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There continues to be a gap in the adoption of PrEP in Ontario with only 36% of those who met Canadian PrEP guidelines receiving PrEP, and the highest PrEP-to-need ratio being mostly in urban centres such as Ottawa and Toronto (OHTN 2023).

 

The role of primary care providers (PCPs) in the uptake and adherence of PrEP is well recognized and the determinants of the adoption of PrEP included individual, interpersonal, organizational, and external factors (Pleuhs B et al., 2020).

 

Few studies in Canada has been conducted among PCPs and clinical managers in regards to organizational determinants of PrEP adoption,  with many limited only to identify individual factors (Yoong D et al., 2015; Sharma M et al., 2014).

Peer-Reviewed Scientific Presentations

  1. Rapino, C., Nagy, E., Saeed, S., Alvarado, B., Szumlanski, N., Kamotho, M., Guan, H., Martinez-Cajas, J. Using the RE-AIM Framework to Evaluate the Reach of Pre-Exposure Prophylaxis Services in a Sexual Health Clinic in Ontario, Canada. STI & HIV 2025 World Congress. Montreal, Canada, July 26-30, 2025. Poster Presentation (Presenting Author)

  2. Rapino, C., Nagy, E., Saeed, S., Alvarado, B., Szumlanski, N., Kamotho, M., Guan, H., Martinez-Cajas, J. Evaluating the Reach of the Kingston, Frontenac, Lennox, and Addington Public Health Unit’s Pre-Exposure Prophylaxis Clinic: An Implementation Science Framework Evaluation. Canadian Conference on HIV/AIDS Research (CAHR). Halifax, Nova Scotia, May 1-5, 2025. Poster Presentation (Co-presenting Author). 

  3. Rapino, C., Nagy, E., Saeed, S., Alvarado, B., Szumlanski, N., Kamotho, M., Guan, H., Martinez-Cajas, J. Evaluating the Reach of the Kingston, Frontenac, Lennox, and Addington Public Health Unit's Pre-exposure Prophylaxis Clinic. The Ontario Public Health Convention (TOPHC). Online Convention. April 2, 2025. Oral Presentation (Presenting Author). 

  4. Rapino, C., Saeed, S., Nagy, E. Evaluating the Reach of the Kingston, Frontenac, Lennox, and Addington Public Health Unit’s HIV PrEP Clinic. Bachelor of Health Sciences Research Poster Day. Queen’s University, Kingston, Ontario, April 2024. Poster​​
     

Knowledge Dissemination Presentations

  1. Nagy, E., Rapino, C., Alvarado, B. Evaluation of our PrEP Clinic: RE-AIM . South East Health Unit’s Sexual Health Program Team Meeting, South East Health Unit, Kingston, Ontario, April 4, 2025. Oral Presentation (Co-presenting Author).

  2. Rapino, C., Szumlanski, N., Kamotho, M., Saeed, S., Nagy, E. Evaluating the Reach of KFL&A Public Health Unit’s PrEP Clinic. South East Health Unit’s Sexual Health Program Team Meeting, South East Health Unit, Kingston, Ontario, May 24, 2024. Oral Presentation (Presenting Author).​

Publications

​Martinez-Cajas J, Alvarado B, Rapino C, et al. Determinants of Familiarity and Experience with HIV Pre-Exposure Prophylaxis in Primary Care Providers in Ontario, Canada. Journal of Primary Care & Community Health. 2025;16. doi:10.1177/21501319251315566​​

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