Pre-Exposure Prophylaxis Interventions among Black Sexual Minority Men: A Systematic Literature Review

Rodman E. Turpin, David J. Hawthorne and Andre D. Rosario
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Rodman E. Turpin: Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA
David J. Hawthorne: Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD 20742, USA
Andre D. Rosario: Department of Psychiatry and Behavioral Sciences, Howard University Hospital, Washington, DC 20060, USA

IJERPH, 2022, vol. 19, issue 4, 1-11

Abstract: Background: Interventions to promote HIV pre-exposure prophylaxis (PrEP) among Black sexual minority men (BSMM) are especially important, given the disproportionate HIV incidence and relatively low uptake of PrEP among BSMM. Methods: We conducted a systematic literature review to identify the characteristics of interventions between 2016 and 2021 promoting PrEP use among BSMM. We synthesized these studies based on sample size, location, the use of peer-based delivery, and key intervention targets. Results: Of the starting total 198 articles, 10 were included in the final review, with the majority of included studies being randomized controlled trials. We identified providing PrEP access, PrEP counseling, HIV and PrEP education, linkage to general health care, and peer-based support as key successful intervention components. The starkest difference between interventions with and without demonstrated PrEP improvements was the outcome: all interventions focused on PrEP initiation led to large improvements, but those focused on PrEP adherence did not. No other factors demonstrated distinct differences between successful and unsuccessful interventions. Conclusion: We identified notable differences in intervention efficacy between PrEP initiation and PrEP adherence outcomes; PrEP adherence is necessary for optimal HIV prevention. Future interventions promoting and measuring PrEP adherence, with a focus on cultural competence and peer components, are recommended.

Keywords: LGBTQ; HIV; prevention; experiment; review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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