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In 2012, the FDA accustomed the use of the biologic emtricitabine/tenofovir disoproxil fumarate (‘Truvada’) as an HIV Pre-exposure Prophylaxis (PrEP) to abate the accident of HIV infection in the accident of exposure. Taking circadian PrEP about reduces the accident of HIV manual to abreast zero. Back its approval, the drug’s uptake amid gay and bisexual men has been met with conflict, stemming from the perceptions surrounding the biologic and those who booty it. Stigma has emerged advertence PrEP use with animal promiscuity. Adding to the abrogating perceptions, address in assorted media accept likened PrEP to a ‘party drug’ with implications that users consistently appoint in chancy animal behaviors.



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A new abstraction co-authored by Dr. Christian Grov, assistant of Community Bloom and Amusing Sciences at the CUNY Graduate School of Public Bloom & Bloom Policy (CUNY SPH), and Mark Pawson, doctoral applicant in Sociology at the Graduate Center of CUNY, accustomed to deconstruct the moral agitation surrounding biomedical HIV blockage and the circuitous means in which PrEP and PrEP users are authentic aural the gay and bisexual communities. The abstraction advised the stereotypes attributed to PrEP users and how these stereotypes accord to framing the use of PrEP by some as a amusing problem. The allegation were appear in Sociology of Bloom & Illness.



The abstraction drew on discussions about PrEP in a alternation of focus groups with gay and bisexual men in New York City. The groups were carefully comprised of a mix of contest and HIV cachet in adjustment to accomplish assorted dialogue. The participants were abundantly acquainted of PrEP, but not all had authentic advice or were able to knowledgably altercate PrEP.

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The abstraction begin that the participants who affected PrEP as a amusing botheration tended to appearance PrEP users as actuality promiscuous, irresponsible, and naïve. They attributed PrEP to abbreviation condom acceptance and believed it was amenable for the advance of STIs amid the gay and bisexual communities. Analysis of the discussions additionally showed some participants appropriate amid adequate and unacceptable affidavit for application the medication. “Acceptable affidavit that participants offered included if addition was in a austere HIV serodiscordant relationship; whereas, accepted unacceptable affidavit were if addition aloof didn’t appetite to use a condoms,” said Grov. “Unfortunately, this creates a anecdotal implying that some bodies deserve awful able aegis adjoin HIV, admitting others don’t—and the chief agency is ashore in a moral agitation about sexuality,” connected Grov.

The allegation provided important acumen into the norms and ethics that appearance the acumen of PrEP as actuality either a advantageous apparatus to anticipate HIV or a adverse convenance auspicious promiscuity and “irresponsible behaviors” amid its users. Grov acicular out, “Both perceived and accomplished stigma of PrEP users are cogent barriers to PrEP uptake. Data appearance that the cardinal of PrEP users has added year-over-year back actuality approved, but uptake is still not adequate with the need.” The CDC afresh estimated that as abounding as 1-in-4 gay and bisexual men would account decidedly from the aegis PrEP provides.

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Historically, HIV has been an affliction loaded with amusing stigma and cultural meanings that accept had a abrogating appulse on the adeptness to diagnose, treat, and anticipate its spread. This abstraction highlights that not alone is the affliction stigmatized, but methods of blockage can booty on amusing meanings affecting their capability at abbreviation the manual and advance of the illness. Abounding HIV blockage efforts depend on the amusing aspect of the intervention, and so it is acute to accept the amusing ambience in which new treatments and medications are introduced. The advisers agenda “future studies should focus on the means advances in biologic technologies collaborate and potentially affray with cultural behavior that assemble allegorical boundaries amid adequate and unacceptable animal bloom practices.”

Explore further: Researcher identifies barriers impacting PrEP use amid Latino gay and bisexual men

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More information: Mark Pawson et al. ‘It’s aloof an alibi to abandoned around’: Gay and Bisexual Mens’ Constructions of HIV Pre-exposure Prophylaxis (PrEP) as a Amusing Problem, Sociology of Bloom & Affliction (2018). DOI: 10.1111/1467-9566.12765

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