Digital Interventions to Enhance PrEP Uptake and Adherence Through Stigma Reduction.

IF 3.7 2区 医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2023-12-01 Epub Date: 2023-12-07 DOI:10.1007/s11904-023-00685-7
Jane J Lee, Juliann Li Verdugo, Anna Y Xiao, Katie Vo
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Abstract

Purpose of review: Although pre-exposure prophylaxis (PrEP) is effective for reducing risk of HIV transmission, stigma persists as a barrier to HIV prevention. Digital technologies present opportunities to access hard-to-reach populations and increase the efficiency of established interventions. This review examines current digital interventions addressing stigma to improve PrEP-related outcomes.

Recent findings: Digital technologies are increasingly used for HIV prevention and include a wide range of formats. Recent interventions focused on stigma and PrEP tend to engage mobile phone-related technology and focus on younger populations with particular attention to men who have sex with men and transgender women. Digital interventions that address stigma are promising for improving PrEP-related outcomes. No single technology currently demonstrates consistent superiority. Limited access to PrEP and heightened stigma in under-resourced countries present challenges for interventions supporting diverse communities. Further research should examine how digital interventions can reduce stigma beyond the individual level to enhance PrEP use and explore opportunities to improve and integrate approaches to stigma measurement.

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通过减少耻辱感来提高PrEP的接受和坚持的数字干预措施。
综述目的:尽管暴露前预防(PrEP)对降低艾滋病毒传播风险有效,但耻辱感仍然是艾滋病毒预防的障碍。数字技术为难以接触到的人群提供了机会,并提高了现有干预措施的效率。本综述审查了目前解决病耻感的数字干预措施,以改善prep相关的结果。最近的发现:数字技术越来越多地用于艾滋病毒预防,包括各种各样的格式。最近的干预措施侧重于污名化和预防措施,往往涉及与移动电话相关的技术,并将重点放在年轻人群上,特别关注男男性行为者和变性女性。解决耻辱感问题的数字干预措施有望改善预科相关成果。目前还没有一种技术显示出一贯的优势。在资源不足的国家,获得预防措施的机会有限和污名化加剧,为支持不同社区的干预措施带来了挑战。进一步的研究应检查数字干预如何能够在个人层面之外减少耻辱感,以提高PrEP的使用,并探索改进和整合耻辱感测量方法的机会。
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来源期刊
Current HIV/AIDS Reports
Current HIV/AIDS Reports INFECTIOUS DISEASES-
CiteScore
8.10
自引率
2.20%
发文量
45
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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