualitative-study-informed-by-the-theoretical-domains-framework/) What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework
Apr 21st 2024, 15:23

The post (https://ifp.nyu.edu/2024/open-access-journal-articles/what-influences-stroke-survivors-with-physical-disabilities-to-be-physically-active-a-qualitative-study-informed-by-the-theoretical-domains-framework/) What influences stroke survivors with physical disabilities to be physically active? A qualitative study informed by the Theoretical Domains Framework was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/cns0000361/) Implicit bias against Muslim men attempting to access counseling or psychotherapy? A correspondence audit study examining aversive racism.
Apr 21st 2024, 14:16

Psychology of Consciousness: Theory, Research, and Practice, Vol 11(1), Mar 2024, 30-45; doi:10.1037/cns0000361
The present study used an email correspondence audit design to investigate the effects of clients’ perceived religion on counseling and psychotherapy practitioners’ willingness to offer an appointment. Practitioners (N = 470) received an email requesting an appointment from an individual with either a Muslim man’s or a non-Muslim man’s name. Results indicated perceived religion was neither a statistically significant predictor of whether any response was received nor practitioner willingness to offer services. However, the client with the Muslim name received significantly quicker responses and was more likely to receive an ambivalent response compared to the non-Muslim name. The findings indicate that practitioners subtly differentiate between these two types of clients in ways that may demonstrate implicit bias. In addition to interpreting the results through the lens of aversive racism theory, these findings are also considered in light of relatively unique events at the time of data collection (mass racial justice protests, the COVID-19 pandemic). (PsycInfo Database Record (c) 2024 APA, all rights reserved)
(https://ifp.nyu.edu/?internalerror=true) Read the full article ›
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(https://ifp.nyu.edu/2024/open-access-journal-articles/associations-between-hypertension-with-reproductive-and-menopausal-factors-an-integrated-womens-health-programme-iwhp-study/) Associations between hypertension with reproductive and menopausal factors: An integrated women’s health programme (IWHP) study
Apr 21st 2024, 13:57

The post (https://ifp.nyu.edu/2024/open-access-journal-articles/associations-between-hypertension-with-reproductive-and-menopausal-factors-an-integrated-womens-health-programme-iwhp-study/) Associations between hypertension with reproductive and menopausal factors: An integrated women’s health programme (IWHP) study was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/law0000384/) Correctional officer turnover intentions and mental illness symptom: Testing the potential confounding effects of resilience.
Apr 21st 2024, 13:18

Psychology, Public Policy, and Law, Vol 30(1), Feb 2024, 33-47; doi:10.1037/law0000384
Correctional officers (COs) working in county-level jails are shouldered with important responsibilities designed to maintain institutional order. Despite the invaluable work they perform, an alarming number of officers voluntarily resign from their position shortly following their initial hire date, creating severe problems for the facilities they now leave behind. Although a number of studies have researched factors affecting officer turnover intent, very few have specifically tested whether officers exhibiting signs of mental illness symptoms are more likely to want to resign. Adding to this, currently no study has examined whether resilience confounds the effects of mental illness symptoms on officer resignation intentions. Questionnaire data were collected from a statewide population of county jail officers working throughout TN (N = 1,517) to test whether officers exhibiting symptoms of mental illness were more likely to want to resign and whether these relationships were confounded by resilience. Consistent with hypothesized expectations, officers who scored higher on clinical screening measures for symptoms of mental illness signaled a greater desire to want to quit their job. These relationships were relegated to a statistically non-significant status once resilience was entered into the regression model. Supplementary analyses supported our confounding hypothesis since resilience negatively predicted all five screening measures for mental illness symptoms. Theoretical and policy implications are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
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(https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/the-parasomnia-defense-in-sleep-related-homicide-a-systematic-review-and-a-critical-analysis-of-the-medical-literature/) The parasomnia defense in sleep-related homicide: A systematic review and a critical analysis of the medical literature
Apr 21st 2024, 13:01

