The queer aesthetics of la PrEP: iconography, the pharmacopornographic regime, and (safe) sex in the French neoliberal marketplace

2021 ◽  
Vol 46 (2) ◽  
pp. 213-231
Author(s):  
C.J. Gomolka
Keyword(s):  
Dynamic Network ◽  
Safe Sex ◽  
Sexual Citizenship ◽  
Global Marketplace ◽  
Political Discourses ◽  
Exposure Prophylaxis

This article offers an analysis of an array of French pre-exposure prophylaxis (PrEP) campaigns through the pharmacopornographic framework established in the works of transfeminist philosopher Paul Preciado. Throughout, I argue that the material and discursive presentation of PrEP in these campaigns, part of a more expansive injection of biomedical protocols into the global marketplace, invites us to (re)consider binary conceptualizations of queer and non-queer subjectivities, normal and pathological sexual subjectivities, and good and bad sexual citizenship often through biomedical and neoliberal perspectives. Additionally, I propose the critical concept, biotechsex, to describe the biotech circuit that simultaneously subjectifies users and non-users of biotechnologies, like the PrEP option, and circumscribes them within a dynamic network of socio-political discourses concerning morality, ethics, pathology, and desire, a circuit formed and informed by the more specific French ideologies of universalism and communitarianism.

scholarly journals Using data from a behavioural survey of men who have sex with men (MSM) to estimate the number likely to present for HIV pre-exposure prophylaxis (PrEP) in Ireland, 2017

2017 ◽  
Vol 22 (48) ◽  
Author(s):  
Laura Nic Lochlainn ◽  
Kate O’Donnell ◽  
Caroline Hurley ◽  
Fiona Lyons ◽  
Derval Igoe
Keyword(s):  
Survey Data ◽  
Hiv Risk ◽  
Safe Sex ◽  
Survey Bias ◽  
Sex With Men ◽  
Using Data ◽  
Hiv Acquisition ◽  
Exposure Prophylaxis ◽  
Sex Practices

In Ireland, men who have sex with men (MSM) have increased HIV risk. Pre-exposure prophylaxis (PrEP), combined with safe sex practices, can reduce HIV acquisition. We estimated MSM numbers likely to present for PrEP by applying French PrEP criteria to Irish MSM behavioural survey data. We adjusted for survey bias, calculated proportions accessing testing services and those likely to take PrEP. We estimated 1–3% of MSM in Ireland were likely to present for PrEP.

scholarly journals Projected Impact of Concurrently Available Long-Acting Injectable and Daily-Oral HIV Pre-Exposure Prophylaxis: A Mathematical Model

2019 ◽  
Author(s):  
Kevin M. Maloney ◽  
Adrien Le Guillou ◽  
Robert A. Driggers ◽  
Supriya Sarkar ◽  
Emeli J. Anderson ◽  
...  
Keyword(s):  
Reference Model ◽  
Dynamic Network ◽  
Population Level ◽  
Reference Scenario ◽  
Initiation Rate ◽  
Substantial Impact ◽  
Population Impact ◽  
Southeastern Us ◽  
Long Acting ◽  
Exposure Prophylaxis

ABSTRACTBackgroundLong-acting injectable HIV pre-exposure prophylaxis (LAI-PrEP) is reportedly efficacious, although full trial results have not been published. We used a dynamic network model of HIV transmission among men who have sex with men (MSM) to assess the population impact of LAI-PrEP when available concurrently with daily-oral (DO) PrEP.MethodsWe calibrated our reference model to the current HIV epidemiology and DO-PrEP coverage (15% among indicated) among MSM in the southeastern US. Primary analyses investigated varied PrEP uptake and proportion selecting LAI-PrEP. Secondary analyses evaluated uncertainty in pharmacokinetic efficacy and LAI-PrEP persistence relative to DO-PrEP.ResultsCompared to the reference scenario, if 50% chose LAI-PrEP, 4.3% (95% SI: -7.3%, 14.5%) of infections would be averted over 10 years. LAI-PrEP impact is slightly greater than the DO-PrEP only regimen from higher adherence and partial protection after discontinuation. If the total PrEP initiation rate doubled, 17.1% (95% SI: 6.7%, 26.4%) of infections would be averted. The highest population-level impact occurred when LAI-PrEP uptake and persistence improved.ConclusionsIf LAI-PrEP replaces DO-PrEP, its availability will modestly improve the population impact. LAI-PrEP will make a more substantial impact if its availability drives higher total PrEP coverage, or if persistence if greater among LAI-PrEP users.

