MacPhail, Catherine, Manlik, Kate, Dews, Hannah, Mao, Limin, and Rutherford, Alison (2024) Ending HIV Transmission in Australia: Expanding PrEP to Cisgender Women: A Scoping Review. AIDS and Behavior, 28. pp. 3038-3050.

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Abstract

Pre-exposure prophylaxis (PrEP) availability through the Pharmaceutical Benefits Scheme provides real potential for the elimination of HIV transmission in Australia, as evidenced by a rapid decline in HIV incidence among gay and bisexual men (GBM). However, HIV elimination will not be possible without also extending PrEP to other populations, including cisgender women. We conducted a scoping review to examine the extent to which PrEP access for cisgender women has been considered in Australia. A comprehensive search across five databases, grey literature, and hand search of references was conducted. A single reviewer conducted title and abstract screening and two reviewers completed full-text screening and data extraction. Nineteen documents were included in the final review and included both peer-reviewed journal articles and guidelines and strategies. Focused discussion of cisgender women’s use of PrEP was largely missing from the literature and, although their use of PrEP is supported in some relevant guidelines, little has been done to actively develop strategies to inform cisgender women about PrEP as a precursor to prescribing for HIV prevention. Healthcare providers’ narrow view of PrEP as being the domain of GBM further limits cisgender women’s potential access. If HIV elimination in Australia is to be a reality, we need to develop mechanisms to specifically engage with cisgender women about PrEP.

Item ID:	85434
Item Type:	Article (Research - C1)
ISSN:	1573-3254
Keywords:	HIV Prevention; Cisgender Women; Pre-exposure Prophylaxis; PrEP
Copyright Information:	This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Funders:	Gilead Sciences
Date Deposited:	13 May 2025 01:33
FoR Codes:	42 HEALTH SCIENCES > 4206 Public health > 420602 Health equity @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 50%
SEO Codes:	20 HEALTH > 2004 Public health (excl. specific population health) > 200499 Public health (excl. specific population health) not elsewhere classified @ 100%
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