The post (https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/the-parasomnia-defense-in-sleep-related-homicide-a-systematic-review-and-a-critical-analysis-of-the-medical-literature/) The parasomnia defense in sleep-related homicide: A systematic review and a critical analysis of the medical literature was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/monographs-edited-collections/critical-wage-theory-why-wage-justice-is-racial-justice/) Critical Wage Theory: Why Wage Justice Is Racial Justice
Apr 21st 2024, 12:49

The post (https://ifp.nyu.edu/2024/monographs-edited-collections/critical-wage-theory-why-wage-justice-is-racial-justice/) Critical Wage Theory: Why Wage Justice Is Racial Justice was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/grey-literature/portland-oregon-creating-an-accessible-built-environment-that-helps-residents-stay-active-as-they-age/) Portland, Oregon: Creating an Accessible Built Environment That Helps Residents Stay Active as They Age
Apr 21st 2024, 12:44

The post (https://ifp.nyu.edu/2024/grey-literature/portland-oregon-creating-an-accessible-built-environment-that-helps-residents-stay-active-as-they-age/) Portland, Oregon: Creating an Accessible Built Environment That Helps Residents Stay Active as They Age was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/pst0000512/) Alexithymia and treatment response for prolonged exposure therapy: An evaluation of outcomes and mechanisms.
Apr 21st 2024, 12:19

Psychotherapy, Vol 61(1), Mar 2024, 44-54; doi:10.1037/pst0000512
Alexithymia is the inability to identify and recognize emotions. The present study examined the impact of alexithymia on prolonged exposure (PE) therapy. Participants (n = 68) with PTSD underwent 10 PE sessions. Alexithymia was assessed via the Toronto Alexithymia Scale (TAS-20) and the emotional clarity and awareness subscales of the Difficulties in Emotion Regulation Scale. Treatment outcomes were assessed via the PTSD checklist and Clinician-Administered PTSD Scale for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition at posttreatment and 6-month follow-up. Those with high alexithymia were more likely to endorse experiencing a full PTSD diagnosis immediately posttreatment, χ²(1) = 12.53, p = .002, and at 6-month follow-up, χ²(1) = 11.21, p = .004. Alexithymia was associated with delayed treatment effects on avoidance, with a significant reduction in symptomology observed from pre- to follow-up, t(51) = 4.52, p F(2, 14) = 9.18, p = .001, d = 1.57 and F(2, 50) = 13.86, p = .001, d = 1.49, respectively, the high alexithymia group exhibited a marginally lesser magnitude of treatment effect. Although those with significantly greater difficulties with emotional clarity were more likely to drop out of PE treatment, emotional clarity and awareness did not moderate treatment response. Our results confirm the efficacy of PE but also highlight that those with alexithymia show a delayed treatment response and may be at greater risk of pathology after treatment. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
(https://ifp.nyu.edu/?internalerror=true) Read the full article ›
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(https://ifp.nyu.edu/2024/grey-literature/reporting-on-dei-in-higher-education-5-key-takeaways-from-our-webinar/) Reporting on DEI in higher education: 5 key takeaways from our webinar
Apr 21st 2024, 12:17

The post (https://ifp.nyu.edu/2024/grey-literature/reporting-on-dei-in-higher-education-5-key-takeaways-from-our-webinar/) Reporting on DEI in higher education: 5 key takeaways from our webinar was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/addressing-disparities-and-underutilization-of/) Addressing Disparities and Underutilization of Adolescent Metabolic and Bariatric Surgery
Apr 21st 2024, 12:13

In response to the unremitting rise of childhood obesity in the United States,1,2 a growing body of literature supports the utilization of metabolic and bariatric surgery (MBS) for the treatment of severe obesity (body mass index [BMI] ≥120% of the 95th percentile or BMI ≥35 kg/m2) in the pediatric population.3–5 In addition to offering important insight regarding the physiologic and psychosocial phenotypes observed among individuals presenting for MBS, numerous studies to date have shown improvement and/or complete resolution of most comorbid conditions with significant improvements in quality of life. Despite favorable results and a recent rise in procedural prevalence, ongoing controversy, including professional bias related to the treatment of childhood obesity and misinformation among the general public, access to care remains limited compared with the corresponding adult population.6–10 In a series of recently published policy statements and clinical practice guidelines, the American Academy of Pediatrics (AAP) and the American Society of Metabolic and Bariatric Surgery have recommended approaches to address disparities in the use of MBS in the pediatric population and have unambiguously stated that pediatric health care providers should refer eligible patients to comprehensive multidisciplinary pediatric MBS centers.2–4
(https://publications.aap.org/pediatrics/article/153/3/e2023064375/196693/Addressing-Disparities-and-Underutilization-of?autologincheck=redirected) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/stl0000257/) Using standardized patients to improve the quality of care for AAPI populations.
Apr 21st 2024, 11:49

