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

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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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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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