Emergency Department (ED) Leaders' Perspectives on Offering HIV Preexposure Prophylaxis (PrEP) in New York City EDs: A Qualitative Study

Christine Tagliaferri Rael¹, Stefanie Mayorga, Tatiana Gonzalez-Argoti, Lilian Ha, Samantha Stonbraker, Yvette Calderon, Susie Hoffman, Ethan Cowan, Laurie J Bauman, Joanne E Mantell

Affiliations

Affiliation

¹ Christine Tagliaferri Rael, PhD, is an Assistant Professor, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Stefanie Mayorga, MS, is a Professional Research Assistant, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Tatiana Gonzalez-Argoti, BS, is a Research Coordinator, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA. Lilian Ha, MSc, is a Data Analyst, Columbia University Mailman School of Public Health, New York, New York, USA. Samantha Stonbraker, PhD, MPH, RN, is an Assistant Professor, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Yvette Calderon, MD, MS, is Chair of Emergency Medicine at Mount Sinai Beth Israel and Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai, New York, New York, USA. Susie Hoffman, DrPH, is an Associate Professor and Research Scientist, Columbia University Mailman School of Public Health, New York, New York, USA, and HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA. Ethan Cowan, MD, MS, is a Professor, Rutgers New Jersey Medical School, Newark, New Jersey, USA. Laurie J. Bauman, PhD, is a Professor, Einstein-Rockefeller-CUNY Center for AIDS Research, Departments of Pediatrics and Psychiatry and Behavioral Science, Bronx, New York, USA. Joanne E. Mantell, PhD, MS, MSPH, is a Professor and Research Scientist, HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.

PMID: 40823855
DOI: 10.1097/JNC.0000000000000577

Emergency Department (ED) Leaders' Perspectives on Offering HIV Preexposure Prophylaxis (PrEP) in New York City EDs: A Qualitative Study

Christine Tagliaferri Rael et al. J Assoc Nurses AIDS Care. 2025.

. 2025 Aug 18.

doi: 10.1097/JNC.0000000000000577. Online ahead of print.

Authors

Christine Tagliaferri Rael¹, Stefanie Mayorga, Tatiana Gonzalez-Argoti, Lilian Ha, Samantha Stonbraker, Yvette Calderon, Susie Hoffman, Ethan Cowan, Laurie J Bauman, Joanne E Mantell

Affiliation

¹ Christine Tagliaferri Rael, PhD, is an Assistant Professor, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Stefanie Mayorga, MS, is a Professional Research Assistant, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Tatiana Gonzalez-Argoti, BS, is a Research Coordinator, Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA. Lilian Ha, MSc, is a Data Analyst, Columbia University Mailman School of Public Health, New York, New York, USA. Samantha Stonbraker, PhD, MPH, RN, is an Assistant Professor, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA. Yvette Calderon, MD, MS, is Chair of Emergency Medicine at Mount Sinai Beth Israel and Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai, New York, New York, USA. Susie Hoffman, DrPH, is an Associate Professor and Research Scientist, Columbia University Mailman School of Public Health, New York, New York, USA, and HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA. Ethan Cowan, MD, MS, is a Professor, Rutgers New Jersey Medical School, Newark, New Jersey, USA. Laurie J. Bauman, PhD, is a Professor, Einstein-Rockefeller-CUNY Center for AIDS Research, Departments of Pediatrics and Psychiatry and Behavioral Science, Bronx, New York, USA. Joanne E. Mantell, PhD, MS, MSPH, is a Professor and Research Scientist, HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.

PMID: 40823855
DOI: 10.1097/JNC.0000000000000577

Abstract

Offering preexposure prophylaxis (PrEP) in nontraditional settings, such as emergency departments (EDs), may be an opportunity to connect HIV-vulnerable people with PrEP. Our study aimed to identify the perspectives of N = 10 ED leaders on initiating PrEP in EDs in New York City. Leaders completed 30-min, audio-recorded, in-depth interviews through Zoom, covering challenges/benefits to offering PrEP in EDs, and how potential programs could be set up and managed. From interviews, we formed three key discussion points for designing and implementing PrEP in EDs: (a) ED leadership views PrEP as important, but resource/contextual barriers pose an implementation challenge, (b) interventions must leverage familiar clinical pathways for implementation and minimize burden to provider time/ED resources, (c) using telehealth and patient navigators to implement PrEP in ED interventions could overcome the challenges but may not be available everywhere. Building on relationships with referral partners could be a viable alternative in resource constrained settings.

Keywords: New York City; PrEP in non-traditional settings; PrEP in the emergency department; barriers and facilitators to PrEP; emergency department leaders; qualitative research.

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References

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Emergency Department (ED) Leaders' Perspectives on Offering HIV Preexposure Prophylaxis (PrEP) in New York City EDs: A Qualitative Study

Affiliation

Emergency Department (ED) Leaders' Perspectives on Offering HIV Preexposure Prophylaxis (PrEP) in New York City EDs: A Qualitative Study

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References

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