Risk, safety and sex among male PrEP users

Time for a new understanding

Datos Bibliográficos

ID15098646
AutoresKimberly A Koester (0000-0003-0023-1127, University of California, San Francisco, autor de correspondencia), Kimberly Koester (,), K Rivet Amico (0000-0002-4458-6934, University of Michigan), Rivet K Amico (,), H Gilmore (0000-0002-1584-3233, San Francisco Department of Public Health), Albert Liu (0000-0003-0320-823X, San Francisco Department of Public Health), Vanessa McMahan (0000-0003-2331-7206, ,), Kenneth H Mayer (0000-0001-7460-733X, The Fenway Institute, Boston, MA, USA), Sybil Hosek (0000-0001-5230-0759, ,), Robert M Grant (0000-0002-0851-7085, Gladstone Institutes), Robert Grant (0000-0002-6075-8687, ,)
Año2017
Volumen19
Número12
Páginas1301-1313
Fecha de publicación2017-12-02
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2017.1310927
PMID28415911
OpenAlexW2607406129
IdiomaEN
Citas recibidas51
Referencias citadas35

Recent advances in biomedical HIV prevention have led to optimistic projections of a dramatic worldwide reduction of new infections by 2030. This optimism is counterbalanced by concerns that the protective benefits of one such technology, HIV pre-exposure prophylaxis (PrEP), may be negated by increases in other behaviours that offset these benefits (risk compensation). To contribute to a deeper understanding of concepts of safety and risk in the context of HIV PrEP, we draw on the narrative accounts of 61 male PrEP users who participated in the inaugural PrEP demonstration project: the iPrEx open-label extension study. We conducted in-depth interviews with a purposeful sample of iPrEx participants. Overall, participants did not report significant changes to their sexual practices once they had begun taking PrEP. Rather, participants reported experiencing a sense of relief or reprieve from HIV-related stress. This unburdening of fear did not necessarily lead to condomless sex. Instead, men expressed feeling a sense of security and less free-floating fear of HIV. We contend that no longer living under the threat of HIV is a significant benefit that has not been adequately explored in HIV prevention research

Family medicine · Feeling · Men who have sex with men · Optimism · Pre-exposure prophylaxis · Risk compensation · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology