Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review
<p>Despite decades of HIV prevention efforts, key populations – MSM, transgender people, PWUD, sex workers, and migrants – remain disproportionately affected by HIV. Although prevention tools are widely available, global targets remain unmet, largely due to persistent structural and sociocultu...
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2025
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| _version_ | 1849927630073102336 |
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| author | Myriam Dergham (22682927) |
| author2 | Angélique Savall (22682930) Robin Chaux (22682933) Mathilde Hutzler (22682936) Rodolphe Charles (22682939) Amandine Gagneux-Brunon (5778194) |
| author2_role | author author author author author |
| author_facet | Myriam Dergham (22682927) Angélique Savall (22682930) Robin Chaux (22682933) Mathilde Hutzler (22682936) Rodolphe Charles (22682939) Amandine Gagneux-Brunon (5778194) |
| author_role | author |
| dc.creator.none.fl_str_mv | Myriam Dergham (22682927) Angélique Savall (22682930) Robin Chaux (22682933) Mathilde Hutzler (22682936) Rodolphe Charles (22682939) Amandine Gagneux-Brunon (5778194) |
| dc.date.none.fl_str_mv | 2025-11-25T17:20:07Z |
| dc.identifier.none.fl_str_mv | 10.6084/m9.figshare.30712991.v1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/dataset/Structural_and_socio-cultural_barriers_to_hiv_prevention_tools_among_key_populations_a_scoping_review/30712991 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Medicine Sociology Cancer Statistics Science Policy HIV Pre-exposure prophylaxis needle exchange programs sexual and gender minorities drug users sex workers men who have sex with men Migrants post exposure prophylaxis treatment as prevention |
| dc.title.none.fl_str_mv | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| dc.type.none.fl_str_mv | Dataset info:eu-repo/semantics/publishedVersion dataset |
| description | <p>Despite decades of HIV prevention efforts, key populations – MSM, transgender people, PWUD, sex workers, and migrants – remain disproportionately affected by HIV. Although prevention tools are widely available, global targets remain unmet, largely due to persistent structural and sociocultural barriers, resulting in an important societal cost.</p> <p>This scoping review analyzes 197 studies (2018–2022) quantitative and qualitative, from 48 countries to map barriers to HIV prevention across five key populations and five continents, using Medline and Scopus databases according to the PRISMA-ScR methodology. It reveals widespread legal and institutional obstacles: lack of health insurance, criminalization of their condition, stigma (including HIV and internalized stigma), violence, poverty, low health literacy, and healthcare mistrust. It also identifies major gaps in research coverage around the world.</p> <p>Despite major progress in HIV prevention, inequities persist in implementation and access. Our study highlights the urgent need of coordinated governmental and institutional efforts to ensure universal access to prevention tools, social protection, and stigma reduction interventions, as requested by UNAIDS. An intersectional approach that responds to the overlapping vulnerabilities faced by key populations is essential. Without systemic change, biomedical progress alone will not be sufficient to put an end to HIV.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara_60d82dc7050ca2eb2ab0a05287a434c8 |
| identifier_str_mv | 10.6084/m9.figshare.30712991.v1 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/30712991 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping reviewMyriam Dergham (22682927)Angélique Savall (22682930)Robin Chaux (22682933)Mathilde Hutzler (22682936)Rodolphe Charles (22682939)Amandine Gagneux-Brunon (5778194)MedicineSociologyCancerStatisticsScience PolicyHIVPre-exposure prophylaxisneedle exchange programssexual and gender minoritiesdrug userssex workersmen who have sex with menMigrantspost exposure prophylaxistreatment as prevention<p>Despite decades of HIV prevention efforts, key populations – MSM, transgender people, PWUD, sex workers, and migrants – remain disproportionately affected by HIV. Although prevention tools are widely available, global targets remain unmet, largely due to persistent structural and sociocultural barriers, resulting in an important societal cost.</p> <p>This scoping review analyzes 197 studies (2018–2022) quantitative and qualitative, from 48 countries to map barriers to HIV prevention across five key populations and five continents, using Medline and Scopus databases according to the PRISMA-ScR methodology. It reveals widespread legal and institutional obstacles: lack of health insurance, criminalization of their condition, stigma (including HIV and internalized stigma), violence, poverty, low health literacy, and healthcare mistrust. It also identifies major gaps in research coverage around the world.</p> <p>Despite major progress in HIV prevention, inequities persist in implementation and access. Our study highlights the urgent need of coordinated governmental and institutional efforts to ensure universal access to prevention tools, social protection, and stigma reduction interventions, as requested by UNAIDS. An intersectional approach that responds to the overlapping vulnerabilities faced by key populations is essential. Without systemic change, biomedical progress alone will not be sufficient to put an end to HIV.</p>2025-11-25T17:20:07ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.6084/m9.figshare.30712991.v1https://figshare.com/articles/dataset/Structural_and_socio-cultural_barriers_to_hiv_prevention_tools_among_key_populations_a_scoping_review/30712991CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307129912025-11-25T17:20:07Z |
| spellingShingle | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review Myriam Dergham (22682927) Medicine Sociology Cancer Statistics Science Policy HIV Pre-exposure prophylaxis needle exchange programs sexual and gender minorities drug users sex workers men who have sex with men Migrants post exposure prophylaxis treatment as prevention |
| status_str | publishedVersion |
| title | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| title_full | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| title_fullStr | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| title_full_unstemmed | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| title_short | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| title_sort | Structural and socio-cultural barriers to hiv prevention tools among key populations: a scoping review |
| topic | Medicine Sociology Cancer Statistics Science Policy HIV Pre-exposure prophylaxis needle exchange programs sexual and gender minorities drug users sex workers men who have sex with men Migrants post exposure prophylaxis treatment as prevention |