Active-offer PrEP for HIV prevention: control, discipline, and public health nursing practice

O’Byrne, Patrick; Orser, Lauren; Haines, Marlene; Holmes, Dave

doi:10.1080/09581596.2019.1690633

Cited by 3 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While it is generally understood that the HIRI is an imperfect metric that needs to be coupled with counselling, its consistent use as the baseline tool in Canada demonstrates an implicit preference towards recommending PrEP to sexually active GBM than not. O’Byrne et al ( 2019 ) argue that it is not a neutral act for a medical professional to suggest PrEP to a client, as this can be considered to be a form of social regulation and disciplinary power. Instruments like the HIRI and a general enthusiasm for recommending PrEP (whether or not it is actually warranted for an individual GBM) has made it so that the decision to not go on PrEP is now an active choice.…”

Section: Clinical and Epidemiological Consequencesmentioning

confidence: 99%

Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation

2021

View full text Add to dashboard Cite

Ambivalence, the vacillation between conflicting feelings and thoughts, is a key characteristic of scientific knowledge production and emergent biomedical technology. Drawing from sociological theory on ambivalence, we have examined three areas of debate surrounding the early implementation of HIV pre-exposure prophylaxis, or PrEP, for gay, bisexual, queer, and other men who have sex with men in Canada, including epistemology and praxis, clinical and epidemiological implications, and sexual politics. These debates are not focused on the science or efficacy of PrEP to prevent HIV, but rather represent contradictory feelings and opinions about the biopolitics of PrEP and health inequities. Emphasizing how scientists and health practitioners may feel conflicted about the biopolitics of novel biomedical technologies opens up opportunities to consider how a scientific field is or is not adequately advancing issues of equity. Scientists ignoring their ambivalence over the state of their research field may be deemed necessary to achieve a specific implementation goal, but this emotion management work can lead to alienation. We argue that recognizing the emotional dimensions of doing HIV research is not a distraction from “real” science, but can instead be a reflexive site to develop pertinent lines of inquiry better suited at addressing health inequities.

show abstract

Section: Clinical and Epidemiological Consequencesmentioning

confidence: 99%

Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation

2021

View full text Add to dashboard Cite

show abstract

How Black and Latino young men who have sex with men in the United States experience and engage with eligibility criteria and recruitment practices: implications for the sustainability of community-based research

Philbin

Guţă

Wurtz

et al. 2021

Critical Public Health

View full text Add to dashboard Cite

Recovering political knowledge in public health: learning from sexual and reproductive health work

Keogh

2023

Critical Public Health

View full text Add to dashboard Cite

Like many areas of public health, sexual and reproductive health is concerned with politically contentious matters such as abortion and LGBT+ rights. Global setbacks at the hands of the far right highlight the extent to which the rights and practices underpinning sexual and reproductive health are politically mediated. Yet the political is often occluded in mainstream sexual and reproductive health responses. In this paper, I consider the recent travails of sexual and reproductive health in order to critique technocratic knowledge forms that dominate both sexual and reproductive health and public health responses. Exploring sexual and reproductive health responses across time and space, I identify alternative knowledge forms and approaches relevant to public health.

show abstract

Active-offer PrEP for HIV prevention: control, discipline, and public health nursing practice

Cited by 3 publications

References 28 publications

Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation

Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation

How Black and Latino young men who have sex with men in the United States experience and engage with eligibility criteria and recruitment practices: implications for the sustainability of community-based research

Recovering political knowledge in public health: learning from sexual and reproductive health work

Contact Info

Product

Resources

About