Scholarship of Teaching and Learning in Psychology, Vol 10(1), Mar 2024, 44-55; doi:10.1037/stl0000257
To address the workforce training of behavioral health providers working with Asian American and Pacific Islander (AAPI) populations, students from five agencies serving AAPIs completed a curriculum entitled Growing Our Own. The curriculum, developed by the National Asian American Pacific Islander Mental Health Association, includes five modules: I. Self-Assessment, II. Connecting with Your Client, III. Culturally Responsive Assessment and Diagnosis, IV. Culturally Responsive Interventions and Strategies, and V. System Cultural Competence. Using the standardized patient (SP) model, the students participated in two SP interviews to apply the skills they gained from the curriculum. The results of this study showed that both the curriculum and the SP interviews can be promising tools for teaching culturally competent skills to behavioral health providers treating AAPI populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
(https://ifp.nyu.edu/?internalerror=true) Read the full article ›
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(https://ifp.nyu.edu/2024/journal-article-abstracts/2814615/) School Readiness Before and During the COVID-19 Pandemic Linking Health and School Data
Apr 21st 2024, 11:07

This cohort study investigates the association between well-child data in the first 5 years of life and subsequent kindergarten readiness.
(https://jamanetwork.com/journals/jamapediatrics/fullarticle/2814615) Read the full article ›
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(https://ifp.nyu.edu/2024/guidelines-plus/strengthening-health-systems-a-practical-handbook-for-resilience-testing/) Strengthening Health Systems: A Practical Handbook for Resilience Testing
Apr 21st 2024, 10:39

The post (https://ifp.nyu.edu/2024/guidelines-plus/strengthening-health-systems-a-practical-handbook-for-resilience-testing/) Strengthening Health Systems: A Practical Handbook for Resilience Testing was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/spcare-2024-004892v1/) Predictors of palliative care attitudes among US patients with cancer and survivors: ideology, personality, world beliefs
Apr 21st 2024, 10:31

(https://spcare.bmj.com/cgi/content/short/spcare-2024-004892v1?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/video/exploring-the-diversity-and-growth-of-the-asian-american-population/) Exploring the Diversity and Growth of the Asian American Population
Apr 21st 2024, 10:23

The post (https://ifp.nyu.edu/2024/video/exploring-the-diversity-and-growth-of-the-asian-american-population/) Exploring the Diversity and Growth of the Asian American Population was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/news/older-adults-in-ohio-are-among-the-most-vulnerable-to-extreme-weather/) Older adults in Ohio are among the most vulnerable to extreme weather
Apr 21st 2024, 10:21

Nearly 1 in 5 older adults in central Ohio report not being prepared for emergencies, such as extreme weather events, or not knowing if they are ready. That is concerning because research shows older adults are at greater risk of harm during disasters such as extreme weather events, said Dr. Smitha Rao, lead author of the study and Assistant Professor of Social Work at The Ohio State University.
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(https://ifp.nyu.edu/2024/grey-literature/communicating-about-crt-in-k-12/) Communicating About CRT in K-12
Apr 21st 2024, 10:21

The post (https://ifp.nyu.edu/2024/grey-literature/communicating-about-crt-in-k-12/) Communicating About CRT in K-12 was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/podcasts/a-city-where-mental-health-isnt-for-policing/) A City Where Mental Health Isn’t for Policing
Apr 21st 2024, 10:02

The post (https://ifp.nyu.edu/2024/podcasts/a-city-where-mental-health-isnt-for-policing/) A City Where Mental Health Isn’t for Policing was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-201993v1/) Sexual and reproductive health clinical consultations: domestic abuse
Apr 21st 2024, 09:58

