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
Hauptverfasser: Hillis, Alyson, Germain, Jennifer, Hope, Vivian, McVeigh, James, Van Hout, Marie Claire
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container_end_page 3070
container_issue 11
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container_title AIDS and behavior
container_volume 24
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.
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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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