Risk, safety and sex among male PrEP users: time for a new understanding.

作者: Vanessa McMahan , Sybil Hosek , Albert Liu , Robert Grant , Kenneth Mayer

DOI: 10.1080/13691058.2017.1310927

关键词:

摘要: AbstractRecent advances in biomedical HIV prevention have led to optimistic projections of a dramatic worldwide reduction new infections by 2030. This optimism is counterbalanced concerns that the protective benefits one such technology, pre-exposure prophylaxis (PrEP), may be negated increases other behaviours offset these (risk compensation). To contribute deeper understanding concepts safety and risk context PrEP, we draw on narrative accounts 61 male PrEP users who participated inaugural demonstration project: iPrEx open-label extension study. We conducted in-depth interviews with purposeful sample participants. Overall, participants did not report significant changes their sexual practices once they had begun taking PrEP. Rather, reported experiencing sense relief or reprieve from HIV-related stress. unburdening fear necessarily lead condomless sex. Instead, men expresse...

参考文章(33)
Sheena McCormack, David T Dunn, Monica Desai, David I Dolling, Mitzy Gafos, Richard Gilson, Ann K Sullivan, Amanda Clarke, Iain Reeves, Gabriel Schembri, Nicola Mackie, Christine Bowman, Charles J Lacey, Vanessa Apea, Michael Brady, Julie Fox, Stephen Taylor, Simone Antonucci, Saye H Khoo, James Rooney, Anthony Nardone, Martin Fisher, Alan McOwan, Andrew N Phillips, Anne M Johnson, Brian Gazzard, Owen N Gill, Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial The Lancet. ,vol. 387, pp. 53- 60 ,(2016) , 10.1016/S0140-6736(15)00056-2
Judith D Auerbach, Trevor A Hoppe, Beyond “getting drugs into bodies”: social science perspectives on pre‐exposure prophylaxis for HIV Journal of the International AIDS Society. ,vol. 18, pp. 19983- 19983 ,(2015) , 10.7448/IAS.18.4.19983
Sarit A Golub, William Kowalczyk, Corina L Weinberger, Jeffrey T Parsons, Preexposure prophylaxis and predicted condom use among high-risk men who have sex with men. Journal of Acquired Immune Deficiency Syndromes. ,vol. 54, pp. 548- 555 ,(2010) , 10.1097/QAI.0B013E3181E19A54
Christian Grov, Thomas H. F. Whitfield, H. Jonathon Rendina, Ana Ventuneac, Jeffrey T. Parsons, Willingness to Take PrEP and Potential for Risk Compensation Among Highly Sexually Active Gay and Bisexual Men Aids and Behavior. ,vol. 19, pp. 2234- 2244 ,(2015) , 10.1007/S10461-015-1030-1
Hailey J. Gilmore, Albert Liu, Kimberly Ann Koester, K. Rivet Amico, Vanessa McMahan, Pedro Goicochea, Lorena Vargas, David Lubensky, Susan Buchbinder, Robert Grant, Participant Experiences and Facilitators and Barriers to Pill Use Among Men Who Have Sex with Men in the iPrEx Pre-Exposure Prophylaxis Trial in San Francisco Aids Patient Care and Stds. ,vol. 27, pp. 560- 566 ,(2013) , 10.1089/APC.2013.0116
Jill K. Welch, Michael Quinn Patton, Qualitative evaluation and research methods The Modern Language Journal. ,vol. 76, pp. 543- ,(1992) , 10.2307/330063