Zeynep, a 24-year-old beautician, sees her general practice nurse about contraception. She starts the consultation by saying, “My husband wants to start having babies now, but I want to wait a bit”. The practice nurse discusses her contraceptive options and Zeynep opts to start the combined hormonal contraceptive pill.
The nurse is curious about Zeynep’s initial statement and asks about her relationship and directly about domestic abuse. Zeynep says her husband can be quite controlling and when stressed calls her names and throws things. He insists she texts him when she comes home from work, and if she doesn’t, he rings incessantly until she answers. He has banned her from going to evening work events, as he fears she will cheat on him. Recently, he became threatening and abusive about her wearing makeup, accusing her of having an affair. She is now careful about how she dresses and only wears subtle…
(https://srh.bmj.com/content/early/2024/03/13/bmjsrh-2023-201993?rss=1) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/bmjsrh-2023-201993v1/) Sexual and reproductive health clinical consultations: domestic abuse was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/funding/fy24-enhancing-correctional-practices-to-protect-vulnerable-people-technical-assistance-and-microgrant-program-grants-gov-deadline-june-13/) FY24 Enhancing Correctional Practices to Protect Vulnerable People: Technical Assistance and Microgrant Program (Grants.gov Deadline June 13)
Apr 21st 2024, 09:41

The post (https://ifp.nyu.edu/2024/funding/fy24-enhancing-correctional-practices-to-protect-vulnerable-people-technical-assistance-and-microgrant-program-grants-gov-deadline-june-13/) FY24 Enhancing Correctional Practices to Protect Vulnerable People: Technical Assistance and Microgrant Program (Grants.gov Deadline June 13) was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/grey-literature/better-care-fund-policy-framework-2023-to-2025/) Better Care Fund policy framework 2023 to 2025
Apr 21st 2024, 09:16

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(https://ifp.nyu.edu/2024/journal-article-abstracts/fsh0000801/) Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic.
Apr 21st 2024, 08:01

Families, Systems, & Health, Vol 41(4), Dec 2023, 443-453; doi:10.1037/fsh0000801
Introduction: During the COVID-19 pandemic, primary care providers (PCPs), nurses, and integrated mental health specialists continued to collaboratively manage depression among patients using both in-person and virtual (i.e., hybrid) modalities. Few studies have characterized how hybrid services are currently delivered within interdisciplinary primary care teams. This study aimed to understand frontline PCPs’ perspectives on providing hybrid virtual and in-person depression care during the pandemic. Method: From September to November 2020, 12 semistructured individual interviews focused on depression management were conducted with PCPs in two Veterans Health Administration (VA) clinics in Los Angeles, which resumed in-person services while balancing rising COVID-19 cases. Interviews were audio-recorded, transcribed, and coded for depression management patterns. Themes were derived using a team-based constant comparative analytic approach. Results: The pandemic and subsequent expanded use of virtual care necessitated clinic adaptations to depression assessments and procedures. PCPs perceived increased depression and anxiety among patients with existing psychiatric conditions, attributed to social distancing and isolation restrictions. They expressed acceptance of virtual care modalities for patients’ depression management. PCPs did not perceive a delay in mental health care delivery in the shift to virtual care but noted the possibility of patients being lost to follow-up. Conclusions: During the pandemic, there has been heightened PCP concern for patients’ emotional well-being and adaptations of clinic processes to meet needs for depression care. While PCPs were optimistic about new virtual care options for depression management, virtual care transfers remained poorly defined and the extent to which patient care experiences and health outcomes have been disrupted remains unknown. (PsycInfo Database Record (c) 2024 APA, all rights reserved)
(https://ifp.nyu.edu/?internalerror=true) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/fsh0000801/) Primary care provider perspectives on virtual and in-person depression management during the COVID-19 pandemic. was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/news/ascension-st-john-clinicians-speak-out-during-24-hour-strike/) Ascension St. John clinicians speak out during 24 hour strike
Apr 21st 2024, 07:53

