PrEP Stigma: Implicit and Explicit Drivers of Disparity

Abstract

Purpose of Review

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.

Recent Findings

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.

Summary

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.