TY - JOUR
T1 - The PrEP Care Continuum Among Cisgender Women Who Sell Sex and/or Use Drugs Globally
T2 - A Systematic Review
AU - Glick, Jennifer L.
AU - Russo, Rienna
AU - Jivapong, Belinda
AU - Rosman, Lori
AU - Pelaez, Danielle
AU - Footer, Katherine H.A.
AU - Sherman, Susan G.
PY - 2019/1/1
Y1 - 2019/1/1
N2 - HIV prevalence among cisgender female sex workers (FSW) and/or women who use drugs (WWUD) is substantially higher compared to similarly aged women. Consistent with PRISMA guidelines, we conducted the first systematic review on the pre-exposure prophylaxis (PrEP) continuum among FSW and/or WWUD, searching PubMed, Embase, CINAHL, PsycInfo, and Sociological Abstracts. Eligibility criteria included: reporting a PrEP related result among FSW and/or WWUD aged 18 + ; peer-reviewed; and published in English between 2012 and 2018. Our search identified 1365 studies; 26 met eligibility requirements, across the following groups: FSW (n = 14), WWUD (n = 9) and FSW-WWUD (n = 3). Studies report on at least one PrEP outcome: awareness (n = 12), acceptability (n = 16), uptake (n = 4), and adherence (n = 8). Specific barriers span individual and structural levels and include challenges to daily adherence, cost, and stigma. Combining health services and long-acting PrEP formulas may facilitate better PrEP uptake and adherence. The limited number of studies indicates a need for more research.
AB - HIV prevalence among cisgender female sex workers (FSW) and/or women who use drugs (WWUD) is substantially higher compared to similarly aged women. Consistent with PRISMA guidelines, we conducted the first systematic review on the pre-exposure prophylaxis (PrEP) continuum among FSW and/or WWUD, searching PubMed, Embase, CINAHL, PsycInfo, and Sociological Abstracts. Eligibility criteria included: reporting a PrEP related result among FSW and/or WWUD aged 18 + ; peer-reviewed; and published in English between 2012 and 2018. Our search identified 1365 studies; 26 met eligibility requirements, across the following groups: FSW (n = 14), WWUD (n = 9) and FSW-WWUD (n = 3). Studies report on at least one PrEP outcome: awareness (n = 12), acceptability (n = 16), uptake (n = 4), and adherence (n = 8). Specific barriers span individual and structural levels and include challenges to daily adherence, cost, and stigma. Combining health services and long-acting PrEP formulas may facilitate better PrEP uptake and adherence. The limited number of studies indicates a need for more research.
KW - Female sex workers (FSW)
KW - Global
KW - Pre-exposure prophylaxis (PrEP)
KW - PrEP care continuum
KW - Systematic review
KW - Women who use drugs (WWUD)
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U2 - 10.1007/s10461-019-02733-z
DO - 10.1007/s10461-019-02733-z
M3 - Article
C2 - 31807973
AN - SCOPUS:85076225153
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
ER -