PrEP stigma: implicit and explicit drivers of disparity

Golub, Sarit A.

doi:10.1007/s11904-018-0385-0

Cited by 383HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV/AIDS drug development and treatment

PrEP stigma: implicit and explicit drivers of disparity

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Golub, Sarit A.·2018·Current HIV/AIDS Reports

DOI 10.1007/s11904-018-0385-0PMC PMC5884731

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Abstract

Purpose of review Despite its promise as an HIV prevention strategy, PrEP uptake remains slow, especially among highest priority populations. One factor that may be impeding implementation and driving disparities is PrEP-related stigma. This paper reviews the role of PrEP-related stigma in PrEP access, adherence, and persistence and examines its antecedents and consequences. Recent findings Although PrEP stigma is often experienced at the community level (i.e., by potential and current users), it can be reinforced and even amplified by public health programs, policy, and research. PrEP stigma disproportionately impacts disadvantaged groups and impedes scalability by influencing behavior of both patients and providers. Reducing PrEP stigma and its negative impact on the epidemic requires a significant shift in perspective, language, and programs. Such a shift is necessary to ensure broader reach of PrEP as a prevention strategy and improve its utilization by the individuals who need it most.

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HIV/AIDS accounted for 40% of included studies.
“In terms of health domains, HIV/AIDS accounted for 40% of included studies, consistent with prior reviews (112).”
From Applications and implementation considerations for stepped-wedge designs in sub-Saharan Africa: a systematic review (2026) · cites this paper as [112]
The Introduction discusses HIV prevention and PrEP disparities, and the paper reviews PrEP-related stigma. Neither those passages nor searches for “40% of included studies” and “health domains” found a comparison of health domains or a percentage of studies concerning HIV/AIDS. (LLM, conf=0.75)
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[45]Tripathi A Ogbuanu C Monger M Gibson JJ Duffus WA Pre-exposure prophylaxis for HIV infection: healthcare providers’ knowledge, perception, and willingness to adopt future implementation in the southern US Southern Medical Journal 2012 105 4 199 206 22475669

