Improving outpatient implementation of preexposure prophylaxis in men who have sex with men

Journal of the American Association of Nurse Practitioners
Elizabeth Scholl

Abstract

Preexposure prophylaxis (PrEP) has been shown to decrease the transmission of human immunodeficiency virus (HIV) when used in high-risk populations including men who have sex with men. However, despite effectiveness, there is underutilization in the outpatient setting. This review aims to assess the facilitators and barriers to improve outpatient utilization. A systematic search of four databases, CINAHL, Ovid, Scopus, and PsychINFO, during March-May of 2015. A total of 22 articles were included for review. Barriers to utilization were either patient or provider centered. Patient barriers included a significant lack of knowledge, stigma, risk-taking, and adherence. Provider barriers also included lack of knowledge of treatment and protocols as well as fears of resistance and behavior change. Facilitators included adherence regimens, education, and comprehensive care. Men who have sex with men are a high-risk population for HIV transmission. PrEP is successful in this subgroup at reducing transmission. Through education, nonjudgmental and comprehensive care providers can utilize PrEP to decrease transmission.

References

Sep 14, 2011·Journal of Allergy·Linda Chia-Hui Yu
Jul 13, 2012·The Cochrane Database of Systematic Reviews·Charles I OkwunduChristy An Okoromah
Jan 1, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Heather A PinesMichael Plankey
Jan 31, 2014·Current HIV Research·Jose A BauermeisterGary W Harper
Jul 16, 2014·AIDS and Behavior·Helen L KingDavey M Smith
Aug 16, 2014·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Kristi E Gamarel, Sarit A Golub
Sep 18, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Albert LiuUNKNOWN iPrEx Study team

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Citations

Apr 23, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Patrick OʼByrneDave Holmes
Feb 5, 2019·AIDS Patient Care and STDs·Sarah K CalabreseJohn F Dovidio
Apr 6, 2019·Journal of the American Association of Nurse Practitioners·Kimberly DionDonna Wilkins-Carmody
Feb 20, 2020·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Darrel H HigaUNKNOWN Prevention Research Synthesis (PRS) Project
Oct 3, 2020·International Journal of Environmental Research and Public Health·Guillermo López-DíazSilvia Novío
Apr 2, 2020·Advances in Therapy·Kenneth H MayerDavid Malebranche

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