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Title

What people want from sex and preexposure prophylaxis.

Authors

Grant RM, Koester KA.

Network Affiliation

Other

Organization

 

Journal Name

Curr Opin HIV AIDS

Publication Date

11/13/2015

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/?term=26569183

Link to full-text

 

PMID

26569183

Abstract

PURPOSE OF REVIEW:

As demand for preexposure prophylaxis (PrEP) increases, we are learning more about what people want from sex and PrEP.

RECENT FINDINGS:

PrEP demand has reached a tipping point in the USA and is increasing rapidly. Although the primary benefit of PrEP use is biological, to reduce risk of HIV infection, PrEP users often express an alternative set of social and emotional benefits that are provided by PrEP. These collateral benefits of PrEP have salience, affect, and are experienced in the present, which are compelling drivers of human behavior. PrEP use has been associated with feeling safe during sex, usually in contrast to ruminations related to fear of HIV or intimate partner violence or control. PrEP can create empowerment, or agency, defined as the capacity and autonomy to act on one's own behalf, because it provides control over one's vulnerability to HIV and relief to women and men who may otherwise worry about whether their partners will use a condom, take antiretroviral therapy, or disclose their HIV status accurately. Planning for sexual and social goals in calm moments is also empowering. These highly desired collateral benefits of PrEP could be undermined, or eliminated, if PrEP is implemented in ways that are coercive or that foment fear of sexual risk compensation, drug resistance, toxicity, or moral judgment.

SUMMARY:

Current PrEP implementation provides direct and indirect benefits that are highly desired.

Keywords

 

Topic

Adherence; Behavior

Attachments

Created at 11/19/2015 10:35 AM by Davis, Gregory P
Last modified at 11/19/2015 10:35 AM by Davis, Gregory P