Title |
Improving PrEP Implementation Through Multilevel Interventions: A Synthesis of the Literature
|
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Published in |
AIDS and Behavior, June 2018
|
DOI | 10.1007/s10461-018-2184-4 |
Pubmed ID | |
Authors |
Rogério M. Pinto, Kathryn R. Berringer, Rita Melendez, Okeoma Mmeje |
Abstract |
There are many challenges to accessing PrEP and thus low uptake in the United States. This review (2007-2017) of PrEP implementation identified barriers to PrEP and interventions to match those barriers. The final set of articles (n = 47) included content on cognitive aspects of HIV service providers and individuals at risk for infection, reviews, and case studies. Cognitive barriers and interventions regarding patients and providers included knowledge, attitudes, and beliefs about PrEP. The "purview paradox" was identified as a key barrier-HIV specialists often do not see HIV-negative patients, while primary care physicians, who often see uninfected patients, are not trained to provide PrEP. Healthcare systems barriers included lack of communication about, funding for, and access to PrEP. The intersection between PrEP-stigma, HIV-stigma, transphobia, homophobia, and disparities across gender, racial, and ethnic groups were identified; but few interventions addressed these barriers. We recommend multilevel interventions targeting barriers at multiple socioecological domains. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 42% |
Netherlands | 2 | 17% |
France | 1 | 8% |
Chile | 1 | 8% |
Canada | 1 | 8% |
South Africa | 1 | 8% |
United Kingdom | 1 | 8% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 83% |
Scientists | 2 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 225 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 32 | 14% |
Researcher | 30 | 13% |
Student > Ph. D. Student | 23 | 10% |
Student > Doctoral Student | 19 | 8% |
Student > Bachelor | 19 | 8% |
Other | 34 | 15% |
Unknown | 68 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 35 | 16% |
Social Sciences | 34 | 15% |
Nursing and Health Professions | 28 | 12% |
Psychology | 13 | 6% |
Agricultural and Biological Sciences | 6 | 3% |
Other | 26 | 12% |
Unknown | 83 | 37% |