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HIV pre-exposure prophylaxis (PrEP) awareness and acceptability among trans women: a review
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Signal Appropriation of Explicit HIV Status Disclosure Fields in Sex-Social Apps used by Gay and Bisexual Men
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Financing and Delivering Pre-Exposure Prophylaxis (PrEP) to End the HIV Epidemic
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Reasons for PrEP Discontinuation After Navigation at Sexual Health Clinics: Interactions Among Systemic Barriers, Behavioral Relevance, and Medication Concerns
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Awareness and use of HIV pre-exposure prophylaxis and factors associated with awareness among MSM in Beijing, China
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Factors Associated With Sex-Related Pre-exposure Prophylaxis Adherence Among Men Who Have Sex With Men in New York City in HPTN 067
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The Impact of Pre-Exposure Prophylaxis on Sexual Communication and Sexual Behavior of Urban Gay and Bisexual Men
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Women’s views on communication with health care providers about pre-exposure prophylaxis (PrEP) for HIV prevention
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“Whatever is in the ARVs, is Also in the PrEP” Challenges Associated With Oral Pre-exposure Prophylaxis Use Among Female Sex Workers in South Africa
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AIDS- and sexuality-related stigmas underlying the use of post-exposure prophylaxis for HIV in Brazil: findings from a multicentric study
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A review of HIV pre‐exposure prophylaxis (PrEP) programmes by delivery models in the Asia‐Pacific through the healthcare accessibility framework
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Access to Subsidized Health Care Affects HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among Gay and Bisexual Men in Australia: Results of National Surveys 2013–2019
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Women’s Perceptions of HIV- and Sexuality-Related Stigma in Relation to PrEP: Qualitative Findings from the Masibambane Study, Durban, South Africa
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The development of a conceptual framework on PrEP stigma among adolescent girls and young women in sub‐Saharan Africa
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Exploring preferences and decision-making about long-acting injectable HIV pre-exposure prophylaxis (PrEP) among young sexual minority men 17–24 years old
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Antiretroviral therapy based HIV prevention targeting young women who sell sex: a mixed method approach to understand the implementation of PrEP in a rural area of KwaZulu-Natal, South Africa
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Risk Behavior Not Associated with Self-Perception of PrEP Candidacy: Implications for Designing PrEP Services
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A Qualitative Study: The Journey to Self-Acceptance of Sexual Identity among Young, Black MSM in the South
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Prevalence and Risk Factors of PrEP Use Stigma Among Adolescent Girls and Young Women in Johannesburg, South Africa and Mwanza, Tanzania Participating in the EMPOWER Trial
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Barriers and facilitators to uptake and persistence on prep among key populations in Southern Province, Zambia: a thematic analysis
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Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men’s PrEP Uptake
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HIV Pre-exposure Prophylaxis Uptake and Continuation Among Key Populations in Cameroon: Lessons Learned From the CHAMP Program
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PrEP Stigma and logistical barriers remain significant challenges in curtailing HIV transmission among Black and Hispanic/Latinx cisgender sexual minority men and transgender women in the US
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Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
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Shared decision making for HIV pre-exposure prophylaxis (PrEP) with black transgender women
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An Experimental Study of the Effects of Patient Race, Sexual Orientation, and Injection Drug Use on Providers’ PrEP-Related Clinical Judgments
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Long-acting refillable nanofluidic implant confers protection against SHIV infection in nonhuman primates
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“It’s hard for us men to go to the clinic. We naturally have a fear of hospitals.” Men’s risk perceptions, experiences and program preferences for PrEP: A mixed methods study in Eswatini
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Roll-out of HIV pre-exposure prophylaxis: a gateway to mental health promotion
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Understanding factors influencing utilization of HIV prevention and treatment services among patients and providers in a heterogeneous setting: A qualitative study from South Africa
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Addressing disparities in Pre-exposure Prophylaxis (PrEP) access: implementing a community-centered mobile PrEP program in South Florida
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Pre-exposure prophylaxis (PrEP) use, anticipated PrEP stigma, and bisexual identity among a Black and Hispanic/Latino sexual and gender diverse sample
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PrEP Willingness and Adherence Self-Efficacy Among Men Who have Sex with Men with Recent Condomless Anal Sex in Urban China
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“Let’s Be a Person to Person and Have a Genuine Conversation”: Comparing Perspectives on PrEP and Sexual Health Communication Between Black Sexual Minority Men and Healthcare Providers
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Factors Associated with Comfort Discussing PrEP with Healthcare Providers among Black Cisgender Women
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HIV-related public stigma in the era of “Undetectable = Untransmittable”: a population-based study in Hong Kong
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Interventions to improve daily medication use among adolescents and young adults: what can we learn for youth pre-exposure prophylaxis services?
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PrEP uptake and early persistence among adolescent girls and young women receiving services via community and hybrid community-clinic models in Namibia
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Safety review of tenofovir disoproxil fumarate/emtricitabine pre-exposure prophylaxis for pregnant women at risk of HIV infection
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Authors: Golub, S. A.
Affiliations: The Graduate Center, CUNY (US)
Corresponding author: Golub, Sarit A.
ORCID: Golub, Sarit A.
Venue: Current HIV/AIDS Reports
Publisher: Springer Science and Business Media LLC
Published: 2018-02-19
Volume: 15
Issue: 2
Pages: 190-197
ISSN: 1548-3568 (ISSN-L)
1548-3576
DOI: 10.1007/s11904-018-0385-0
PMC: PMC5884731
OpenAlex: W2792635178
Cited by: 383
References: 67
Citations by year: 2026: 47 · 2025: 56 · 2024: 52 · 2023: 50 · 2022: 51 · 2021: 63 · 2020: 39 · 2019: 21 · 2018: 4
FWCI: 4.65
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: Current HIV/AIDS Reports (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Gilead Sciences
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
Keywords: HIV PrEP, PrEP stigma, HIV prevention, PrEP uptake, health disparities, PrEP adherence, PrEP persistence, HIV prevention programs, HIV prevention policy, HIV prevention research, provider behavior, community stigma
MeSH terms: Humans, Male, HIV Infections, Anti-HIV Agents, Social Stigma, Pre-Exposure Prophylaxis

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PrEP stigma: implicit and explicit drivers of disparity

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