scholarly journals What does PrEP mean for ‘safe sex’ norms? A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255731
Author(s):  
Bridget Haire ◽  
Dean Murphy ◽  
Lisa Maher ◽  
Iryna Zablotska-Manos ◽  
Stephanie Vaccher ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Gay Men ◽  
Safe Sex ◽  
Sexually Active ◽  
High Efficacy ◽  
Sexual Negotiation ◽  
Sti Testing ◽  
Key Stakeholders ◽  
Exposure Prophylaxis ◽  
Sydney Australia

While HIV pre-exposure prophylaxis (PrEP) is highly effective, it has arguably disrupted norms of ‘safe sex’ that for many years were synonymous with condom use. This qualitative study explored the culture of PrEP adoption and evolving concepts of ‘safe sex’ in Sydney, Australia, during a period of rapidly escalating access from 2015–2018, drawing on interviews with sexually active gay men (n = 31) and interviews and focus groups with key stakeholders (n = 10). Data were analysed thematically. Our results explored the decreasing centrality of condoms in risk reduction and new patterns of sexual negotiation. With regards to stigma, we found that there was arguably more stigma related to not taking PrEP than to taking PrEP in this sample. We also found that participants remained highly engaged with promoting the wellbeing of their communities through activities as seemingly disparate as regular STI testing, promotion of PrEP in their social circles, and contribution to research. This study has important implications for health promotion. It demonstrates how constructing PrEP as a rigid new standard to which gay men ‘should’ adhere can alienate some men and potentially create community divisions. Instead, we recommend promoting choice from a range of HIV prevention options that have both high efficacy and high acceptability.

Chronic Citizenship

2018 ◽  
pp. 95-116
Author(s):  
Jeffrey A. Bennett
Keyword(s):  
Hiv Prevention ◽  
Safe Sex ◽  
Risk Of Infection ◽  
Aids Activism ◽  
Reduce Risk ◽  
Queer Communities ◽  
Exposure Prophylaxis ◽  
Sex Practices ◽  
Hiv Aids

The tenuous relationship between duty and pleasure is one that has underwritten HIV/AIDS activism since the early 1980s. Most recently the tensions between duty and pleasure surfaced again in the debates concerning Truvada, an HIV-prevention pill that, if taken daily, can reduce risk of infection by up to 92%. Using the debates over pre-exposure prophylaxis (or PrEP) as a catalyst, the chapter examines the implications this technology has for the civic identities of queer men, their safe-sex practices, and AIDS activism. As HIV has moved from being an epidemic to an endemic, the ways queer men come to understand themselves in relation to this manageable condition is evolving. Members of queer communities now exist, by association, as “chronic citizens.” This rendering of citizenship influences the ways we understand traditional postulates concerning duty and pleasure, looking for ways to avoid sex shaming while thinking through new avenues for queer world making.

Primary HIV-1 infection in users of pre-exposure prophylaxis

2020 ◽  
Author(s):  
Juan Ambrosioni ◽  
Elisa Petit ◽  
Geoffroy Liegeon ◽  
Montserrat Laguno ◽  
José M Miró
Keyword(s):  
Exposure Prophylaxis ◽  
Hiv 1

Different implicit condom associations predict safe sex behavior in different contexts

2006 ◽  
Author(s):  
David B. Portnoy ◽  
Natalie D. Smoak ◽  
Demis E. Glasford ◽  
Kerry L. Marsh
Keyword(s):  
Safe Sex ◽  
Sex Behavior
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