<i>#PrEP4Love</i>: success and stigma following release of the first sex-positive PrEP public health campaign

Keene, Lance; Dehlin, Jessica M; Pickett, Jim; Berringer, Kathryn R.; Little, Iman; Tsang, Ashley T.; Bouris, Alida; Schneider, John A.

doi:10.1080/13691058.2020.1715482

Cited by 48 publications

(26 citation statements)

References 60 publications

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“…To increase PrEP uptake and continuous use, health promotion campaigns should include the positive effects of PrEP, such as the improved quality about sex life and reduced anxiety for HIV. For example, a PrEP campaign in Chicago that underlined sexual pleasure was found to increase PrEP awareness and engagement (Dehlin et al, 2019;Keene et al, 2020). While promoting PrEP, it is important to take into account that factors that may improve sexual pleasure (such as less frequent condom use and increased chemsex) are also associated with increased incidence of STIs (Bourne et al, 2015;Quinn et al, 2019).…”

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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“…Given that Black and Latino youth in the U.S. are disproportionately affected by HIV and in need of culturally and developmentally tailored HIV prevention, consideration should be given to the role that culture plays in information dissemination and retention. Recent studies suggest that national and local efforts that incorporate key cultural characteristics such as language and context are particularly effective with young people, and potentially effective in reducing high risk sexual behaviors and increasing HIV testing [ 52 , 53 , 54 ]. Additionally, beyond basic health literacy, strengthening individuals interactive health literacy may reduce disparities, promote greater health equity and help to achieve EHE by strengthening individuals’ ability to discuss safer sex negotiation with their peers and sexual partners as well as strengthen their interactions with healthcare providers [ 55 , 56 ].…”

Section: Discussionmentioning

confidence: 99%

Ending the Epidemic: Assessing Sexual Health Communication, Personal Agency, and HIV Stigma among Black and Latino Youth in the U.S

Keene

Boyd

2021

IJERPH

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Sexual health communication warrants greater attention as it may help to reduce the rates of HIV incidence among youth. A growing body of literature suggests that conversations about sexual health among Black and Latino youth may serve as a potential strategy for HIV prevention. The current study investigates whether sexual health communication—in particular, conversations about sexual health and HIV—influences Black and Latino youth’s personal agency regarding their role in achieving an HIV-free generation. For this secondary data analysis, we used the National Survey of Teens and Young Adults on attitudes towards HIV/AIDS (n = 701). Participants included youth between the ages 15 and 24, and the average was 20 years. We used a multiple regression analysis to examine whether sexual health communication contributed to youth knowledge and awareness of (1) the national plan for EHE, and (2) their role in ending the epidemic”. (1) knowledge and awareness of the national plan for EHE, and (2) role in ending the epidemic. The final multiple regression model was statistically significant [R2 = 0.16 F (12, 701) = 001, p < 0.001] for both outcomes. Study results found that sexual health communication was positively related to Black and Latino youth’s awareness of efforts to end the HIV epidemic (EHE) and their belief that they could play a role in achieving EHE. In addition, HIV stigma influenced personal agency and whether youth were aware of efforts to achieve EHE. Our results demonstrated that openly communicating about sexual health and HIV may contribute to a sense of personal agency among Black and Latino youth. In addition, understanding whether sexual health communication contributes to a sense of personal agency among youth may inform HIV prevention efforts to achieve the goals set forth by the national EHE plan for the U.S.

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“…Holmes et al (2021) examined the positive outcomes of sexting and the role it plays in intimate relationships in a group of young adults under a sex-positive framework. Some other valuable examples are studies conducted on the efficacy of campaigns such as "PrEP4Love" (Keene et al, 2020) and "#metoo" (Ison, 2019).…”

Section: Researchmentioning

confidence: 99%

“…Sex-positive approaches in sex education through media communication for adolescents and young adults have become increasingly popular (Harden, 2014). Some studies have highlighted the positive and negative reactions of this kind of action (Brickman & Willoughby, 2017;Hirshfield et al, 2019;Hovick & Silver, 2019;Keene et al, 2020;Raymond & Hutchinson, 2019). Hirshfield et al (2019) reported the risk reduction results of a video-based web intervention on Men who have Sex with Men (MSM) within a sex-positive framework, while Hovick and Silver (2019) showed how students paid attention and reacted positively to consent poster campaigns on a university campus using a sex-positive approach.…”

Section: Sex Educationmentioning

confidence: 99%

“…However, it should be considered that sex-positive campaigns are not always welcomed in every context. Keene et al (2020) discussed the critiques and the negative responses to the aforementioned "PrEP4Love" campaign, a sex-positive inclusive project launched online and in public spaces. Advertisements prominently featured black sexual minority men and transgender women who were strategically placed in diverse neighbourhoods to generate a wider and differentiated reaction from the population.…”

Section: Sex Educationmentioning

confidence: 99%

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The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

Nimbi

Galizia

Rossi³

et al. 2021

Sex Res Soc Policy

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Introduction The Biopsychosocial model (BPS) represents a comprehensive paradigm of consolidated practices. Although it has been outlined as the gold standard in sexology, its implementation is often challenging. The sex-positive approach is a ground-breaking movement that is gaining popularity all over and is focused on the recognition of different sexual expressions as valid, consensual, healthy, and meaningful. However, a pragmatic implementation of this approach is still missing. Methods A critical review was conducted based on bibliographic research on Medline, PubMed, EBSCO, Cochrane Library, Scopus and Web of Science on relevant articles published from January 2011 to July 2021. Results A total of 116 papers were included in the following review, indicating an increasing body of research about BPS and sex-positive frameworks during the last 10 years. One of the main limitations in the BPS is the scarce attention paid to socio-cultural factors involved in sexual expressions, such as the role of negative attitudes towards sexuality that may affect health care professionals’ work. An application of the sex-positive approach to the BPS model may bring greater attention to the needs, values and desires of the individual, as well as allow a new knowledge and understanding of sexuality within a broader spectrum, including diversities and pleasures. Conclusions The sex-positive approach represents a viable path that entails the willingness of health care professionals to get involved actively; criticize their personal attitudes, beliefs, and knowledge about sex and work hard to improve their practice in sexology. Policy Implications A discussion of the possible fruitful integration between the BPS and the sex-positive approach is presented, highlighting practical applications in research, clinical practice, training and sex education and giving possible directions for future studies and policies.

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#PrEP4Love: success and stigma following release of the first sex-positive PrEP public health campaign

Cited by 48 publications

References 60 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

Ending the Epidemic: Assessing Sexual Health Communication, Personal Agency, and HIV Stigma among Black and Latino Youth in the U.S

The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

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