Stigma and Shame Experiences by MSM Who Take PrEP for HIV Prevention
A Qualitative Study
Bibliographic Data
| ID | 23353476 |
|---|---|
| Authors | Alex Dubov (0000-0003-2940-0254, Loma Linda University, corresponding author), Phillip Galbo (Roswell Park Comprehensive Cancer Center), Phillip M Galbo (0000-0002-5391-598X, Roswell Park Comprehensive Cancer Center), Frederick L Altice (0000-0002-7860-693X, Yale University), Liana Fraenkel (0000-0002-6148-610X, Yale University) |
| Year | 2018 |
| Volume | 12 |
| Issue | 6 |
| Pages | 1843-1854 |
| Publication date | 2018-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Journal of Men s Health (JOURNAL) |
| Journal identifiers | ISSN: 1557-9883 • E-ISSN: 1557-9891 |
| Publisher | SAGE Publications (PUBLISHER • US) |
| DOI | 10.1177/1557988318797437 |
| PMID | 30160195 |
| OpenAlex | W2889129922 |
| Language | EN |
| Citations received | 98 |
| References cited | 46 |
Pre-exposure prophylaxis (PrEP) uptake has been extremely low among key groups. PrEP-related stigma and shaming are potential barriers to uptake and retention in PrEP programs. There is a lack of literature describing PrEP stigma. In order to fill this gap, we recruited online 43 HIV-negative Men who have Sex with Men (MSM) who use PrEP. Semistructured interviews were conducted to explore their perceptions and experience of stigma related to PrEP use. Data were analyzed using Strauss and Corbin’s grounded theory and constant comparison techniques to enhance understanding of the lived experiences of MSM who use PrEP. The participants experienced PrEP stigma as rejection by potential/actual partners, stereotypes of promiscuity or chemsex, and labeling of both the user and the medication. They connected PrEP stigma with HIV stigma, generational differences, moralization of condom use, and inability to embrace one’s own sexuality. These findings point to a need to develop tailored interventions to address PrEP-related stigma and shaming for individuals, health-care professionals, and the MSM community-at-large.
Condom · Family medicine · Grounded theory · Human immunodeficiency virus (HIV) · Men who have sex with men · Pre-exposure prophylaxis · Promiscuity · Psychiatry · Psychological intervention · Qualitative research · Shame · Stigma (botany) · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Social Psychology
Intersecting stigma and sexual relationships among minoritised sexual minority men and nonbinary individuals assigned male at birth in Boston, USA
Understanding the Influence of PrEP Motivations and Concerns on PrEP Use Among Pregnant Women in Lilongwe, Malawi
Risco, prazer e cuidado ao HIV
Profiles of HIV Risk, Sexual Power, and Decision-Making among Sexual Minority Men of Color Who Engage in Transactional Sex
PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex
Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles
Risco e prazer em tempos de sexo farmacologicamente seguro
The relevance of pre-exposure prophylaxis in gay men’s lives and their motivations to use it
Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States
Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation
The influence of HIV‐related stigma on PrEP disclosure and adherence among adolescent girls and young women in HPTN 082
Stigma as evidence
‘Community perspectives on long-acting injectable PrEP among Haitians and Haitian Americans living in Florida
We have our reasons”
Need for informed providers
Development of an acceptance based PrEP intervention (ACTPrEP) to engage young black MSM in the South utilizing the Adaptome Model of intervention adaptation
Perspectives on long-acting formulations of pre-exposure prophylaxis (PrEP) among men who have sex with men who are non-adherent to daily oral PrEP in the United States
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Markers of Quality Care in PrEP Services
Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
Blocking and being blocked on gay dating apps among MSM attending a sexual health clinic
A Qualitative Exploration of Various Stigmas Impacting HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among African American Young Adults
Prevalence and factors associated with mental distress among men at higher risk of HIV infection enrolled in an HIV pre-exposure prophylaxis program in Tanga, Tanzania
Policymakers’ and healthcare providers’ perspectives on the introduction of oral pre-exposure prophylaxis for key populations in Ghana
