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Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review.

Publication ,  Journal Article
Matos, LA; Janek, SE; Holt, L; Ledbetter, L; Gonzalez-Guarda, RM
Published in: AIDS and behavior
November 2024

Latinx cisgender sexually minoritized men (SMM) and transgender women (TW) in the U.S. are disproportionately affected by HIV. Although pre-exposure prophylaxis (PrEP) is a highly effective strategy for HIV prevention, rates of PrEP use among Latinx SMM and TW remain suboptimal. The main purpose of this systematic review was to (1) describe engagement in the various stages of the PrEP care continuum among Latinx SMM and TW, and (2) identify multilevel determinants that function as barriers or facilitators to engagement in the PrEP continuum of care for Latinx SMM and TW. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Statement (PRISMA). Five databases (MEDLINE, CINAHL, PsycINFO, Embase, Scopus) were searched to examine the available qualitative, quantitative, and mixed method studies relevant to the research question. A total of 56 studies were included, with the majority focusing on SMM and being cross-sectional in design. Barriers included PrEP knowledge, risk perception, intersecting stigma, and structural conditions. Community resources, social support, and PrEP navigation services facilitated engagement in the PrEP continuum of care. This review highlights the complex factors that influence PrEP care engagement among Latinx SMM and TW. These findings call for comprehensive, multilevel approaches to address inequities disparities in PrEP care engagement among these groups.

Duke Scholars

Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

November 2024

Volume

28

Issue

11

Start / End Page

3666 / 3709

Related Subject Headings

  • United States
  • Transgender Persons
  • Social Stigma
  • Sexual and Gender Minorities
  • Public Health
  • Pre-Exposure Prophylaxis
  • Patient Acceptance of Health Care
  • Male
  • Humans
  • Hispanic or Latino
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Matos, L. A., Janek, S. E., Holt, L., Ledbetter, L., & Gonzalez-Guarda, R. M. (2024). Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review. AIDS and Behavior, 28(11), 3666–3709. https://doi.org/10.1007/s10461-024-04434-8
Matos, Lisvel A., Sarah E. Janek, Lauren Holt, Leila Ledbetter, and Rosa M. Gonzalez-Guarda. “Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review.AIDS and Behavior 28, no. 11 (November 2024): 3666–3709. https://doi.org/10.1007/s10461-024-04434-8.
Matos LA, Janek SE, Holt L, Ledbetter L, Gonzalez-Guarda RM. Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review. AIDS and behavior. 2024 Nov;28(11):3666–709.
Matos, Lisvel A., et al. “Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review.AIDS and Behavior, vol. 28, no. 11, Nov. 2024, pp. 3666–709. Epmc, doi:10.1007/s10461-024-04434-8.
Matos LA, Janek SE, Holt L, Ledbetter L, Gonzalez-Guarda RM. Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review. AIDS and behavior. 2024 Nov;28(11):3666–3709.
Journal cover image

Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

November 2024

Volume

28

Issue

11

Start / End Page

3666 / 3709

Related Subject Headings

  • United States
  • Transgender Persons
  • Social Stigma
  • Sexual and Gender Minorities
  • Public Health
  • Pre-Exposure Prophylaxis
  • Patient Acceptance of Health Care
  • Male
  • Humans
  • Hispanic or Latino