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Protocol for a systematic search and critical discourse analysis of research on national HIV pre-exposure prophylaxis programmes among gay, bisexual, and other men who have sex with men.

作者信息

Comer David, Noone Chris

机构信息

School of Psychology, University of Galway, Galway, H91 EV56, Ireland.

出版信息

HRB Open Res. 2024 Oct 25;7:12. doi: 10.12688/hrbopenres.13841.2. eCollection 2024.


DOI:10.12688/hrbopenres.13841.2
PMID:39497755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532903/
Abstract

BACKGROUND: HIV pre-exposure prophylaxis (PrEP) is a medication that prevents the acquisition of HIV, most commonly taken in the form of a pill. PrEP is an efficacious tool for HIV prevention, including among gay, bisexual, and other men who have sex with men (gbMSM). PrEP is often provided through formal PrEP programmes. Research on these programmes may employ discourses shaped by heteronormativity and homophobia. Given that expert language influences how HIV prevention is understood and delivered, problematic discourses in research likely extend into PrEP implementation. This study will use critical discourse analysis (CDA) to explore research on PrEP programme implementation for gbMSM. Within this literature, we will identify interpretive repertoires used to discuss gbMSM; the subject positions afforded to gbMSM; and the implications of these interpretive repertoires and subject positions for gbMSM engaging with HIV PrEP programmes. METHODS: Systematic search methods identified relevant articles through timebound searching (2012-2023) in ProQuest ASSIA, EBSCOhost PsycInfo, OVID Medline, OVID Embase, and EBSCOhost CINAHL, with forward and backward citation searching of included studies. Grey literature will be identified through ProQuest and Google Scholar. Screening will be conducted by two independent reviewers, who will conduct random partial double screening for titles and abstracts and for all full text articles. Data will be analysed and synthesised using CDA informed by critical realism (CR). CDA focuses on relationships between language and power, including how language enables inequality. The analytic process will explore the background of included studies, identify themes, and analyse external and internal relations in included studies. CONCLUSIONS: Highlighting issues with discourses in PrEP implementation may enhance reflective engagement with assumptions underlying this research, preventing further stigmatisation of gbMSM's sexual and protective practices. As PrEP programmes become more common, diverse and inclusive perspectives in PrEP programme research may inform interventions that enhance their acceptability and implementation.

摘要

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本文引用的文献

[1]
Prep-Tok: a queer critical discourse analysis of TikToks regarding HIV-related pre-exposure prophylaxis.

Cult Health Sex. 2024-4

[2]
Effectiveness of interventions aimed at reducing HIV acquisition and transmission among gay and bisexual men who have sex with men (GBMSM) in high income settings: A systematic review.

PLoS One. 2022

[3]
Constructing a 'target population': A critical analysis of public health discourse on substance use among gay and bisexual men, 2000-2020.

Int J Drug Policy. 2022-10

[4]
Financing and Delivering Pre-Exposure Prophylaxis (PrEP) to End the HIV Epidemic.

J Law Med Ethics. 2022

[5]
Individual and structural-level Correlates of Pre-exposure Prophylaxis (PrEP) lifetime and current use in a nationwide sample of young sexual and gender minorities.

AIDS Behav. 2022-10

[6]
Discontinuation, suboptimal adherence, and reinitiation of oral HIV pre-exposure prophylaxis: a global systematic review and meta-analysis.

Lancet HIV. 2022-4

[7]
'Why aren't you on PrEP? You're a gay man': reification of HIV 'risk' influences perception and behaviour of young sexual minority men and medical providers.

Cult Health Sex. 2023-1

[8]
Applying critical discursive psychology to health psychology research: a practical guide.

Health Psychol Behav Med. 2020-7-23

[9]
The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021-3-29

[10]
Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming.

AIDS Behav. 2020-11

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