Preferences for PrEP Selection
Risky research? Exploring the potentially detrimental effects of employing stigma scales
The experience of healthcare workers to HIV pre-exposure prophylaxis (PrEP) implementation in low- and middle-income countries
PrEP stigma among current and non-current PrEP users in Thailand
The Relationship Between Perception of HIV Susceptibility and Willingness to Discuss PrEP With a Health Care Provider
“Your Status is Artful
Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal
Changes in Utilization of Birth Control and PrEP During Covid-19 in the USA
“White, Tall, Top, Masculine, Muscular”
Reaching Out to Adolescents at High Risk of HIV Infection in Brazil
From stigmatized status to responsibilized health behavior
Experiences of Pre-Exposure Prophylaxis (PrEP)–Related Stigma among Black MSM PrEP Users in Los Angeles
Negotiating HIV Protection in the Era of Online Dating and Pre-Exposure-Prophylaxis (PrEP)
A life course perspective and the qualitative examination of gay men’s PrEP perceptions
‘Why are PrEP gays always like this … ’
Managing collateral stigmatization while accessing biomedical HIV prevention for queer people in Dar es Salaam
Assessing the Role of Gay Community Attachment, Stigma, and PrEP Stereotypes on Young Men Who Have Sex with Men’s PrEP Uptake
I Felt Somewhat Cheated and Deceived When that Roadblock Came”
Barriers to Pre-Exposure Prophylaxis Uptake Among Online Male Sex Workers in the US
The Role of Alcohol-Related Behavioral Risk in the Design of HIV Prevention Interventions in the Era of Antiretrovirals
Development and Psychometric Evaluation of the PrEP Sexual Expectancies (PSEXS) Scale
The Association between Social Support and Pre-Exposure Prophylaxis use among Sexual Minority Men in the United States
Measures of HIV Pre-exposure Prophylaxis Uptake Among Gay, Bisexual, and Other Men Who Have Sex with Men in Canada and Demographic Disparities Among Those at Elevated Likelihood for HIV Acquisition
Next Generation Pre-Exposure Prophylaxis for Young Men who have Sex with Men
Risk Behavior Not Associated with Self-Perception of PrEP Candidacy
The Relationship Between HIV Pre-exposure Prophylaxis Stigma and Treatment Adherence Among Current HIV Pre-exposure Prophylaxis Users in the Southeastern U.S
Adverse Childhood Experiences and HIV-Related Stigma
Activity Space Mapping and Pre-Exposure Prophylaxis Uptake Among Gay, Bisexual, and Other Sexual Minority Men in Small Cities and Towns in the United States
Intimate Partner Violence Perpetration and PrEP Use Among Sexual Minority Men
These Girls Have a Chance to be the Future Generation of HIV Negative”
The Role of PrEP Initiation on Depression Severity, HIV-Related Anxiety, HIV Stigma, and PrEP Stigma Among Sexual Minority Men in Singapore
PrEP Attitudes from MSM and Transwomen in the Largest Suburban HIV Epidemic in the USA
Perceptions and experiences of daily and long-acting pre-exposure prophylaxis (PrEP) among MSM in India
Navigating Safer Sex Choices
Qualitative investigation of factors impacting pre‐exposure prophylaxis initiation and adherence in sexual minority men
Designing Pleasure-Centered, Culturally Relevant PrEP Messaging for Black Gay, Bisexual, Queer, Same-Gender-Loving, and Other Men Who have Sex with Men (SGL/MSM) in New York City
Identifying Implementation Gaps in the HIV Prevention Cascade among Peruvian Men Who Have Sex with Men
Barriers and Enabling Factors for Taking PrEP
Bridging the age gap
How PrEP users constitute a community in the MSM population through their specific experience and management of stigmatization. The example of the French ANRS-PREVENIR study
Prevalence of autistic traits in people living with HIV and users of HIV pre-exposure prophylaxis
Transforming the sexual health landscape through PrEP
Assessing the association of stigma and HIV service and prevention uptake among men who have sex with men and transgender women in South Africa
Generational perspectives on PrEP, prevention, and sexual practices in MSM (ANRS-PREVENIR cohort)
Psychosocial factors associated with the willingness to initiate and continue PrEP during pregnancy among PrEP-naïve persons in South Africa
PrEP Stigma and logistical barriers remain significant challenges in curtailing HIV transmission among Black and Hispanic/Latinx cisgender sexual minority men and transgender women in the US
