One efficacious strategy to
help prevent HIV is oral pre-exposure prophylaxis (PrEP), a daily regimen of
antiretroviral treatment taken by HIV-negative individuals. Two of the
recommendations of Centers for Disease Control and Prevention (CDC) guidelines
for PrEP pertain to being in a relationship (i.e., male couples).
Despite the
recognition of how primary partners in male couples' relationships shape HIV
risk and CDC's PrEP guidelines, there is a paucity of data that examine
HIV-negative male couples' attitudes toward PrEP use and using PrEP with a
sexual agreement. A sexual agreement is an explicit agreement made between two
individuals about what sex and other related behaviors may occur within and
outside of their relationship. In this qualitative study, we examine
HIV-negative male couples' attitudes toward PrEP use and whether they thought
PrEP could be integrated into a sexual agreement.
Data for this study are drawn
from couple-level interviews conducted in 2014 with 29 HIV-negative male
couples who had a sexual agreement and were from Atlanta or Detroit. Both
passive (e.g., flyers) and active (e.g., targeted Facebook advertisements)
recruitment methods were used; the sample was stratified by agreement type. Thematic
analysis was applied to identify the following themes regarding HIV-negative
male couples' attitudes toward PrEP use:
- PrEP and condom use;
- concerns about PrEP (e.g., effectiveness, side effects, and promoting sexually risky behavior); and
- accessibility of PrEP.
These themes highlight the need to improve informational
messaging and promotion efforts about PrEP among HIV-negative male couples who
may benefit from using it.
Purchase full article at: http://goo.gl/aTkxGz
By: Mitchell JW1, Lee JY1, Woodyatt C2, Bauermeister J3, Sullivan P2, Stephenson R4.
- 1 Department of Public Health Sciences , University of Miami Miller School of Medicine , Miami , FL , USA.
- 2 Department of Epidemiology, Rollins School of Public Health , Emory University , Atlanta , GA , USA.
- 3 Department of Health Behavior and Health Education, School of Public Health, and The Center for Sexuality and Health Disparities , University of Michigan , Ann Arbor , MI , USA.
- 4 Department of Health Behavior and Biological Sciences, School of Nursing, and The Center for Sexuality and Health Disparities , University of Michigan , Ann Arbor , MI , USA.
- AIDS Care. 2016 Apr 7:1-6.
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