Puppo C, Spire B, Morel S, Génin M, Béniguel L, Costagliola D, Ghosn J, Mabire X, Molina J M, Rojas Castro D, Préau M
GRePS, Lyon 2 University, Lyon, France.
Aix Marseille Univ, INSERM, IRD, SESSTIM, Marseille, France.
AIDS Care. 2020 May;32(sup2):32-39. doi: 10.1080/09540121.2020.1742863. Epub 2020 Mar 16.
The ANRS-PREVENIR (2017-2020) prospective cohort study aims to reduce the number of new HIV infections in the "Ile-de-France" region in France, by enrolling individuals at high risk of HIV infection and proposing daily and on-demand pre-exposure prophylaxis (PrEP). The qualitative component of the ANRS-PREVENIR study aimed to investigate social and relational evolutions associated with PrEP use in men who have sex with men (MSM). In 2018, 12 focus groups with MSM ( = 68) were conducted by a social sciences researcher in Paris. A thematic analysis was performed. Results showed that stigma concerning PrEP use is a complex issue, with various kinds of stigmatization being practiced, sometimes even by the wider MSM population and PrEP users themselves. All types of stigma identified were expressed in forms of verbal abuse which made PrEP use taboo. Inside the wider MSM population a PrEP-user "community" was identified which shared a certain complicity in terms of values and a positive attitude towards PrEP. The emergence of new intragroup and intergroup social norms should be taken into account by policy makers to promote a more positive image of PrEP users.
法国国家艾滋病研究机构（ANRS）的“预防未来”（2017 - 2020年）前瞻性队列研究旨在通过招募感染艾滋病毒风险高的个体并提供每日及按需暴露前预防（PrEP），来减少法国“法兰西岛”地区新的艾滋病毒感染病例数量。ANRS“预防未来”研究的定性部分旨在调查男男性行为者（MSM）中与使用PrEP相关的社会和关系演变。2018年，一位社会科学研究人员在巴黎对12个由男男性行为者组成的焦点小组（共68人）进行了调查，并进行了主题分析。结果表明，关于使用PrEP的污名化是一个复杂的问题，存在各种形式的污名化行为，有时甚至来自更广泛的男男性行为者群体以及PrEP使用者自身。所识别出的所有污名化类型都以言语辱骂的形式表现出来，这使得使用PrEP成为禁忌。在更广泛的男男性行为者群体中，识别出了一个PrEP使用者“社区”，他们在价值观方面有一定的默契，并且对PrEP持积极态度。政策制定者应考虑新的群体内和群体间社会规范的出现，以促进PrEP使用者形成更积极的形象。
