Pre-exposure Prophylaxis (PrEP) implementation among latino MSM: a qualitative scoping review of implementation determinants and change methods.

Adjunctive Interventions Barriers Consolidated Framework for Implementation Research Determinants Facilitators Implementation Science Implementation Strategies Latino MSM Pre-exposure Prophylaxis

Journal

Implementation science communications
ISSN: 2662-2211
Titre abrégé: Implement Sci Commun
Pays: England
ID NLM: 101764360

Informations de publication

Date de publication:
30 Sep 2024
Historique:
received: 07 11 2023
accepted: 16 09 2024
medline: 1 10 2024
pubmed: 1 10 2024
entrez: 1 10 2024
Statut: epublish

Résumé

The increasing rates of HIV among Latino men who have sex with men (MSM) necessitate innovative and rigorous studies to evaluate prevention and treatment strategies. Pre-exposure prophylaxis (PrEP) is a highly effective tool in preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the U.S. initiative. However, there is a scarcity of PrEP research specifically focused on Latino MSM, and the factors influencing its implementation remain largely unknown. To address this gap, we conducted a comprehensive review exploring the determinants (barriers and facilitators) of PrEP implementation among Latino MSM, as well as the change methods (implementation strategies and adjunctive interventions) that have been evaluated to promote its adoption. Our review encompassed 43 peer-reviewed articles examining determinants and four articles assessing change methods. Determinants were coded using the updated Consolidated Framework for Implementation Research (CFIR 2.0) to understand the multilevel barriers and facilitators associated with implementation. The majority of research has focused on PrEP recipients (i.e., patients), primarily examining their awareness and willingness to use PrEP. Fewer studies have explored the factors influencing clinicians and service delivery systems. Additionally, the evaluation of change methods to enhance clinician adoption and adherence to PrEP and recipient adherence to PrEP has been limited. It is evident that there is a need for culturally adapted strategies tailored specifically for Latino MSM, as the current literature remains largely unexplored in this regard. By incorporating principles from implementation science, we can gain a clearer understanding of the knowledge, skills, and roles necessary for effective cultural adaptations. Future research should emphasize factors influencing implementation from a clinician standpoint and focus on innovative change methods to increase PrEP awareness, reach, adoption, and sustained adherence among Latino MSM.

Identifiants

pubmed: 39350221
doi: 10.1186/s43058-024-00645-1
pii: 10.1186/s43058-024-00645-1
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

107

Subventions

Organisme : NIH HHS
ID : P30 AI117943
Pays : United States
Organisme : NIMH NIH HHS
ID : T32MH130325
Pays : United States
Organisme : U.S. National Library of Medicine
ID : T15LM007124

Informations de copyright

© 2024. The Author(s).

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Auteurs

Juan Pablo Zapata (JP)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA. juan.zapata@northwestern.edu.
Medical Social Sciences Department, Northwestern University, Chicago, IL, USA. juan.zapata@northwestern.edu.

Alithia Zamantakis (A)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
Medical Social Sciences Department, Northwestern University, Chicago, IL, USA.

Artur Queiroz (A)

Center of Population Sciences for Health Equity, College of Nursing, Florida State University, Tallahassee, FL, USA.

James L Merle (JL)

Department of Population Health Sciences, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.

Nanette Benbow (N)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
Medical Social Sciences Department, Northwestern University, Chicago, IL, USA.

Brian Mustanski (B)

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
Medical Social Sciences Department, Northwestern University, Chicago, IL, USA.
Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, IL, USA.
Department of Infectious Diseases, Northwestern University, Chicago, IL, USA.

Classifications MeSH