Vora Niam, Badowski Melissa E
Retzky College of Pharmacy, University of Illinois, Chicago, IL, USA.
Ther Adv Infect Dis. 2024 Dec 7;11:20499361241300920. doi: 10.1177/20499361241300920. eCollection 2024 Jan-Dec.
Great disparities and inequities in the delivery and acceptance of human immunodeficiency virus (HIV) prevention exist globally among women. Various barriers, such as societal stigma, low perceived risk, relationship dynamics, and lack of education on routes of HIV transmission can cause low utilization in HIV preexposure prophylaxis (PrEP) adoption and use. In addition, socioeconomic and structural factors, such as financial burden, lack of provider knowledge and willingness to prescribe, absence of insurance coverage, and limited access to healthcare services are additional barriers to PrEP use among cisgender women. The goal of this review is to highlight current and prospective PrEP options, attitudes, and views of PrEP use among cisgender women and healthcare providers, and the role of PrEP in special populations of cisgender women.
全球范围内,女性在接受和使用人类免疫缺陷病毒(HIV)预防措施方面存在巨大差异和不平等。各种障碍,如社会耻辱感、低风险认知、人际关系动态以及缺乏关于HIV传播途径的教育,可能导致HIV暴露前预防(PrEP)的采用和使用率较低。此外,社会经济和结构因素,如经济负担、医疗服务提供者缺乏相关知识和开处方的意愿、缺乏保险覆盖以及获得医疗服务的机会有限,是顺性别女性使用PrEP的额外障碍。本综述的目的是强调顺性别女性和医疗服务提供者当前及未来的PrEP选择、对PrEP使用的态度和看法,以及PrEP在顺性别女性特殊人群中的作用。