Gay and Bisexual Men’s Perceptions of Pre-exposure Prophylaxis (PrEP) in a Context of High Accessibility: An Australian Qualitative Study

Philpot, Steven; Prestage, Garrett; Holt, Martin; Haire, Bridget; Maher, Lisa; Hammoud, Mohamed; Bourne, Adam

doi:10.1007/s10461-020-02796-3

Cited by 25 publications

(21 citation statements)

References 41 publications

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“…Initially, PrEP users were stigmatized as reflected by the use of such terms as "Truvada whores" (Calabrese & Underhill, 2015). However, a recent study in Australia, where PrEP is widely available, found that positive views of PrEP were twice as common as negative views of PrEP (Philpot et al, 2020). Researchers have advocated a focus on the empowerment regarding sexual health and how PrEP fits in the complete array of HIV and sexually transmitted infection (STI) prevention strategies (Rojas .…”

Section: Discussionmentioning

confidence: 99%

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Dijk

Wit

Guadamuz

et al. 2021

The Journal of Sex Research

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Next to its benefits for HIV prevention, PrEP may have psychosocial benefits relating to improved quality of sex life. The aim of the current study was to investigate the onset of changes in the quality of sex life and sexual pleasure of PrEP users in the first months of commencing PrEP use. Moreover, we investigated what factors were related to the quality of sex life of PrEP users. We recruited 145 participants via the Dutch PrEP-advocacy website PrEPnu.nl, and they received follow-up questionnaires after three and six months. We found that PrEP users reported an increase in the quality of their sex life, which was related to reduced fear of HIV since they started using PrEP but not to decreased condom use. PrEP users were more interested in experimenting with sex practices, but they did not always feel more desirable as a sex partner because of PrEP use. Health-care providers and health promotion campaigns could emphasize the positive effects of PrEP on the quality of sex life, in addition to the HIV-preventive effects of PrEP, to decrease PrEP stigma and increase PrEP uptake.

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Section: Discussionmentioning

confidence: 99%

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Dijk

Wit

Guadamuz

et al. 2021

The Journal of Sex Research

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“…To date there has been considerable qualitative research on the willingness of GBMSM to use PrEP, its acceptability [ 21 – 26 ], and community perceptions of its value in HIV prevention [ 27 ]. Research in Canada and the U.S. has also explored the impact of PrEP with respect to sexual health, communication and behaviour and social and community issues among gay and bisexual men [ 19 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

What does PrEP mean for ‘safe sex’ norms? A qualitative study

et al. 2021

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While HIV pre-exposure prophylaxis (PrEP) is highly effective, it has arguably disrupted norms of ‘safe sex’ that for many years were synonymous with condom use. This qualitative study explored the culture of PrEP adoption and evolving concepts of ‘safe sex’ in Sydney, Australia, during a period of rapidly escalating access from 2015–2018, drawing on interviews with sexually active gay men (n = 31) and interviews and focus groups with key stakeholders (n = 10). Data were analysed thematically. Our results explored the decreasing centrality of condoms in risk reduction and new patterns of sexual negotiation. With regards to stigma, we found that there was arguably more stigma related to not taking PrEP than to taking PrEP in this sample. We also found that participants remained highly engaged with promoting the wellbeing of their communities through activities as seemingly disparate as regular STI testing, promotion of PrEP in their social circles, and contribution to research. This study has important implications for health promotion. It demonstrates how constructing PrEP as a rigid new standard to which gay men ‘should’ adhere can alienate some men and potentially create community divisions. Instead, we recommend promoting choice from a range of HIV prevention options that have both high efficacy and high acceptability.

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“…Participants noted that the reduced fear for HIV felt liberating and improved their sex life. The sexual liberation related to PrEP use has been found before [50,65], and indicates that PrEP users feel more in control of their sex life [66].…”

Section: Sexual Behavior and Well-beingmentioning

confidence: 97%

Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

et al. 2020

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The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.

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Gay and Bisexual Men’s Perceptions of Pre-exposure Prophylaxis (PrEP) in a Context of High Accessibility: An Australian Qualitative Study

Cited by 25 publications

References 41 publications

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

What does PrEP mean for ‘safe sex’ norms? A qualitative study

Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

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