PrEP and sexual well-being
A qualitative study on PrEP, sexuality of MSM, and patient-provider relationships
Bibliographic Data
| ID | 19443868 |
|---|---|
| Authors | Sinthuja Devarajan (Emory University, corresponding author), Jessica M Sales (0000-0002-1571-8192, Emory University), Machel Hunt (Hope Clinic of the Emory Vaccine Center, Emory School of Medicine, Decatur, GA, USA), Dawn L Comeau (0000-0003-2877-9151, Emory University) |
| Year | 2020 |
| Volume | 32 |
| Issue | 3 |
| Pages | 386-393 |
| Publication date | 2020-03-03 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2019.1695734 |
| PMID | 31760759 |
| OpenAlex | W2990498471 |
| Language | EN |
| Citations received | 18 |
| References cited | 30 |
Most new diagnoses of HIV in the United States are among men who have sex with men (MSM). Pre-exposure prophylaxis (PrEP) is a medication that mitigates risk of HIV acquisition and requires regular STI testing and prescription refills with PrEP providers. Because PrEP care monitors sexual behavior, there is a need to understand how PrEP providers approach sexual health care for MSM patients. In this study, semi-structured qualitative interviews were conducted with 20 MSM in Atlanta, Georgia with current or past prescriptions for PrEP. Data were analyzed with thematic analysis using four major steps: (1) code and codebook development, (2) assigning codes to segments of interviews, (3) code-based and comparative analysis methods, and (4) developing thematic findings. Findings from interviews about changes in sexuality while using PrEP include decreased anxiety surrounding sex, increased feelings of control over personal health, and experiencing less stigma towards sexual partners with HIV. Participants indicated needs for tailored health advice based on individual sexual preferences, sexual health care free from stereotypical assumptions, and improved access to PrEP providers identifying as gay men or who practice in LGBT-friendly settings. Study findings support a call for a gain-frame approach to sexual health in PrEP care for MSM
Family medicine · Feeling · Health care · Homosexuality · Human sexuality · Medical prescription · Men who have sex with men · Population · Pre-exposure prophylaxis · Qualitative research · Reproductive health · Sexual orientation · Sociology · Syphilis · Thematic analysis · Clinical Psychology · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology · Sex work and related issues · Social Psychology
Determinants of knowledge and positive perception of HIV pre-exposure prophylaxis
Need for informed providers
Self-Reported Sexual Behavioral Similarities and Differences Among Young Men Who Have Sex With Men With Childhood Sexual Abuse Histories
Development of evidence-based tools using human-centered design to promote PrEP uptake for young men who have sex with men of color
Sex Positivity, Resilience, Social Support, and PrEP and HIV Stigmas
Pre-Exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex With Men in Ottawa
Black and Latine sexual minoritised individuals’ experiences accessing HIV prevention services in US medical settings
HIV pre-exposure prophylaxis use with casual partners among men who have sex with men in Switzerland
Transforming the sexual health landscape through PrEP
“Let’s take that [stop sign] down.” Provider perspectives on barriers to and opportunities for PrEP prescription to African American girls and young women in Alabama
Reconciling intimacy and safety
Recommendations from Black gay and bisexual men for developing a public health campaign to promote awareness of long-acting injectable PrEP within their community
Pre-exposure prophylaxis (PrEP) uptake and adherence experiences of gay and bisexual men who engage in chemsex
Factors Associated with PrEP Stigma Among Gay, Bisexual, and Other Men Who Have Sex with Men (gbMSM)
Pleasure and PrEP
How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention
Barriers and Facilitators to Accessing PrEP and Other Sexual Health Services Among Immigrant Latino Men Who Have Sex with Men in Los Angeles County
Let’s Be a Person to Person and Have a Genuine Conversation”
Early Experiences Implementing Pre-exposure Prophylaxis (PrEP) for HIV Prevention in San Francisco
Sexual Stigma
The Relationship of Stigma to the Sexual Risk Behavior of Rural Men Who Have Sex with Men
Ending the HIV Epidemic
Men Who Have Sex With Men
What can “thematic analysis” offer health and wellbeing researchers?
The Impact of HIV Pre-exposure Prophylaxis (PrEP) Use on the Sexual Health of Men Who Have Sex with Men
Suboptimal awareness and comprehension of published preexposure prophylaxis efficacy results among physicians in Massachusetts
Demographic Differences in PrEP-Related Stereotypes
HIV Providers’ Perceived Barriers and Facilitators to Implementing Pre-exposure Prophylaxis in Care Settings
Willingness to Take PrEP and Potential for Risk Compensation Among Highly Sexually Active Gay and Bisexual Men
Tensions Between the Epidemiology and Psychology of HIV Risk
| Citations per year | 3 |
|---|---|
| Citation span | 2020 - 2026 (7) |
| Highly cited | No |