Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming
| Autor: | Jennifer Germain, Alyson Hillis, Jim McVeigh, Vivian Hope, Marie Claire Van Hout |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Safe Sex medicine.medical_specialty Social Psychology Anti-HIV Agents Service delivery framework HIV prevention Population HIV Infections Men who have sex with men Pre-exposure prophylaxis Risk Factors RA0421 Preventive Health Services medicine Humans MSM Homosexuality Male education Biomedical prevention products Health communication Original Paper education.field_of_study Public health Public Health Environmental and Occupational Health PrEP Health psychology Sexual Partners Infectious Diseases Family medicine Thematic analysis Psychology RA |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | Pre-exposure prophylaxis (PrEP) is an evidence-based new biomedical HIV prevention intervention, which involves the pre-emptive use of daily (or event-based) antiretroviral drugs, to reduce risk of HIV acquisition if exposed. PrEP has recently been positioned as an integral prevention tool to reduce HIV acquisition risk among men who have sex with men (MSM) at country-level and within global prevention strategies. Given this global scale up of PrEP, we conducted a scoping review of extant international literature documenting service related perspectives, models and lessons learnt in PrEP programming for MSM. A systematic search of literature was conducted, and restricted to English language records in the timeframe 2008 to February 2019. Eligibility criteria centered on whether studies broadly described PrEP programming and service delivery for MSM as well as health communication. Following exclusion of ineligible records and removal of duplicates, 84 records were charted and thematically analysed according to scoping review methods. Four themes emerged from the thematic analysis of data; ‘PrEP service aspects, settings and staff’; ‘PrEP prescriber experiences, therapeutic alliance and care planning’; ‘PrEP adherence within formal service structures’; and ‘Multi-disciplinary and innovative PrEP care pathways’. The review highlights the complexities in providing optimal PrEP services for MSM by mapping and illustrating the importance of understanding the informal and formal routes to PrEP use among this HIV risk population; the barriers to uptake; the requirement for the presence of a positive therapeutic alliance between patient and prescriber in supporting patient initiation and adherence to PrEP regimes; and the need for availability in different culturally and ethnically sensitive models of PrEP service delivery according to low to high risk groups within the MSM communities. |
| Databáze: | OpenAIRE |
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