Table 2 Bivariate multinomial logistic regression of CFRI/TDF scales on intention to offer PrEP care (adjusted by profession—physicians vs non-physicians)
Scale/item | OR; 95% CI Unwilling vs plan | OR; 95% CI Willing vs plan | OR; 95% CI Intention vs plan | Overall p-value |
|---|---|---|---|---|
I. Scale of characteristics of PrEP | 0.83; 0.60–1.01 | 0.92; 0.78–1.08 | 1.02; 0.89–1.17 | 0.14 |
II. Population needs and resources | ||||
 1. Scale of attitudes | 0.79; 0.63–0.79 | 0.93; 0.75–1.15 | 0.99; 0.87–1.13 | P < 0.001 |
 2. Scale of concerns | 0.96; 0.84–1.10 | 0.97; 0.83–1.15 | 1.03; 0.90–1.19 | 0.90 |
 3. Beliefs about consequences | ||||
  I believe the use of PrEP will increase stigma in populations at risk | 1.33 (0.87–2.02) | 0.70 (0.49–1.00) | 0.77 (0.31–1.90) | 0.26 |
  I believe it is unethical to prescribe antiretrovirals to HIV-negative people | 2.20 (1.71–2.84) | 1.05 (0.69–1.61) | 1.34 (0.95–1.88) | < 0.001 |
  PrEP will do more harm than good if not carefully implemented | 1.21 (1.08–1.37) | 0.96 (0.63–1.45) | 1.02 (0.72–1.45) | 0.01 |
  PrEP would take resources that could be better used to improve access to antiretroviral medications | 1.71 (1.38–2.12) | 0.71 (0.43–1.15) | 1.04 (0.68–1.57) | < 0.001 |
  PrEP would lead to the use of medications for HIV prevention (medicalization of HIV prevention) | 1.31 (0.76–2.24) | 0.85 (0.53–1.36) | 0.77 (0.53–1.12) | 0.06 |
  I believe PrEP would result in a reduction in condom use | 1.78 (1.08–2.92) | 0.80 (0.50–1.29) | 0.72 (0.38–1.36) | < 0.001 |
  I believe PrEP would increase to other sexually transmitted infections. | 1.28 (1.00–1.65) | 0.85 (0.57–1.27) | 0.81 (0.48–1.36) | < 0.001 |
III. Characteristics of health system | ||||
 1. The Colombian healthcare system is not ready to support the implementation of PrEP | 0.80 (0.52–1.24) | 1.26 (0.89–1.76) | 0.97 (0.64–1.48) | 0.31 |
 2. Scale of Concerns | 0.88; 0.81–0.95 | 0.99; 0.88–1.12 | 1.04; 0.95–1.14 | 0.002 |
IV Characteristics of individuals | ||||
 1. Knowledge scale | 1.02; 0.95–1.09 | 0.95; 0.81;1.17 | 1.01; 0.93–1.09 | 0.72 |
 2. Scale of beliefs about capabilities | 0.97; 0.93–1.01 | 0.97; 0.92–1.00 | 1.00; 0.96;1.01 | 0.009 |
 3. Scale of social, professional role/compatibility | 0.78; 0.70–0.88 | 0.92; 0.73–1.18 | 0.97; 0.79–1.19 | P < 0.001 |
 4. Social influence scale | 0.77; 0.64–0.93 | 0.98; 0.80–1.21 | 1.07; 1.00–1.015 | < 0.001 |
 5. Scale of beliefs about consequences | 1.26; 1.15–1.41 | 0.96; 0.88–1.04 | 0.99; 0.80–1.22 | < 0.001 |
 6. Control over the decision to offer PrEP care | 0.62 (0.35–1.09) | 0.70 (0.51–0.96) | 0.73 (0.47–1.11) | 0.08 |
 7..Beliefs about consequences in HCP | ||||
  Providing PrEP care would be the most important work I could do in the clinic | 0.37 (0.225–0.53) | 0.59 (0.30–1.13) | 1.07 (0.80–1.44) | < 0.001 |
  Providing PrEP care will be a good use of my time | 0.63 (0.48–0.82) | 0.70 (0.46–1.07) | 1.04 (0.72–1.50) | < 0.001 |