Table 4 Bivariate multinomial logistic regression of CFIR/TDF scales and individual items on advocate for PrEP care (adjusted by profession—physicians vs non-physicians)
Scale/item | OR; 95% CI Extreme unlikely/very unlikely vs very likely/extremely likely | OR; 95% CI Likely vs very likely/extremely likely | Overall p-value |
|---|---|---|---|
I. Scale of characteristics of PrEP | 0.80; 0.69–0.92 | 0.82; 0.69–0.92 | 0.004 |
II. Population needs and resources | |||
 1. Scale of attitudes | 0.79; 0.63–0.79 | 0.93; 0.75–1.15 | P < 0.001 |
 2. Scale of concerns | 1.10; 1.02–1.19 | 1.20; 1.09–1.32 | < 0.001 |
 3. Beliefs about consequences | |||
  I believe the use of PrEP will increase stigma in populations at risk | 1.97 (0.87–4.46) | 1.83 (1.34–2.50) | < 0.001 |
  I believe it is unethical to prescribe antiretrovirals to HIV-negative people | 1.59 (0.83–3.03) | 1.62 (1.12–2.33) | 0.01 |
  PrEP will do more harm than good if not carefully implemented | 1.67 (1.08–2.60) | 1.41 (1.02–1.96) | 0.04 |
  PrEP would take resources that could be better used to improve access to antiretroviral medications | 1.71 (1.16–2.52) | 1.74 (1.26–2.39) | < 0.001 |
  PrEP would lead to the use of medications for HIV prevention (medicalization of HIV prevention) | 2.88 (1.96–4.23) | 1.14 (0.73–1.79) | 0.06 |
  I believe PrEP would result in a reduction in condom use | 2.82 (1.54–5.13) | 2.32 (1.47–3.67) | < 0.001 |
  I believe PrEP would result in an increase of other sexually transmitted infections. | 1.73 (1.20–2.49) | 1.31 (0.81–2.10) | 0.004 |
III. Characteristics of health system | |||
 1. The Colombian healthcare system is not ready to support the implementation of PrEP | 1.29 (0.78–2.13) | 1.03 (0.58–1.83) | 0.55 |
 2. Scale of concerns | 0.93; 0.84–1.03 | 0.96; 0.87–1.06 | 0.45 |
IV Characteristics of individuals | |||
 1. Knowledge scale | 0.94; 0.88–1.00 | 0.96; 0.86;1.06 | 0.14 |
 2. Scale of beliefs about capabilities | 0.96; 0.92–0.99 | 0.98; 0.95–1.01 | 0.01 |
 3. Scale of social, professional role/ compatibility | 0.78; 0.59–1.01 | 0.81; 0.69–0.94 | 0.02 |
 4. Social influence scale | 0.71; 0.59–0.87 | 0.69; 0.53–0.92 | 0.03 |
 5. Scale of beliefs about consequences | 1.18; 1.04–1.35 | 1.10; 0.93–1.30 | 0.03 |
 6. Control over the decision to offer PrEP care | 0.57 (0.38–0.85) | 0.71 (0.51–0.99) | 0.005 |
 7.. Beliefs about consequences in HCP | |||
  Providing PrEP care would be the most important work I could do in the clinic | 0.57 (0.23–1.41) | 0.72 (0.47–1.12) | 0.21 |
  Providing PrEP care will be a good use of my time | 0.56 (0.40–0.80) | 0.72 (0.53–0.97) | < 0.001 |