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Gay, bisexual, and other men who have sex with men (MSM) and transgender individuals are disproportionately affected by HIV. HIV pre-exposure prophylaxis (PrEP) can reduce infection, but uptake is low in LGBT populations.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Biomedical Interventions

Background:

  • Gay, bisexual, and other men who have sex with men (MSM) and transgender individuals bear the highest burden of HIV infection.
  • HIV pre-exposure prophylaxis (PrEP) is a proven biomedical intervention for HIV prevention.
  • Suboptimal uptake of PrEP has been observed in lesbian, gay, bisexual, and transgender (LGBT) populations.

Purpose of the Study:

  • To highlight the critical role of primary care providers in addressing HIV disparities.
  • To emphasize the importance of PrEP uptake in LGBT populations.
  • To outline the comprehensive care required after PrEP initiation.

Main Methods:

  • This is a review and synthesis of current knowledge on PrEP implementation in primary care.
  • Focuses on the role of healthcare providers in patient education and access facilitation.
  • Discusses management of adverse effects, monitoring, adherence support, and cost-related assistance.

Main Results:

  • Primary care providers are essential for educating patients about PrEP and facilitating access.
  • Effective PrEP management includes monitoring for adverse effects and ensuring adherence.
  • Addressing cost barriers is crucial for equitable PrEP access.

Conclusions:

  • Primary care providers are integral to reducing HIV disparities among MSM and transgender individuals.
  • Optimizing PrEP uptake and adherence requires comprehensive primary care support.
  • Enhanced provider education and patient support can improve PrEP access and effectiveness.