The PrEP Care Continuum Among Cisgender Women Who Sell Sex and/or Use Drugs Globally: A Systematic Review

Jennifer L. Glick, Rienna Russo, Belinda Jivapong, Lori Rosman, Danielle Pelaez, Katherine H.A. Footer, Susan G. Sherman

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1312-1333
Number of pages22
JournalAIDS and behavior
Volume24
Issue number5
DOIs
StatePublished - May 1 2020

Keywords

  • Female sex workers (FSW)
  • Global
  • PrEP care continuum
  • Pre-exposure prophylaxis (PrEP)
  • Systematic review
  • Women who use drugs (WWUD)

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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