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

Brian Mustanski, Artur Queiroz, James L. Merle, Alithia Zamantakis, Juan Pablo Zapata, Dennis H. Li, Nanette Benbow, Maria Pyra, Justin D. Smith

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)55-85
Number of pages31
JournalAnnual review of psychology
Volume75
DOIs
StatePublished - Jan 18 2024

Funding

The writing of this review was made possible through a supplement grant to the Third Coast Center for AIDS Research, a National Institutes of Health–funded center (P30 AI117943). J.L.M.’s time was supported by a training grant from the National Library of Medicine (T15LM007124). J.P.Z.’s and a.z.’s time was supported by a training grant from the National Institute of Mental Health (T32MH130325). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The sponsors had no involvement in the conduct of the research or the preparation of the article. We appreciate the data shared by Dr. Karin Bosh and her team, which allowed us to create some of the images used in this review. We appreciate the work of Jasmine S. Deskins, Ana Michaela Pachicano, Melissa Mongrella, Juan Villamar, Ginger McKay, and Brennan Keiser, who helped review, code, and analyze data. We appreciate the work of Samantha Vera Levya, who helped with formatting, citations, and other work necessary for the completion of this review.

Keywords

  • HIV
  • HIV testing
  • implementation science
  • linkage-to-care
  • men who have sex with men
  • preexposure prophylaxis

ASJC Scopus subject areas

  • General Psychology

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