Imperial College London
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Miss Vas Papageorgiou

Faculty of Medicine, School of Public Health

Casual - Other work
 
 
 
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Contact

 

vasiliki.papageorgiou17

 
 
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Location

 

UG2Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Coukan:2023:10.1111/hiv.13492,
author = {Coukan, F and Murray, K-K and Papageorgiou, V and Lound, A and Saunders, J and Atchison, C and Ward, H},
doi = {10.1111/hiv.13492},
journal = {HIV Medicine},
pages = {893--913},
title = {Barriers and facilitators to HIV Pre-Exposure Prophylaxis (PrEP) in Specialist Sexual Health Services in the United Kingdom: a systematic review using the PrEP Care Continuum},
url = {http://dx.doi.org/10.1111/hiv.13492},
volume = {24},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectivesHIV pre-exposure prophylaxis (PrEP) delivery in the UK is inequitable; over 95% of PrEP users were men who have sex with men (MSM) despite making up less than 50% of new HIV diagnoses. We conducted a systematic review to identify modifiable barriers and facilitators to PrEP delivery in the UK among underserved populations.MethodsWe searched bibliographic/conference databases using the terms HIV, PrEP, barriers, facilitators, underserved populations, and UK. Modifiable factors were mapped along the PrEP Care Continuum (PCC) to identify targets for interventions.ResultsIn total, 44 studies were eligible: 29 quantitative, 12 qualitative and three mixed-methods studies. Over half (n = 24 [54.5%]) exclusively recruited MSM, whereas 11 were in mixed populations (all included MSM as a sub-population) and the other nine were in other underserved populations (gender and ethnicity minorities, women, and people who inject drugs). Of the 15 modifiable factors identified, two-thirds were at the PrEP contemplation and PrEParation steps of the PCC. The most reported barriers were lack of PrEP awareness (n = 16), knowledge (n = 19), willingness (n = 16), and access to a PrEP provider (n = 16), whereas the more reported facilitators were prior HIV testing (n = 8), agency and self-care (n = 8). All but three identified factors were at the patient rather than provider or structural level.ConclusionsThis review highlights that the bulk of the scientific literature focuses on MSM and on patient-level factors. Future research needs to ensure underserved populations are included and prioritized (e.g. ethnicity and gender minorities, people who inject drugs) and provider and structural factors are investigated.
AU  - Coukan,F
AU  - Murray,K-K
AU  - Papageorgiou,V
AU  - Lound,A
AU  - Saunders,J
AU  - Atchison,C
AU  - Ward,H
DO  - 10.1111/hiv.13492
EP  - 913
PY  - 2023///
SN  - 1464-2662
SP  - 893
TI  - Barriers and facilitators to HIV Pre-Exposure Prophylaxis (PrEP) in Specialist Sexual Health Services in the United Kingdom: a systematic review using the PrEP Care Continuum
T2  - HIV Medicine
UR  - http://dx.doi.org/10.1111/hiv.13492
UR  - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000972296500001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=a2bf6146997ec60c407a63945d4e92bb
UR  - https://onlinelibrary.wiley.com/doi/10.1111/hiv.13492
UR  - http://hdl.handle.net/10044/1/109029
VL  - 24
ER  -
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