Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming
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...
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Veröffentlicht in: | AIDS and behavior 2020-11, Vol.24 (11), p.3056-3070 |
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creator | Hillis, Alyson Germain, Jennifer Hope, Vivian McVeigh, James Van Hout, Marie Claire |
description | 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. |
doi_str_mv | 10.1007/s10461-020-02855-9 |
format | Article |
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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.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-020-02855-9</identifier><identifier>PMID: 32274670</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Anti-HIV Agents - administration & dosage ; Anti-HIV Agents - therapeutic use ; Health Psychology ; HIV Infections - prevention & control ; Homosexuality, Male ; Humans ; Infectious Diseases ; Male ; Medicine ; Medicine & Public Health ; Original Paper ; Pre-Exposure Prophylaxis ; Preventive Health Services ; Public Health ; Risk Factors ; Safe Sex ; Sexual Partners</subject><ispartof>AIDS and behavior, 2020-11, Vol.24 (11), p.3056-3070</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-1a8b60a7e658f35d4c9df0bb8183025e65c109756596121b62b0145aa16624753</citedby><cites>FETCH-LOGICAL-c446t-1a8b60a7e658f35d4c9df0bb8183025e65c109756596121b62b0145aa16624753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-020-02855-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-020-02855-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32274670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hillis, Alyson</creatorcontrib><creatorcontrib>Germain, Jennifer</creatorcontrib><creatorcontrib>Hope, Vivian</creatorcontrib><creatorcontrib>McVeigh, James</creatorcontrib><creatorcontrib>Van Hout, Marie Claire</creatorcontrib><title>Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>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.</description><subject>Adult</subject><subject>Anti-HIV Agents - administration & dosage</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Health Psychology</subject><subject>HIV Infections - prevention & control</subject><subject>Homosexuality, Male</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Pre-Exposure Prophylaxis</subject><subject>Preventive Health Services</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Safe Sex</subject><subject>Sexual Partners</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU1vEzEQhi0EoqXwBzggH9PDgu1dfywHpKgUUqkREeHjaHk3s4mrXXtrZ7fJ7-AP4zSlggsHy9bMM--M50XoNSVvKSHyXaSkEDQjjKSjOM_KJ-iUcplnOePF0_QmJckkFfwEvYjxhhBSClk-Ryc5Y7IQkpyiX4sAGex6H4cAeBF8v9m3ZmcjnizC5eIcNz7g2dWPlIIR3NZ6h6edd2s8B4d_bjyemRHwEnb4zm4399HJfDk_f4-neFn73ib0K4wW7nAqPWgmOIy2BvwRWjtC2GPjVofW62C6LvEv0bPGtBFePdxn6Puny28Xs-z6y-eri-l1VheF2GbUqEoQI0Fw1eR8VdTlqiFVpajKCeMpXKcFSC54KSijlWAVoQU3hgrBCsnzM_ThqNsPVQerOn0vmFb3wXYm7LU3Vv-bcXaj137UkhNW5CoJTB4Egr8dIG51Z2MNbWsc-CFqliulqGSSJZQd0Tr4GAM0j20o0Qc39dFNndzU927qMhW9-XvAx5I_9iUgPwIxpdwagr7xQ3Bpaf-T_Q2NEqm4</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Hillis, Alyson</creator><creator>Germain, Jennifer</creator><creator>Hope, Vivian</creator><creator>McVeigh, James</creator><creator>Van Hout, Marie Claire</creator><general>Springer US</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201101</creationdate><title>Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming</title><author>Hillis, Alyson ; Germain, Jennifer ; Hope, Vivian ; McVeigh, James ; Van Hout, Marie Claire</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-1a8b60a7e658f35d4c9df0bb8183025e65c109756596121b62b0145aa16624753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Anti-HIV Agents - administration & dosage</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Health Psychology</topic><topic>HIV Infections - prevention & control</topic><topic>Homosexuality, Male</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Paper</topic><topic>Pre-Exposure Prophylaxis</topic><topic>Preventive Health Services</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Safe Sex</topic><topic>Sexual Partners</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hillis, Alyson</creatorcontrib><creatorcontrib>Germain, Jennifer</creatorcontrib><creatorcontrib>Hope, Vivian</creatorcontrib><creatorcontrib>McVeigh, James</creatorcontrib><creatorcontrib>Van Hout, Marie Claire</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hillis, Alyson</au><au>Germain, Jennifer</au><au>Hope, Vivian</au><au>McVeigh, James</au><au>Van Hout, Marie Claire</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>24</volume><issue>11</issue><spage>3056</spage><epage>3070</epage><pages>3056-3070</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32274670</pmid><doi>10.1007/s10461-020-02855-9</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Anti-HIV Agents - administration & dosage Anti-HIV Agents - therapeutic use Health Psychology HIV Infections - prevention & control Homosexuality, Male Humans Infectious Diseases Male Medicine Medicine & Public Health Original Paper Pre-Exposure Prophylaxis Preventive Health Services Public Health Risk Factors Safe Sex Sexual Partners |
title | Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming |
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