Regenerating HIV prevention and education among gay men and MSM: Cultural analysis and intervention

2012 ◽  
Author(s):  
Marsha Rosengarten ◽  
Kane Race
Keyword(s):  
Hiv Prevention ◽  
Gay Men ◽  
Cultural Analysis

scholarly journals Stigma, gay men and biomedical prevention: the challenges and opportunities of a rapidly changing HIV prevention landscape

Sexual Health ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 111 ◽  
Author(s):  
Graham Brown ◽  
William Leonard ◽  
Anthony Lyons ◽  
Jennifer Power ◽  
Dirk Sander ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Gay Men ◽  
Sexual Minorities ◽  
Research Policy ◽  
Scale Up ◽  
People Living With Hiv ◽  
Structural Level ◽  
Biomedical Technologies ◽  
Living With Hiv ◽  
The Impact

Improvements in biomedical technologies, combined with changing social attitudes to sexual minorities, provide new opportunities for HIV prevention among gay and other men who have sex with men (GMSM). The potential of these new biomedical technologies (biotechnologies) to reduce HIV transmission and the impact of HIV among GMSM will depend, in part, on the degree to which they challenge prejudicial attitudes, practices and stigma directed against gay men and people living with HIV (PLHIV). At the structural level, stigma regarding gay men and HIV can influence the scale-up of new biotechnologies and negatively affect GMSM’s access to and use of these technologies. At the personal level, stigma can affect individual gay men’s sense of value and confidence as they negotiate serodiscordant relationships or access services. This paper argues that maximising the benefits of new biomedical technologies depends on reducing stigma directed at sexual minorities and people living with HIV and promoting positive social changes towards and within GMSM communities. HIV research, policy and programs will need to invest in: (1) responding to structural and institutional stigma; (2) health promotion and health services that recognise and work to address the impact of stigma on GMSM’s incorporation of new HIV prevention biotechnologies; (3) enhanced mobilisation and participation of GMSM and PLHIV in new approaches to HIV prevention; and (4) expanded approaches to research and evaluation in stigma reduction and its relationship with HIV prevention. The HIV response must become bolder in resourcing, designing and evaluating programs that interact with and influence stigma at multiple levels, including structural-level stigma.

scholarly journals The Paradoxes of PrEP: Rejection, Reluctancy, and Novel Gay Identities in Biomedical HIV Prevention in Serbia

2022 ◽  
pp. 34-51
Author(s):  
Zoran Milosavljević
Keyword(s):  
Hiv Prevention ◽  
Gay Men ◽  
Hiv Transmission ◽  
Gay Identity ◽  
Hiv Status ◽  
Social Significance ◽  
Gay Communities ◽  
Hiv Status Disclosure ◽  
Status Disclosure ◽  
Hiv Negative

This article explores the different ways in which gay men in Serbia perceive PrEP as a novel method of HIV prevention. In the article, I draw on data from my research on PrEP use among thirty gay men in Belgrade. The use of PrEP is still very low amongst gay communities in Serbia due to their rejection of PrEP and due to the stigma around PrEP use. In Serbia, the social significance of PrEP relates to HIV status disclosure on gay social/dating media. Paradoxically, on gay dating sites, the signifier "PrEP" blurs the line between HIV positive gay men – who have achieved undetectable HIV status through a potent ARV therapy – and those HIV negative gay men who use PrEP as a preventative tool against HIV transmission. In the article, I will argue that a new form of gay identity has emerged on gay dating apps in Serbia – "undetectable, on PrEP." This new identity emerges from confusion in HIV risk assessment. The use of PrEP has been seen as a marker to denote someone’s HIV negative status and to protect them from HIV transmission. However, some gay men with an undetectable HIV status would like to be regarded as HIV negative even though they are not, and thus they use the signifier "on PrEP" to highlight their desire to claim an HIV negative status. PrEP has many symbolic valences: from HIV status disclosure to assumed promiscuity. As I will argue, while the health paradigm is of utmost importance for Serbian gay men, internalized stigma additionally drives the low uptake of PrEP amongst gay communities in Serbia, thus contributing to the confusion regarding PrEP use and the overall approach to HIV prevention. This article finds that those respondents who accept PrEP without stigma or confusion regarding their HIV status are also more willing and ready to recommend using PrEP to other gay men.

