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Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation.

Sarah K Calabrese1,2

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Current HIV/AIDS Reports
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Summary
This summary is machine-generated.

Stigma surrounding HIV pre-exposure prophylaxis (PrEP) discourages its use. Addressing PrEP stigma through inclusive strategies is crucial for increasing uptake and ending the HIV epidemic.

Keywords:
DisparitiesHIVPre-exposure prophylaxis (PrEP)Stigma

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Area of Science:

  • Public Health
  • Epidemiology
  • Social Science

Background:

  • HIV pre-exposure prophylaxis (PrEP) is a critical tool for HIV prevention.
  • Low uptake of PrEP, particularly among specific social groups, highlights existing barriers.
  • PrEP stigma is a significant factor hindering interest, uptake, and continuation of PrEP use.

Purpose of the Study:

  • To describe and contextualize stigma associated with PrEP.
  • To offer recommendations for addressing PrEP stigma in implementation initiatives.

Main Methods:

  • Review of existing literature on PrEP stigma.
  • Analysis of stereotypes and prejudices affecting PrEP users.
  • Examination of the multi-level manifestations of PrEP stigma.

Main Results:

  • PrEP users face negative stereotypes (e.g., sexually irresponsible, immoral).
  • Stigma deters PrEP interest, adherence, and continuation, with intersecting stigmas exacerbating the impact.
  • Risk-focused implementation strategies can inadvertently perpetuate stigma.

Conclusions:

  • PrEP stigma is a multi-level barrier to effective HIV prevention.
  • Inclusive messaging and healthcare integration are recommended to reduce stigma.
  • Addressing PrEP stigma is essential for increasing PrEP use and combating the HIV epidemic.