Facilitators and Barriers to Hiv Pre-Exposure Prophylaxis Adherence and Retention Among Young Men Who have Sex With Men: A Meta-Ethnographic Scoping Review.
Retention and adherence to daily oral pre-exposure prophylaxis (PrEP) are critical for effective HIV prevention; however, YMSM exhibit lower rates of both compared to other populations. This is important because young men who have sex with men (YMSM) are at higher risk for HIV, and understanding the...
| Publicado en: | AIDS & Behavior Vol. 29; no. 4; pp. 1075 - 1089 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184389747&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184389747 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Apr2025 vid: 29 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 184389747 182899242 184389747 184389747 10.1007/s10461-024-04582-x 184389747 ppf: 1075 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Facilitators and Barriers to Hiv Pre-Exposure Prophylaxis Adherence and Retention Among Young Men Who have Sex With Men: A Meta-Ethnographic Scoping Review. aug: au: Tuan, Le Anh Pham, Loc Quang Khuyen, Tong Thi Hao, Bui Minh Hoa, Nguyen Thi Phuong Vu, Kim-Duy Lien, Tran Hoang My Duyen, Pham Thi Thanh Phan, Hai Thanh Giang, Le Minh Bartels, Sophia M. Rutstein, Sarah E. affil: https://ror.org/01teg2k73 National Institute of Hygiene and Epidemiology, No.1, Yersin street, 100000, Hanoi, Vietnam sug: subj: Pre-Exposure Prophylaxis Psychosocial Factors HIV Infections Prevention and Control Health Behavior Men Who Have Sex With Men Psychosocial Factors Funding Source Human Child Adolescence Adult Male Female Scoping Review Thematic Analysis Interpersonal Relations Stigma Self Care Social Networks Public Health United States Kenya Mexico Thailand Support, Social LGBTQ+ Persons Economic Factors Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Retention and adherence to daily oral pre-exposure prophylaxis (PrEP) are critical for effective HIV prevention; however, YMSM exhibit lower rates of both compared to other populations. This is important because young men who have sex with men (YMSM) are at higher risk for HIV, and understanding their challenges can help create better support and interventions. This scoping review synthesizes evidence on the facilitators and barriers to HIV PrEP retention and adherence among YMSM, focusing on individuals aged 10 to 29 years. The review adheres to PRISMA-ScR and eMERGe guidelines, examining 14 studies involving 3,178 participants. It emphasizes the complex interactions of individual, interpersonal, community, and societal factors influencing PrEP adherence and retention. Key facilitators include psychological strategies, supportive health systems, and supportive social networks. Conversely, significant barriers encompass financial burdens, interpersonal stigma, and behavioral factors. The review highlights the critical role of tailored, multi-level interventions and the need for healthcare provider training in youth-specific approaches to care. This work contributes to a nuanced understanding of PrEP retention among YMSM, offering insights crucial for designing effective public health strategies to enhance prevention-effective PrEP utilization in this high-risk population. Resumen: La retención y adherencia a la profilaxis preexposición oral diaria (PrEP) son fundamentales para prevenir el VIH de manera efectiva. Sin embargo, los hombres jóvenes que tienen sexo con hombres (YMSM) presentan tasas más bajas en comparación con otras poblaciones. Esto es relevante porque los YMSM enfrentan un mayor riesgo de contraer VIH, y comprender sus desafíos permite desarrollar mejores intervenciones y apoyos. Esta revisión de alcance sintetiza la evidencia sobre los facilitadores y barreras para la retención y adherencia a la PrEP en jóvenes de 10 a 29 años, siguiendo las directrices PRISMA-ScR y eMERGe. Se analizaron 14 estudios con 3,178 participantes, destacándose la interacción de factores individuales, interpersonales, comunitarios y sociales. Entre los facilitadores clave se incluyen estrategias psicológicas, sistemas de salud de apoyo y redes sociales solidarias. Las barreras principales abarcan cargas financieras, estigma interpersonal y factores conductuales. La revisión subraya la importancia de intervenciones personalizadas y la capacitación de los proveedores de salud en enfoques específicos para jóvenes. Este trabajo ofrece una comprensión profunda de la retención de la PrEP en YMSM, proporcionando información clave para diseñar estrategias de salud pública efectivas que mejoren su uso preventivo en esta población de alto riesgo. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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