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A Systematic Review of Implementation Research on Determinants and Strategies of Effective HIV Interventions for Men Who Have Sex with Men in the United States.
- Source :
-
Annual Review of Psychology . 2024, Vol. 75, p55-85. 31p. - Publication Year :
- 2024
-
Abstract
- Men who have sex with men (MSM) are disproportionately affected by HIV, accounting for two-thirds of HIV cases in the United States despite representing ∼5% of the adult population. Delivery and use of existing and highly effective HIV prevention and treatment strategies remain suboptimal among MSM. To summarize the state of the science, we systematically review implementation determinants and strategies of HIV-related health interventions using implementation science frameworks. Research on implementation barriers has focused predominantly on characteristics of individual recipients (e.g., ethnicity, age, drug use) and less so on deliverers (e.g., nurses, physicians), with little focus on system-level factors. Similarly, most strategies target recipients to influence their uptake and adherence, rather than improving and supporting implementation systems. HIV implementation research is burgeoning; future research is needed to broaden the examination of barriers at the provider and system levels, as well as expand knowledge on how to match strategies to barriers—particularly to address stigma. Collaboration and coordination among federal, state, and local public health agencies; community-based organizations; health care providers; and scientists are important for successful implementation of HIV-related health innovations. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIAGNOSIS of HIV infections
*HIV prevention
*HIV infection risk factors
*HIV infections
*RACISM
*SOCIAL determinants of health
*SUBSTANCE abuse
*SYSTEMATIC reviews
*AGE distribution
*MEDICAL care costs
*ANTIVIRAL agents
*PRE-exposure prophylaxis
*GOVERNMENT programs
*MEN who have sex with men
*HEALTH equity
*LITERATURE reviews
Subjects
Details
- Language :
- English
- ISSN :
- 00664308
- Volume :
- 75
- Database :
- Academic Search Index
- Journal :
- Annual Review of Psychology
- Publication Type :
- Academic Journal
- Accession number :
- 174896302
- Full Text :
- https://doi.org/10.1146/annurev-psych-032620-035725