SH25021Barriers and facilitators to engagement with the PrEP care continuum among sexual minority men in China: a systematic review


This systematic review synthesized evidence from 50 studies, identifying five key barriers and facilitators to HIV pre-exposure prophylaxis (PrEP) engagement among Chinese sexual minority men: (1) sexual behaviors and perceived HIV risk; (2) PrEP-related stigma and homophobia; (3) history of HIV/STI care engagement; (4) perceptions of PrEP efficacy, side-effects and adherence; and (5) structural barriers, such as cost, insurance and residency status. Cross-agency collaboration is crucial to develop and implement effective strategies to improve PrEP uptake in this population.