What does PrEP mean for 'safe sex' norms? A qualitative study.

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,...

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Autores principales:	Bridget Haire, Dean Murphy, Lisa Maher, Iryna Zablotska-Manos, Stephanie Vaccher, John Kaldor
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ee329d8873df49d3bc9aef7fee35ca02
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spelling	oai:doaj.org-article:ee329d8873df49d3bc9aef7fee35ca022021-12-02T20:15:09ZWhat does PrEP mean for 'safe sex' norms? A qualitative study.1932-620310.1371/journal.pone.0255731https://doaj.org/article/ee329d8873df49d3bc9aef7fee35ca022021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255731https://doaj.org/toc/1932-6203While 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.Bridget HaireDean MurphyLisa MaherIryna Zablotska-ManosStephanie VaccherJohn KaldorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255731 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bridget Haire Dean Murphy Lisa Maher Iryna Zablotska-Manos Stephanie Vaccher John Kaldor What does PrEP mean for 'safe sex' norms? A qualitative study.
description	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.
format	article
author	Bridget Haire Dean Murphy Lisa Maher Iryna Zablotska-Manos Stephanie Vaccher John Kaldor
author_facet	Bridget Haire Dean Murphy Lisa Maher Iryna Zablotska-Manos Stephanie Vaccher John Kaldor
author_sort	Bridget Haire
title	What does PrEP mean for 'safe sex' norms? A qualitative study.
title_short	What does PrEP mean for 'safe sex' norms? A qualitative study.
title_full	What does PrEP mean for 'safe sex' norms? A qualitative study.
title_fullStr	What does PrEP mean for 'safe sex' norms? A qualitative study.
title_full_unstemmed	What does PrEP mean for 'safe sex' norms? A qualitative study.
title_sort	what does prep mean for 'safe sex' norms? a qualitative study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ee329d8873df49d3bc9aef7fee35ca02
work_keys_str_mv	AT bridgethaire whatdoesprepmeanforsafesexnormsaqualitativestudy AT deanmurphy whatdoesprepmeanforsafesexnormsaqualitativestudy AT lisamaher whatdoesprepmeanforsafesexnormsaqualitativestudy AT irynazablotskamanos whatdoesprepmeanforsafesexnormsaqualitativestudy AT stephanievaccher whatdoesprepmeanforsafesexnormsaqualitativestudy AT johnkaldor whatdoesprepmeanforsafesexnormsaqualitativestudy
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What does PrEP mean for 'safe sex' norms? A qualitative study.

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