Can a pill preventHIV? Negotiating the biomedicalisation ofHIVprevention

Datos Bibliográficos

ID2249074
AutoresIsabel Young (0000-0002-1242-5992, MRC/CSO Social and Public Health Sciences Unit), Ingrid Young (MRC/CSO Social and Public Health Sciences Unit University of Glasgow UK), Paul Flowers (0000-0001-6239-5616, School of Health and Life Sciences Glasgow Caledonian University UK), Lisa Mcdaid (0000-0002-7711-8723, MRC/CSO Social and Public Health Sciences Unit University of Glasgow UK)
Año2016
Volumen38
Número3
Páginas411-425
Fecha de publicación2016-03-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12372
PMID26498141
OpenAlexW2109246724
IdiomaEN
Citas recibidas44
Referencias citadas35

This article examines how biomedicalisation is encountered, responded to and negotiated within and in relation to new biomedical forms ofHIVprevention. We draw on exploratory focus group discussions on pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) to examine how the processes of biomedicalisation are affected by and affect the diverse experiences of communities who have been epidemiologically framed as 'vulnerable' toHIVand towards whom PrEPand TasP will most likely be targeted. We found that participants were largely critical of the perceived commodification ofHIVprevention as seen through PrEP, although this was in tension with the construction of being medical consumers by potential PrEPcandidates. We also found how deeply entrenched forms ofHIVstigma and homophobia can shape and obfuscate the consumption and management ofHIV-related knowledge. Finally, we found that rather than seeing TasP or PrEPas 'liberating' through reduced levels of infectiousness or risk of transmission, social and legal requirements of responsibility in relation toHIVrisk reinforced unequal forms of biomedical self-governance. Overall, we found that the stratifying processes of biomedicalisation will have significant implications in how TasP, PrEPandHIVprevention more generally are negotiated

Antiretroviral therapy · Commodification · Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Negotiation · Political science · Pre-exposure prophylaxis · Psychiatry · Stigma (botany · Treatment as prevention · Viral load · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Psychology · Sex work and related issues · Social Psychology