Training Gaps, Bias & Stigma

Note: Provider survey N=24. Results are descriptive only.

Training

Training Received

PrEP-related training topics that providers have already received, ranked by frequency. This shows the current state of provider education.

Training Wanted

Training topics providers want or need, ranked by demand. Comparing wanted vs. received training reveals gaps in professional development.

Key Finding: The largest training gaps are in medical mistrust (only 33.3% received vs. 58.3% wanted) and PrEP myths (25% received vs. 54.2% wanted). Only 8.3% of providers had received nPEP training, yet 50% wanted it, making this the widest proportional gap in the provider sample.
LARGEST GAP: nPEP: 8.3% received vs. 50% wanted
TOP DEMAND: 58.3% want medical mistrust training
66.7% Top received: SGM care
58.3% Top wanted: Medical mistrust

Bias & Stigma

PrEP Bias Items

Likert responses to PrEP-related bias statements. These items assess whether providers hold biases that could affect equitable PrEP prescribing. How to read: Bars extending right of zero indicate agreement; bars extending left indicate disagreement. Longer bars mean a higher percentage of respondents.

Stigma Items

Provider responses to HIV/PrEP stigma items. Even healthcare providers may hold stigmatizing attitudes that affect patient interactions. How to read: Bars extending right of zero indicate agreement; bars extending left indicate disagreement. Longer bars mean a higher percentage of respondents.

Trust Items

Responses to items measuring provider trust in patients and systems. Trust dynamics between providers and patients influence PrEP counseling and prescribing decisions. How to read: Bars extending right of zero indicate agreement; bars extending left indicate disagreement. Longer bars mean a higher percentage of respondents.

Key Finding: Providers overwhelmingly reject overt stigma: 100% disagree that HIV is punishment for bad behavior. However, 65.2% were neutral about whether PrEP patients would have more condomless sex, and 71–76% of providers fell into the “neither agree nor disagree” category for items about knowing how to respond to patient mistrust, revealing a confidence gap in addressing mistrust across racial, sexual orientation, and gender identity dimensions.
95.4% Disagree mistrust is patients’ responsibility
81.8% Say staff would benefit from mistrust training
SOURCE

EHE Provider Survey, Long Beach CA (N=24)

NOTES

Likert items show response distributions. Training items allowed multiple selections. Results are descriptive only due to small sample size.