The aim of the study was to consolidate evidence on barriers and facilitators to PrEP adherence among men who have sex with men. PubMed, Science Direct, and EBSCO host were utilized to search for relevant articles. Six articles from PubMed, published between 2010 and 2018, were reviewed. Thematic analysis was employed to synthesize findings. At the individual level, HIV susceptibility, knowledge of PrEP, and individual lifestyle affected PrEP adherence. At the organizational level, cost of PrEP and quality of PrEP services influenced adherence to PrEP. At the societal level, social stigma, financial assistance or medical insurance, and family and peer support were determinants of PrEP adherence. Facilitators included perceived high risk of HIV infection and payment assistance, while barriers included social stigma and high cost of PrEP. Social stigma and structural level factors such as payment assistance and cost of PrEP need to be examined to ensure optimal adherence to PrEP.

中文翻译：

---

与男性发生性关系（MSM）的男性接触前预防（PrEP）依从性定性研究的综合合成。

该研究的目的是巩固与男性发生性关系的男性对PrEP依从性的障碍和促进因素的证据。利用PubMed，Science Direct和EBSCO主机搜索相关文章。审查了2010年至2018年之间发表的PubMed的六篇文章。主题分析用于综合发现。在个人层面，艾滋病毒易感性，对PrEP的了解以及个人生活方式会影响PrEP的依从性。在组织层面，PrEP的成本和PrEP服务的质量会影响对PrEP的遵守。在社会层面上，社会对耻辱，财政援助或医疗保险以及家庭和同龄人的支持是PrEP遵守的决定因素。促进者包括被认为感染HIV和支付援助的高风险，而障碍包括社会污名化和PrEP的高昂费用。