scholarly journals PrEP in the press

2020 ◽  
Vol 9 (2) ◽  
pp. 202-225 ◽  
Author(s):  
Lucy Jones ◽  
Luke Collins
Keyword(s):  
Hiv Prevention ◽  
Critical Discourse Analysis ◽  
Gay Men ◽  
Public Awareness ◽  
Critical Discourse ◽  
Linguistic Representations ◽  
The Press ◽  
Trial Basis ◽  
Sex With Men ◽  
Political Spectrum

Abstract This research reports on newspaper representations of PrEP, a HIV-prevention drug recently made available on a trial basis to at-risk individuals in England. Using corpus-assisted queer critical discourse analysis, we investigate the linguistic representations of the users of PrEP within three leading British newspapers from across the political spectrum between 2014–18. We find that users of PrEP are most frequently positioned as ‘men who have sex with men’ or ‘gay men’, a representation that we argue limits public awareness of HIV itself, and of available HIV prevention. Furthermore, while the most left-leaning newspaper in our corpus focuses on the human benefit of PrEP, the most right-leaning newspaper takes a moralistic stance which frames gay men as risk-taking and therefore less deserving of healthcare funding than other groups. We therefore argue that certain representations of PrEP’s beneficiaries are implicitly homophobic, and that most representations are unhelpfully restrictive.

scholarly journals Antiviral Marketing: The Informationalization of HIV Prevention

2019 ◽  
Vol 44 (2) ◽  
Author(s):  
Margaret MacAulay
Keyword(s):  
Hiv Prevention ◽  
Gay Men ◽  
San Francisco ◽  
Information Technologies ◽  
Participatory Process ◽  
Community Based ◽  
Immunodeficiency Virus ◽  
Virus De L’Immunodéficience Humaine

Background Leveraging the affordances of technology to enhance human immunodeficiency virus (HIV) prevention efforts has become an increasing public health priority. Grounded in a case study examining the role of networked information technologies in reshaping the HIV prevention landscape for gay men in San Francisco and Vancouver, this article proposes that HIV prevention has become informationalized. Analysis  The informationalization of HIV prevention is a convergent and participatory process where networked information technologies not only mediate but also produce HIV risk subjectivities, discourses, and practices in ambivalent ways.Conclusion and implications  This article argues that although informationalization creates many important opportunities to revitalize HIV prevention, the binary logic of data and code can unwittingly reproduce hierarchies of guilt/innocence and perpetrator/victim that pose challenges for community-based HIV advocacy efforts.Contexte  L’utilisation des dernières technologies pour contrer le virus de l’immunodéficience humaine (VIH) est devenue de plus en plus prioritaire en santé publique. Cet article se fonde sur une étude de cas portant sur comment les technologies de l’information en réseau ont modifié la prévention du VIH parmi les hommes gais à San Francisco et Vancouver. L’étude suggère que dans ces circonstances la prévention du VIH est devenue informationnalisée. Analyse  Cette informationnalisation est un processus convergent et participatif où les réseaux informationnels ne font pas que transmettre les subjectivités, pratiques et discours relatifs au risque du VIH mais aussi produisent ceux-ci de manières ambivalentes.Conclusions et implications  Cet article soutient que, bien que l’informationnalisation crée de nombreuses occasions pour améliorer la prévention du VIH, la logique binaire de « données » et « codes » peut par inadvertance reproduire certaines hiérarchies (culpabilité/innocence, agresseur/victime) qui entravent les efforts de la communauté pour prévenir le VIH.

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