eprintid: 10077793
rev_number: 21
eprint_status: archive
userid: 608
dir: disk0/10/07/77/93
datestamp: 2019-07-15 09:11:09
lastmod: 2021-10-09 22:39:58
status_changed: 2019-07-15 09:11:09
type: article
metadata_visibility: show
creators_name: Hammack, PL
creators_name: Toolis, EE
creators_name: Wilson, BDM
creators_name: Clark, RC
creators_name: Frost, DM
title: Making Meaning of the Impact of Pre-Exposure Prophylaxis (PrEP) on Public Health and Sexual Culture: Narratives of Three Generations of Gay and Bisexual Men
ispublished: pub
divisions: UCL
divisions: B16
divisions: B14
divisions: J81
keywords: PrEP, HIV/AIDS, gay men, public health, narrative, sexual culture
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: Pre-exposure prophylaxis (PrEP) with Truvada has emerged as an increasingly common approach to HIV prevention among gay, bisexual, and other men who have sex with men. This study examined generational differences and similarities in narrative accounts of PrEP among a diverse sample of 89 gay and bisexual men in the U.S. Over 50% of men in the older (52–59 years) and younger (18–25 years) generations endorsed positive views, compared with 32% of men in the middle (34–41 years) generation. Men in the middle cohort expressed the most negative (21%) and ambivalent (47%) views of PrEP. Thematic analysis of men’s narratives revealed three central stories about the perceived impact of PrEP: (1) PrEP has a positive impact on public health by preventing HIV transmission (endorsed more frequently by men in the older and younger cohorts); (2) PrEP has a positive effect on gay and bisexual men’s sexual culture by decreasing anxiety and making sex more enjoyable (endorsed more frequently by men in the middle and younger cohorts); and (3) PrEP has a negative impact on public health and sexual culture by increasing condomless, multi-partner sex (endorsed more frequently by men in the middle and younger cohorts). Results are discussed in terms of the significance of generation cohort in meanings of sexual health and culture and implications for public health approaches to PrEP promotion among gay and bisexual men.
date: 2019-05
date_type: published
publisher: SPRINGER/PLENUM PUBLISHERS
official_url: https://doi.org/10.1007/s10508-019-1417-6
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1643669
doi: 10.1007/s10508-019-1417-6
lyricists_name: Frost, David
lyricists_id: DFROS30
actors_name: Frost, David
actors_id: DFROS30
actors_role: owner
full_text_status: public
publication: Archives of Sexual Behavior
volume: 48
number: 4
pagerange: 1041-1058
pages: 18
issn: 1573-2800
citation:        Hammack, PL;    Toolis, EE;    Wilson, BDM;    Clark, RC;    Frost, DM;      (2019)    Making Meaning of the Impact of Pre-Exposure Prophylaxis (PrEP) on Public Health and Sexual Culture: Narratives of Three Generations of Gay and Bisexual Men.                   Archives of Sexual Behavior , 48  (4)   pp. 1041-1058.    10.1007/s10508-019-1417-6 <https://doi.org/10.1007/s10508-019-1417-6>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10077793/1/ASEB-D-18-00264_R1.pdf