HIV Preexposure Prophylaxis and Treatment as Prevention — Beliefs and Access Barriers in Men Who Have Sex with Men (MSM) and Transgender Women: A Systematic Review
| Autor: | Francisco J Rosales-Perez, Joshua J. Matacotta, Christian M Carrillo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
transgender women
medicine.medical_specialty Geographic isolation business.industry Health care provider preexposure prophylaxis lcsh:R Human immunodeficiency virus (HIV) lcsh:Medicine hiv Review General Medicine medicine.disease_cause Treatment as prevention World health Transgender women Men who have sex with men Sexual minority Family medicine Medicine treatment as prevention msm business |
| Zdroj: | J Patient Cent Res Rev Journal of Patient-Centered Research and Reviews, Vol 7, Iss 3, Pp 265-274 (2020) |
| ISSN: | 2330-0698 |
| DOI: | 10.17294/2330-0698.1737 |
| Popis: | Purpose While the annual rate of new HIV infections and diagnoses has remained stable for most groups, troubling increases are seen in transgender women and racial/ethnic-minority men who have sex with men (MSM), groups that are disproportionately affected by HIV. The primary purpose of this systematic review is to examine factors that impact attitudes and beliefs about preexposure prophylaxis (PrEP) and treatment as prevention (TasP) and to explore barriers to PrEP uptake in MSM and transgender women. Methods Using MeSH terms and relevant keywords, we conducted a systematic review of studies published between 2010 and 2019. We searched 4 literature databases and identified studies on MSM and transgender women to elucidate perceptions of PrEP and TasP as well as barriers to access. Results The search yielded several prominent themes associated with beliefs about HIV prevention approaches and barriers to PrEP access in MSM and transgender women. One was a lack of awareness or insufficient knowledge of PrEP and TasP. Structural barriers and geographic isolation also prevent access to HIV prevention. Sexual minority and HIV-related stigma, internalized homonegativity, and misinterpretations of messages within HIV prevention campaigns have negatively impacted PrEP uptake and beliefs about PrEP and TasP. Quality of the relationship MSM or transgender people have with their health care provider can facilitate or hinder HIV prevention. Finally, variability in beliefs about the efficacy of TasP has negatively affected the impact of TasP messaging campaigns. Conclusions Although there is evidence of increasing PrEP use in at-risk individuals, several barriers prevent wider acceptance and uptake. Misunderstanding about the meaning of "undetectable" and skepticism about the evidence behind TasP messaging campaigns are likely to delay the World Health Organization's stated goal of getting to zero transmissions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|