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Viewpoint |

Antiretroviral Preexposure Prophylaxis Opportunities and Challenges for Primary Care Physicians

Kenneth H. Mayer, MD1,2; Douglas S. Krakower, MD1,2; Stephen L. Boswell, MD1,2
[+] Author Affiliations
1The Fenway Institute, Fenway Health, Boston, Massachusetts
2Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
JAMA. 2016;315(9):867-868. doi:10.1001/jama.2016.0318.
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This Viewpoint urges greater involvement of primary care physicians in screening patients for risky sexual behaviors and prescribing preexposure prophylactic antiviral medication to those at risk of HIV infection.

Soon after the AIDS epidemic first was recognized in 1981, it became clear that penile-anal and penile-vaginal sex were primary causes of HIV spread and that safer sex practices (ie, abstinence, monogamy, consistent condom use, and substitution of less risky behaviors, such as oral sex) were protective against human immunodeficiency virus (HIV). These prevention approaches seemed effective as new HIV infections decreased from more than 100 000 per year in the 1980s to approximately 50 000 per year by the mid-1990s.1 Although early mortality among sexually active individuals infected with HIV explained some of the decrease, increased condom use clearly played a role.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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