HIV Preexposure Prophylaxis and Treatment as Prevention — Beliefs and Access Barriers in Men Who Have Sex with Men (MSM) and Transgender Women: A Systematic Review

Abstract

Education and Promotion Commons, and the Virus Diseases Commons Recommended Citation Recommended Citation Matacotta JJ, Rosales-Perez FJ, Carrillo CM. HIV preexposure prophylaxis and treatment as preventionbeliefs and access barriers in men who have sex with men (MSM) and transgender women: a systematic review.

Using community‐based participatory research to address STI/HIV disparities and social determinants of health among young GBMSM and transgender women of colour in North Carolina, USA

“…We also documented sizeable barriers to accessing services related to STIs/HIV (including PrEP) and SDH such as employment and education, including lack of knowledge about existing resources, that align with other findings among young GBMSM and transgender women of colour (Matacotta et al., 2020 ). However, awareness of resources does not always translate into access and use; resources may still be perceived as unwelcoming, and challenges such as transportation may still exist.…”

“…We also documented sizeable barriers to accessing services related to STIs/HIV (including PrEP) and SDH such as employment and education, including lack of knowledge about existing resources, that align with other findings among young GBMSM and transgender women of colour (Matacotta et al, 2020).…”

Changes in Utilization of Birth Control and PrEP During COVID-19 in the USA: A Mixed-Method Analysis

“…PrEP users may also face more cultural stigma than birth control users at both the institutional and interpersonal levels. In previous studies, cisgender men who have sex with men (MSM) and transgender women who have sex with men have reported anticipating or experiencing PrEP-related stigma from both providers and potential sexual partners (Matacotta et al, 2020 ; Schwartz & Grimm, 2016 ). Individuals in these groups, who may already experience HIV stigma in the form of assumptions about their sexual behavior and HIV risk (Earnshaw & Chaudoir, 2009 ), feared experiencing additional stigma if they used PrEP.…”

Constructions of HIV Risk Among a Diverse Sample of HIV-Negative Young Men Who Have Sex With Men Who Are Repeat Testers

“…This echoes prior research on the perceived relational aspects of HIV risk and mistrust 33 and concerns regarding reliability of U=U and efficacy of PrEP. [34][35][36][37][38] Generally, participants did not discuss factors influencing risk beyond the individual and interpersonal levels of the social ecology (with the exception of discussions of the context of substance use). This was surprising given prior research documenting the complex interplay between individual-and group-level HIV risk and socio-structural factors.…”