Development of a home-based pre-exposure prophylaxis care delivery system for long-acting injectable cabotegravir
Reframing HIV prevention
Experienced barriers to adherence to pre-exposure prophylaxis for HIV prevention among MSM
Factors associated with suboptimal retention in HIV pre-exposure prophylaxis care among men who have sex with men
Perceptions of bias in HIV prevention services, happiness with social support, and anticipated PrEP stigma among Black and Latine/x sexual and gender diverse individuals
Provider Perspectives on Multi-level Barriers and Facilitators to PrEP Access Among Latinx Sexual and Gender Minorities
This Is To Help Me Move Forward”
Sexual Modesty in Sexual Expression and Experience
A Profilaxia Pré-Exposição ao HIV (PrEP) entre homens que fazem sexo com homens
HIV Pre-Exposure Prophylaxis (PrEP) among men who have sex with men
Reconciling intimacy and safety
Moral practices shaping HIV disclosure among young gay and bisexual men living with HIV in the context of biomedical advance
More than prevention
Factors Associated with PrEP Stigma Among Gay, Bisexual, and Other Men Who Have Sex with Men (gbMSM)
Pleasure and PrEP
Willingness to Prescribe PrEP to Bisexual Men Depends on Genders of Their Past Partners
PrEP Use Among Black Transgender Women
The Influence of Peers on PrEP Perceptions and Use Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men
Using Prep to #Stophivatl
Why You Putting This Drug in Your Body to Fight off Something that You Don’t Have?” Perceptions About PrEP Use Among Black and Latino Men Who Have Sex with Men in the U.S. South
From hope to risk
The social meanings of PrEP use - A mixed-method study of PrEP use disclosure in Antwerp and Amsterdam
Sensitive Sharing on Social Media
Tonight, These Lights Are Beacons of Hope for an Aids-Free World
Relational Risk
Between risk and pleasure
The fear of being Black plus the fear of being gay
A Thematic Analysis of Pre-Exposure Prophylaxis (PrEP) YouTube Videos
Early Experiences Implementing Pre-exposure Prophylaxis (PrEP) for HIV Prevention in San Francisco
From Efficacy to Effectiveness
The Association of Stigma with Self-Reported Access to Medical Care and Antiretroviral Therapy Adherence in Persons Living with HIV/Aids
Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
Effectiveness and safety of oral HIV preexposure prophylaxis for all populations
Measuring health-related stigma—A literature review
Intimacy Motivations and Pre-exposure Prophylaxis (PrEP) Adoption Intentions Among HIV-Negative Men Who Have Sex with Men (MSM) in Romantic Relationships
Antiretroviral Preexposure Prophylaxis for Heterosexual HIV Transmission in Botswana
Antiretroviral prophylaxis for HIV infection in injecting drug users in Bangkok, Thailand (the Bangkok Tenofovir Study)
Minimal Awareness and Stalled Uptake of Pre-Exposure Prophylaxis (PrEP) Among at Risk, HIV-Negative, Black Men Who Have Sex with Men
Acceptability of PrEP Uptake Among Racially/Ethnically Diverse Young Men Who Have Sex With Men
Limited Awareness and Low Immediate Uptake of Pre-Exposure Prophylaxis among Men Who Have Sex with Men Using an Internet Social Networking Site
Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men
Stigma
Unlimited Intimacy
A meta-analysis of disclosure of one's HIV-positive status, stigma and social support
Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts
Stigma and social barriers to medication adherence with urban youth living with HIV
The Critical Role of Intimacy in the Sexual Risk Behaviors of Gay and Bisexual Men
Demographic Differences in PrEP-Related Stereotypes
The “Safe Sex” Conundrum
Intimacy and Sexual Behavior Among HIV-Positive Men-Who-Have-Sex-With-Men in Primary Relationships
Strategies to Implement Pre-exposure Prophylaxis with Men Who Have Sex with Men in Ukraine
Sex, PrEP, and Stigma
Stigma and Conspiracy Beliefs Related to Pre-exposure Prophylaxis (PrEP) and Interest in Using PrEP Among Black and White Men and Transgender Women Who Have Sex with Men
Slut-shaming, girl power and ‘sexualisation’
Repeating History and Learning From It
How Stigma Surrounding the Use of HIV Preexposure Prophylaxis Undermines Prevention and Pleasure
Critical Delays in HIV Testing and Care
PrEP Whores and HIV Prevention
Conceptualizing Stigma
| Unique citing works | 98 |
|---|---|
| Citations per year | 14 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 91 |