Barriers to and Facilitators of Heterosexual Men's Engagement with the PrEP Care Continuum in Sub-Saharan Africa: A Scoping Review.
The HIV epidemic in sub-Saharan Africa (SSA) continues to spread primarily through heterosexual contact, and in many countries, heterosexual men continue to exhibit a high HIV incidence with resultant morbidity and mortality. While there is a growing recognition of the importance of engaging men in...
| Publicado en: | AIDS & Behavior Vol. 30; no. 1; pp. 62 - 81 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2026
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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=190984202&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190984202 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jan2026 vid: 30 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 190984202 187301888 190984202 190984202 10.1007/s10461-025-04847-z 190984202 ppf: 62 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Barriers to and Facilitators of Heterosexual Men's Engagement with the PrEP Care Continuum in Sub-Saharan Africa: A Scoping Review. aug: au: Bondarchuk, Connor Cronin, Alex Kwetana, Sonwabile Kumar, Priya Auger, Corinne Batchelder, Abigail Mayer, Kenneth H. affil: https://ror.org/03vek6s52 Harvard Medical School, Boston, MA, USA sug: subj: Heterosexuality Men Psychosocial Factors HIV Infections Prevention and Control Continuity of Patient Care Pre-Exposure Prophylaxis Health Services Accessibility Medication Compliance Attitude to Health Social Determinants of Health Human Funding Source Scoping Review Africa South of the Sahara Medline Embase Gray Literature Stigma Sexual Behavior Interpersonal Relations Community Health Services Anti-HIV Agents Therapeutic Use ab: The HIV epidemic in sub-Saharan Africa (SSA) continues to spread primarily through heterosexual contact, and in many countries, heterosexual men continue to exhibit a high HIV incidence with resultant morbidity and mortality. While there is a growing recognition of the importance of engaging men in the pre-exposure prophylaxis (PrEP) care continuum, there remains a significant gap in our understanding of the multilevel influences that modulate heterosexual's men ability to utilize PrEP. We conducted a scoping review to explore emerging research examining the individual-, interpersonal-dyadic, and social-structural barriers and facilitators to PrEP awareness/willingness, uptake, adherence, and persistence in this population. Sixty-two articles were selected for inclusion in this review. We identified several multilevel influences on PrEP engagement for heterosexual men that were similar to those affecting other key populations, including doubts about PrEP safety and efficacy, difficulties communicating with partners, peers, and family members, as well as PrEP-related stigma, and costs associated with accessing PrEP. In addition, we found that heterosexual men's engagement with the PrEP care continuum was influenced by the interaction of individual-level characteristics and beliefs about PrEP and a distinct set of masculine norms governing men's personal, sexual, and economic lives. Results from this review can help guide future research and interventional approaches seeking to improve PrEP engagement among heterosexual men in the SSA context. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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