Affective-sexual practices, pre-exposure prophylaxis to acquired immunodeficiency virus and related risks
Published
Mar 27, 2023
Almetrics
Dimensions
Google Scholar
##plugins.themes.bootstrap3.article.details##
Abstract
This article aims to understand the meanings of the affective-sexual practices of users of pre-exposure prophylaxis to acquired immunodeficiency virus (PrEP) to the acquired immunodeficiency virus - HIV under the risks of other sexually transmitted infections (STIs). We adopt the perspective of social psychology, discursive practices and the production of meaning as a theoretical-methodological reference and the concept of vulnerability in public health. We used the snowball method and interviewed 10 Gay, Bisexual and other Men who have Sex with Men (MSM), in Barcelona-Spain. We conclude that the affective-sexual life did not change with the use of PrEP, but it dissipated feelings such as fear, anxiety and guilt that the interviewees felt when living their sexualities under the homophobic culture. The risk of STIs does not threaten them, they understand that they are treatable and that the moral vision and biomedical approaches to such infections are not going to protect them from new stigmas and prejudices, already present in other phases of the HIV pandemic.
Keywords
Acquired immunodeficiency virus pre-exposure prophylaxis, sexually transmitted infections, risks, vulnerabilitiesprofilaxis previa a la exposición al virus de la inmunodeficiencia adquirida, infecciones transmisibles sexualmente, riesgos, vulnerabilidadesprofilaxia pré-exposição para o vírus da imunodeficiência adquirida, infecções sexualmente transmissíveis, riscos, vulnerabilidade
References
1.División de Control de VIH, ITS, