Department of Family Medicine, University of California, Los Angeles, USA.
Center for HIV Identification, Prevention, and Treatment Services (CHIPTS), University of California, Los Angeles, USA.
AIDS Behav. 2019 Jul;23(7):1964-1973. doi: 10.1007/s10461-019-02397-9.
Latino men who have sex with men (MSM) are a group critically affected by HIV. Pre-exposure Prophylaxis (PrEP) is a biomedical prevention strategy that can help reduce new infections in this population. However, PrEP use may expose users to experiences of PrEP-related stigma. In-depth interviews conducted with Latino MSM PrEP users (N = 29) were analyzed using thematic analysis to explore experiences of PrEP stigma. Six themes emerged related to anticipated and enacted PrEP stigma: (1) Perception that PrEP users engage in risky sexual behaviors; (2) PrEP-induced conflict in relationships; (3) Perception that PrEP users are HIV-positive; (4) Generational differences in attitudes toward HIV prevention; (5) Experiences of discomfort, judgment, or homophobia from medical providers; and (6) Gay stigma related to PrEP disclosure to family. Manifestations of stigma included disapproving judgment, negative labeling, rejection, and devaluing individuals. The social consequences associated with using PrEP may deter uptake and persistence among Latino MSM.
男男性行为者（MSM）中的拉丁裔人群受到 HIV 的严重影响。暴露前预防（PrEP）是一种可以帮助减少该人群新感染的生物医学预防策略。然而，PrEP 的使用可能会让使用者经历与 PrEP 相关的污名化。本研究对 29 名拉丁裔 MSM PrEP 用户进行了深入访谈，并使用主题分析对 PrEP 污名化的经验进行了分析。研究结果共出现了六个与预期和实施 PrEP 污名化相关的主题：（1）认为 PrEP 用户会进行高风险性行为；（2）PrEP 引起的人际关系冲突；（3）认为 PrEP 用户是 HIV 阳性；（4）对 HIV 预防的态度存在代际差异；（5）使用者从医疗服务提供者那里经历不适、评判或恐同；（6）与 PrEP 披露给家人相关的同性恋污名。污名化的表现包括不赞成的评判、负面标签、拒绝和贬低个人。与使用 PrEP 相关的社会后果可能会阻碍拉丁裔 MSM 对 PrEP 的接受和坚持。
