PrEP Stigma: Implicit and Explicit Drivers of Disparity.
PrEP Stigma: Implicit and Explicit Drivers of Disparity.
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DOI：
10.1007/s11904-018-0385-0
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发表时间：
2018-04
影响因子：
4.6
通讯作者：
Golub SA
中科院分区：
文献类型：
--
作者：
Golub SA
尽管PrEP作为艾滋病毒预防战略有希望，但其吸收仍然缓慢，特别是在最优先的人群中。可能阻碍实施和推动差异的一个因素是与PrEP相关的污名化。本文综述了PrEP相关的耻辱在PrEP获取，依从性和持久性中的作用，并检查其前因和后果。虽然PrEP耻辱往往是在社区一级经历（即，潜在和当前用户）可以通过公共卫生计划，政策和研究来加强甚至扩大。PrEP污名不成比例地影响弱势群体，并通过影响患者和提供者的行为来阻碍可扩展性。减少PrEP耻辱及其对流行病的负面影响需要在观点、语言和项目方面做出重大转变。这种转变是必要的，以确保PrEP作为一种预防战略的更广泛的覆盖面，并提高最需要它的个人的利用率。
Despite its promise as an HIV prevention strategy, PrEP uptake remains slow, especially among highest priority population. One factor that may be impeding implementation and driving disparities is PrEP-related stigma. This paper reviews the role of PrEP-related stigma in PrEP access, adherence, and persistence, and examines its antecedents and consequences. Although PrEP stigma is often experienced at the community-level (i.e., by potential and current users) can be reinforced and even amplified by public health programs, policy, and research. PrEP stigma disproportionately impacts disadvantaged groups, and impedes scalability by influencing behavior of both patients and providers. Reducing PrEP stigma and its negative impact on the epidemic requires a significant shift in perspective, language, and programs. Such a shift is necessary to ensure broader reach of PrEP as a prevention strategy and improve its utilization by the individuals who need it most.
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影响因子：
4.9
作者：
Golub, Sarit A.;Gamarel, Kristi E.
通讯作者：
Gamarel, Kristi E.
影响因子：
4.4
作者：
Baugher, Amy R.;Beer, Linda;Shouse, R. Luke
通讯作者：
Shouse, R. Luke
DOI：
10.1097/qai.0000000000001165
发表时间：
2017-01-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Elopre L;Kudroff K;Westfall AO;Overton ET;Mugavero MJ
通讯作者：
Mugavero MJ
影响因子：
4.4
作者：
Eaton LA;Kalichman SC;Price D;Finneran S;Allen A;Maksut J
通讯作者：
Maksut J
影响因子：
1.8
作者：
Earnshaw, Valerie A.;Smith, Laramie R.;Copenhaver, Michael M.
通讯作者：
Copenhaver, Michael M.