A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States

Men who have sex with men and transgender women in the United States are at increased risk for HIV and may benefit from pre-exposure prophylaxis (PrEP), a once-a-day pill to prevent HIV. Due to stigma and discrimination, sexual and gender minority (SGM) populations are also at risk for depression an...

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Autores principales:	Sarah J. Miller, Sayward E. Harrison, Kamla Sanasi-Bhola
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	men who have sex with men transgender women HIV prevention pre-exposure prophylaxis anxiety depression Medicine R
Acceso en línea:	https://doaj.org/article/8e394d7b097f4afcb1049cf7469036e3
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spelling	oai:doaj.org-article:8e394d7b097f4afcb1049cf7469036e32021-11-11T16:32:33ZA Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States10.3390/ijerph1821114311660-46011661-7827https://doaj.org/article/8e394d7b097f4afcb1049cf7469036e32021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11431https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Men who have sex with men and transgender women in the United States are at increased risk for HIV and may benefit from pre-exposure prophylaxis (PrEP), a once-a-day pill to prevent HIV. Due to stigma and discrimination, sexual and gender minority (SGM) populations are also at risk for depression and anxiety. This scoping review sought to identify literature addressing relationships between the PrEP care continuum, depression, and anxiety among SGM individuals and others at high risk for HIV. We conducted a systematic review of four databases (i.e., PubMed, PsycInfo, Web of Science, Google Scholar) and identified 692 unique articles that were screened for inclusion criteria, with 51 articles meeting the final inclusion criteria. Data were extracted for key study criteria (e.g., geographic location, participant demographics, study design, main findings). Results suggest that while depression and anxiety are not associated with PrEP awareness or willingness to use, they can be barriers to seeking care and to PrEP adherence. However, empirical studies show that taking PrEP is associated with reductions in anxiety. Findings suggest the need to implement mental health screenings in PrEP clinical care. In addition, addressing systemic and structural issues that contribute to mental health disorders, as well as PrEP-related barriers, is critical.Sarah J. MillerSayward E. HarrisonKamla Sanasi-BholaMDPI AGarticlemen who have sex with mentransgender womenHIV preventionpre-exposure prophylaxisanxietydepressionMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11431, p 11431 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	men who have sex with men transgender women HIV prevention pre-exposure prophylaxis anxiety depression Medicine R
spellingShingle	men who have sex with men transgender women HIV prevention pre-exposure prophylaxis anxiety depression Medicine R Sarah J. Miller Sayward E. Harrison Kamla Sanasi-Bhola A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
description	Men who have sex with men and transgender women in the United States are at increased risk for HIV and may benefit from pre-exposure prophylaxis (PrEP), a once-a-day pill to prevent HIV. Due to stigma and discrimination, sexual and gender minority (SGM) populations are also at risk for depression and anxiety. This scoping review sought to identify literature addressing relationships between the PrEP care continuum, depression, and anxiety among SGM individuals and others at high risk for HIV. We conducted a systematic review of four databases (i.e., PubMed, PsycInfo, Web of Science, Google Scholar) and identified 692 unique articles that were screened for inclusion criteria, with 51 articles meeting the final inclusion criteria. Data were extracted for key study criteria (e.g., geographic location, participant demographics, study design, main findings). Results suggest that while depression and anxiety are not associated with PrEP awareness or willingness to use, they can be barriers to seeking care and to PrEP adherence. However, empirical studies show that taking PrEP is associated with reductions in anxiety. Findings suggest the need to implement mental health screenings in PrEP clinical care. In addition, addressing systemic and structural issues that contribute to mental health disorders, as well as PrEP-related barriers, is critical.
format	article
author	Sarah J. Miller Sayward E. Harrison Kamla Sanasi-Bhola
author_facet	Sarah J. Miller Sayward E. Harrison Kamla Sanasi-Bhola
author_sort	Sarah J. Miller
title	A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
title_short	A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
title_full	A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
title_fullStr	A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
title_full_unstemmed	A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States
title_sort	scoping review investigating relationships between depression, anxiety, and the prep care continuum in the united states
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8e394d7b097f4afcb1049cf7469036e3
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A Scoping Review Investigating Relationships between Depression, Anxiety, and the PrEP Care Continuum in the United States

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