All clinicians brought up the struggle of trying to treat patients without the proper staffing, resources and time. Dr. Romajit Yatoome continued, “The big reason that we are on strike is because we are all feeling the pinch of the staffing shortages. It’s not just the physicians, but the nurses, techs, and social workers as well. We are all so overworked and patients are waiting 10 to 15 hours just to see a physician. This is not acceptable for anyone. 
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(https://ifp.nyu.edu/2024/news/the-dunning-kruger-effect-shows-that-people-dont-know-what-they-dont-know/) The Dunning-Kruger Effect Shows that People Don’t Know What They Don’t Know
Apr 21st 2024, 07:32

The Dunning-Kruger effect describes a disturbing cognitive bias that afflicts us all. People with limited expertise in an area tend to overestimate how much they know—and we all have gaps in our expertise. 
The post (https://ifp.nyu.edu/2024/news/the-dunning-kruger-effect-shows-that-people-dont-know-what-they-dont-know/) The Dunning-Kruger Effect Shows that People Don’t Know What They Don’t Know was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/journal-article-abstracts/smoking-susceptibility-and-trends-among-nonsmoking/) Smoking Susceptibility and Trends Among Nonsmoking Adolescents: An International Study
Apr 21st 2024, 07:13

OBJECTIVES
Smoking susceptibility is defined as a lack of firm decision against smoking, usually starts in the preparation and/or initiation stages of smoking behavior, and is a strong predictor of smoking experimentation during adolescence. However, the recent global prevalence and trends in smoking susceptibility among adolescents are not well documented. This study assessed global smoking susceptibility and secular trends among nonsmoking adolescents.
METHODS
Smoking susceptibility was analyzed using the most recent data from the Global Youth Tobacco Survey from 129 countries, where the data from each country were drawn from at least 1 survey conducted at any time between 1999 and 2020. Moreover, data from 82 countries were used to assess the average annual rate of change (AARC) in smoking susceptibility over time.
RESULTS
Smoking susceptibility among nonsmoking adolescents was 19.6%. A U-shaped relationship was observed between susceptibility and a country’s economic level. Most countries showed no changes in susceptibility over time. Countries with a significant upward trend in susceptibility were primarily high-income and upper middle-income countries in the American region. At the World Health Organization regional level, susceptibility significantly decreased in the European region (AARC: −3.5%; 95% confidence interval, −5.8 to –0.8); however, it significantly increased in the American region (AARC: 2.2%; 95% confidence interval, 1.3–3.1).
CONCLUSIONS
Smoking susceptibility remains a serious public health challenge among adolescents worldwide. More public health policies are needed to reduce susceptibility and to control its upward trend in the American region and high-income countries.
(https://publications.aap.org/pediatrics/article/153/3/e2023062360/196666/Smoking-Susceptibility-and-Trends-Among-Nonsmoking?autologincheck=redirected) Read the full article ›
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(https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/current-perspectives-on-perinatal-mental-health-and-neurobehavioral-development-focus-on-regulation-coregulation-and-self-regulation/) Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation
Apr 21st 2024, 07:04

The post (https://ifp.nyu.edu/2024/meta-analyses-systematic-reviews/current-perspectives-on-perinatal-mental-health-and-neurobehavioral-development-focus-on-regulation-coregulation-and-self-regulation/) Current perspectives on perinatal mental health and neurobehavioral development: focus on regulation, coregulation and self-regulation was curated by (https://ifp.nyu.edu) information for practice.

(https://ifp.nyu.edu/2024/news/blake-burleson-pro-choice-argument-biblically-grounded/) Blake Burleson: Pro-choice argument biblically grounded
Apr 21st 2024, 06:07

As a pro-choice member of the clergy, I’m sometimes pressed about moral justification for abortion. While most Christians (according to a Pew Research Center survey, May 6, 2022) view abortion as morally permissible depending on the situation, white evangelical pastors and Catholic priests have so dominated the airwaves on this issue for years that it appears (incorrectly) that the pro-life position is the only Christian point of view.
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(https://ifp.nyu.edu/2024/journal-article-abstracts/tc-2023-058264v1/) Potential smoke-free dividend across local areas in England: a cross-sectional analysis
Apr 21st 2024, 05:54

