Evidence map›Paper›PMID 42084836›Full record

ArticleAIDS and behavior2026

Identifying Implementation Gaps in the HIV Prevention Cascade among Peruvian Men Who Have Sex with Men.

Jorge A Gallardo-Cartagena, David Oliveros, Robinson Cabello, Carlos Benites, Susan Buchbinder, Kelika A Konda, Frederick L Altice, Jorge Sanchez

Abstract read
PubMed Publisher
In one paragraph

Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jorge A Gallardo-CartagenaCentro de Investigaciones Tecnológicas, Biomédicas y Medioambientales (CITBM), Universidad Nacional Mayor de San Marcos, Lima, Peru. jgallardo@citbm.pe.ORCID http://orcid.org/0000-0001-5142-1954
David OliverosCenter for Interdisciplinary Research on AIDS, Yale School of Medicine, Yale University, New Haven, CT, USA.
Robinson CabelloAsociación Civil Via Libre, Lima, Perú.
Carlos BenitesDirección de Prevención y Control de VIH-SIDA, Enfermedades de Transmisión Sexual y Hepatitis, Ministerio de Salud del Perú, Lima, Peru.
Susan BuchbinderSan Francisco Department of Public Health, San Francisco, CA, USA.
Kelika A KondaKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Frederick L AlticeCenter for Interdisciplinary Research on AIDS, Yale School of Medicine, Yale University, New Haven, CT, USA.
Jorge SanchezCentro de Investigaciones Tecnológicas, Biomédicas y Medioambientales (CITBM), Universidad Nacional Mayor de San Marcos, Lima, Peru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite expansion of publicly funded HIV pre-exposure prophylaxis (PrEP) in Peru, uptake remains limited. We conducted a cross-sectional online survey (June-August 2023) among 463 men who have sex with men eligible for PrEP to examine progression across the PrEP cascade and identify implementation-relevant determinants of PrEP seeking and initiation. Although 78.6% reported readiness to start PrEP, only 30.5% had sought PrEP and 17.3% had ever initiated. Exploratory factor analysis identified five implementation-related constructs, including actionable PrEP knowledge, self-efficacy, action planning, social support, and cost concerns. In stage-specific multivariable models, higher actionable PrEP knowledge was strongly associated with seeking PrEP (aOR 4.01, 95% CI 2.61-6.33) and initiation (aOR 3.17, 95% CI 1.52-7.01). Higher income was also associated with initiation. Substantial implementation gaps exist between readiness and uptake. Multi-level strategies that strengthen meaningful knowledge delivery and reduce structural barriers may improve PrEP cascade progression in Peru.

Indexed as

Health behaviorHIV preventionImplementation scienceMen who have sex with men (MSM)PeruPre-exposure prophylaxis (PrEP)

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.