Biomedical HIV Prevention among Gay Male Couples: A Qualitative Study of Motivations and Concerns.

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ID: 68868
2019
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Abstract
Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are highly efficacious biomedical prevention strategies, which significantly reduce the risk of HIV transmission. Yet, partnered sexual minority men (SMM) continue to exhibit poorer uptake rates especially those in a non-monogamous or serodiscordant relationship for whom PrEP is recommended. The purpose of the study was to identify factors that may facilitate or impede the uptake of PrEP or PEP among partnered SMM. This qualitative study conducted semi-structured interviews with 10 sexual minority male couples recruited from the New York City metropolitan area. Thematic analysis identified relationship-specific and structural-level factors, which influence motivation and willingness for biomedical prevention uptake. Specifically, results highlighted the tension between relationship functioning and HIV prevention. In addition, stigma and access to knowledgeable health care providers diminished interest in biomedical prevention. Findings suggest a need for interventions that frame biomedical prevention in ways that minimize social perceptions of mistrust between partners and improve access.
Reference Key
bosco2019biomedicaljournal Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Bosco, Stephen C;Pawson, Mark;Parsons, Jeffrey T;Starks, Tyrel J;
Journal Journal of homosexuality
Year 2019
DOI
10.1080/00918369.2019.1696105
URL
Keywords
hiv prevention pre-exposure prophylaxis (prep) same-sex couples biomedical prevention post-exposure prophylaxis (pep) sexual minority men

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