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Master Thesis

La PrEP et les médecins généralistes en France : quelles perceptions, quelles appropriations ?

Abstract : CONTEXT: Pre-exposure prophylaxis (PreP) is an easy to use and efficient tool against HIV transmission. It is recommended for high risk populations. In France, despite the fact that general practitioners (GPs) are allowed to renew a PrEP prescription after a first prescription by a specialized physician (and since 2021, to first prescribe it), only few are doing it. PrEP has yet been included in the worldwide HIV strategy by the WHO since 2016. OBJECTIVES: This study surveyed the PrEP perception amongst general practitioners and assessed whether a negative perception of PrEP could be a barrier to its prescription within the general practice. METHODS: An online survey was sent through mailing lists and social networks to a sample of general practitioners in France. Quantitative analysis, first descriptive then univariate was used. RESULTS: 473 respondents were included, 10.8% of them never heard of PrEP before filling out the survey. For 60.7% of GPs, PrEP has never been a subject of discussion with any patient before. 90.7% never prescribed it. 90.9% of them agreed that they should be involved in the up-following of PrEP patients. Most of them declared to feel ready to renew a PrEP prescription and to be the referring doctor for their patient on PrEP. A “PrEP negativity score” was developed; only 6.1% of the responding doctors had a very negative perception of PrEP. There was a reversed link between this score and the PrEP statement from the GPs: the higher the PrEP negativity score was, the less they felt ready to renew a prescription of PrEP and the less they felt ready to be the referring doctor of their PrEP patients. CONCLUSION: This study showed that most of the answering doctors had a positive perception of PrEP and most of them agreed to be the referring doctor to their PrEP patients. The study also showed that the main barrier to the PrEP implementation in the general practice in France was the lack of PrEP knowledge.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03379928
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Submitted on : Friday, October 15, 2021 - 11:49:09 AM
Last modification on : Sunday, October 17, 2021 - 3:28:18 AM

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  • HAL Id : dumas-03379928, version 1

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Marie Kimiaï. La PrEP et les médecins généralistes en France : quelles perceptions, quelles appropriations ?. Médecine humaine et pathologie. 2021. ⟨dumas-03379928⟩

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