Background
The value that might be added to local economies each year through the money that people who smoke tobacco would save if everyone quit smoking is called the ‘smoke-free dividend’. This study aimed to estimate the value of the smoke-free dividend across local areas in England, and how it relates to the average income in those areas.
Methods
The study was a cross-sectional descriptive analysis of tobacco expenditure from the Smoking Toolkit Study (STS) matched to income and smoking prevalence data for English local authorities. The STS sample was from 2014 to 2020 and comprised 18 721 adults who smoke cigarettes. Self-reported expenditure estimates from the STS were adjusted for under-reporting. This adjustment aimed to align the total expenditure estimate with figures derived from government tax receipts and national estimates of illicit tobacco use. The smoke-free dividend is calculated as 93% of spending on legal tobacco, which is the percentage estimated to leave the local economy, plus 100% of spending on illicit tobacco.
Results
The total dividend in England is estimated to be £10.9 billion each year, which equates to £1776 per person who smokes or £246 per adult regardless of smoking status. The estimated dividend is greater in areas with lower average income, with a correlation coefficient of –0.521 (95% CI –0.629, –0.392) between the average income of local areas and the dividend per adult.
Conclusions
This study has estimated that local economies could gain a substantial dividend if everybody stopped smoking, which is larger in lower income areas, meaning that geographical economic inequalities could be reduced.

(https://tobaccocontrol.bmj.com/content/early/2024/02/05/tc-2023-058264?rss=1) Read the full article ›
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(https://ifp.nyu.edu/2024/grey-literature/developing-local-housing-partnerships-a-serious-game-for-older-peoples-housing/) Developing local housing partnerships: a Serious Game for older people’s housing
Apr 21st 2024, 05:33

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(https://ifp.nyu.edu/2024/journal-article-abstracts/sextrans-2023-055989v1/) Impact of national commissioning of pre-exposure prophylaxis (PrEP) on equity of access in England: a PrEP-to-need ratio investigation
Apr 21st 2024, 04:54

Objectives
HIV pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV acquisition. In England, NHS availability was limited to participants of the PrEP Impact Trial until late 2020. Some key populations at greater risk of HIV were under-represented in the trial suggesting inequities in trial PrEP access. We used the PrEP-to-need ratio (PnR; number of PrEP users divided by new HIV diagnoses) to investigate whether PrEP access improved following routine commissioning in October 2020 and identify populations most underserved by PrEP.
Methods
Aggregated numbers of people receiving ≥1 PrEP prescription and non-late new HIV diagnoses (epidemiological proxy for PrEP need) were taken from national surveillance data sets. We calculated the PnR across socio-demographics during Impact (October 2017 to February 2020; pre-COVID-19 pandemic) and post-commissioning PrEP era (2021) in England.
Results
PnR increased >11 fold, from 4.2 precommissioning to 48.9 in 2021, due to a fourfold reduction in non-late new HIV diagnoses and near threefold increase in PrEP users. PnR increased across genders, however, the men’s PnR increased 12-fold (from 5.4 precommissioning to 63.9 postcommissioning) while the women’s increased sevenfold (0.5 to 3.5). This increasing gender-based inequity was observed across age, ethnicity and region of residence: white men had the highest PnR, increasing >13 fold (7.1 to 96.0), while Black African women consistently had the lowest PnR, only increasing slightly (0.1 to 0.3) postcommissioning, suggesting they were the most underserved group. Precommissioning, the PnR was 78-fold higher among white men than Black women, increasing to 278-fold postcommissioning.
Conclusions
Despite the overall increase in PrEP use, substantial PrEP Impact trial inequities widened postcommissioning in England, particularly across gender, ethnicity and region of residence. This study emphasises the need to guide HIV combination prevention based on equity metrics relative to the HIV epidemic. The PnR could support the optimisation of combination prevention to achieve zero new HIV infections in England by 2030.

(https://sti.bmj.com/content/early/2024/03/20/sextrans-2023-055989?rss=1) Read the full article ›
The post (https://ifp.nyu.edu/2024/journal-article-abstracts/sextrans-2023-055989v1/) Impact of national commissioning of pre-exposure prophylaxis (PrEP) on equity of access in England: a PrEP-to-need ratio investigation was curated by (https://ifp.nyu.edu) information for practice.

Forwarded by:
Michael Reeder LCPC
Baltimore, MD

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