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"Losing the Phobia:" Understanding How HIV Pre-exposure Prophylaxis Facilitates Bridging the Serodivide Among Men Who Have Sex With Men.

作者信息

Koester Kimberly A, Erguera Xavier A, Kang Dufour Mi-Suk, Udoh Ifeoma, Burack Jeffrey H, Grant Robert M, Myers Janet J

机构信息

Division of Prevention Science, Center for AIDS Prevention Research, School of Medicine, University of California, San Francisco, San Francisco, CA, United States.

East Bay AIDS Center, Sutter Health, Oakland, CA, United States.

出版信息

Front Public Health. 2018 Sep 6;6:250. doi: 10.3389/fpubh.2018.00250. eCollection 2018.


DOI:10.3389/fpubh.2018.00250
PMID:30238001
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6135985/
Abstract

The use of HIV serostatus information has played a pivotal role in partner selection norms. A phenomenon known as is the practice of selecting a partner based on a perception that they are of the HIV status in order to avoid transmission from one partner to the other. An understudied aspect of serosorting is that it has a divisive effect-one accepts or rejects a potential partner based on a singular characteristic, the partner's HIV status, and thus excludes all others. This division has been formally referred to as the HIV . In this study, we explored partner selection strategies among a group of HIV-negative, young men who have sex with men ( = 29) enrolled in a PrEP demonstration project in Northern California. We found that trends in serosorting were in fact shifting, and that a new and opposite phenomenon was emerging, something we labeled "seromixing" and that PrEP use played a part in why norms were changing. We present three orientations in this regard: (1) : in which men justified the continued vigilance and exclusion of people living with HIV as viable sex or romantic partners, (2) : among men who were reflecting on their stance on serosorting and its implications for future sexual and/or romantic partnerships, and (3) a: among men letting go of serosorting practices and reducing sentiments of HIV-related stigma. The majority of participants spoke of changing or changed attitudes about intentionally accepting rather than rejecting a person living with HIV as a sex partner. For those who maintained strict serosorting practices, their understandings of HIV risk were not erased as a result of PrEP use. These overarching themes help explain how PrEP use is contributing to a closing of the HIV serodivide.

摘要

相似文献

[1]
"Losing the Phobia:" Understanding How HIV Pre-exposure Prophylaxis Facilitates Bridging the Serodivide Among Men Who Have Sex With Men.

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[2]
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[6]
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[4]
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[6]
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[7]
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[8]
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[9]
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本文引用的文献

[1]
Community-level changes in condom use and uptake of HIV pre-exposure prophylaxis by gay and bisexual men in Melbourne and Sydney, Australia: results of repeated behavioural surveillance in 2013-17.

Lancet HIV. 2018-6-6

[2]
Preferences for HIV test characteristics among young, Black Men Who Have Sex With Men (MSM) and transgender women: Implications for consistent HIV testing.

PLoS One. 2018-2-20

[3]
Acquisition of wild-type HIV-1 infection in a patient on pre-exposure prophylaxis with high intracellular concentrations of tenofovir diphosphate: a case report.

Lancet HIV. 2017-9-14

[4]
Risk, safety and sex among male PrEP users: time for a new understanding.

Cult Health Sex. 2017-12

[5]
Uptake of HIV Pre-Exposure Prophylaxis (PrEP) in a National Cohort of Gay and Bisexual Men in the United States.

J Acquir Immune Defic Syndr. 2017-3-1

[6]
"Knowing Your Status and Knowing Your Partner's Status Is Really Where It Starts": A Qualitative Exploration of the Process by Which a Sexual Partner's HIV Status Can Influence Sexual Decision Making.

J Sex Res. 2017

[7]
The need to know: HIV status disclosure expectations and practices among non-HIV-positive gay and bisexual men in Australia.

AIDS Care. 2015

[8]
Dramatic increase in preexposure prophylaxis use among MSM in Washington state.

AIDS. 2016-1-28

[9]
Correlates of Seroadaptation Strategies Among Black Men Who have Sex with Men (MSM) in 4 US Cities.

AIDS Behav. 2015-12

[10]
'The world has changed': pharmaceutical citizenship and the reimagining of serodiscordant sexuality among couples with mixed HIV status in Australia.

Sociol Health Illn. 2016-3

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