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AIDS Behav. 2019 Aug 28. doi: 10.1007/s10461-019-02641-2. [Epub ahead of print]

The PrEP Care Continuum and Black Men Who Have Sex with Men: A Scoping Review of Published Data on Awareness, Uptake, Adherence, and Retention in PrEP Care.

Author information

1
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
2
Division of HIV/AIDS Prevention (DHAP), National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Rd NE MS E-45, Atlanta, GA, 30333, USA.
3
Division of HIV/AIDS Prevention (DHAP), National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Rd NE MS E-45, Atlanta, GA, 30333, USA. dks0@cdc.gov.

Abstract

Pre-exposure prophylaxis (PrEP) has demonstrated high efficacy to reduce HIV infections, however, racial/ethnic HIV disparities continue among black MSM. The purpose of this review was to assess available data to inform interventions to increase PrEP awareness, uptake, and adherence among black MSM. Of the 3024 studies retrieved, 36 met final inclusion criteria and were categorized into the PrEP care continuum: (1) awareness (n = 16), (2) uptake (n = 9), and (3) adherence (n = 12). Only 26 of the studies presented analytical findings by race/ethnicity. Key barrier themes included cost, HIV-related stigma, and fear of potential side effects. A key facilitator theme identified by black MSM included gaining PrEP awareness from social and sexual networks. There are significant gaps in research on black MSM and PrEP utilization, especially regarding PrEP uptake and adherence. These data are needed to inform interventions to address current inequities in PrEP services, to help improve care outcomes for black MSM.

KEYWORDS:

Black; Continuum of care; HIV; Men who have sex with men; Pre-exposure prophylaxis

PMID:
31463711
DOI:
10.1007/s10461-019-02641-2

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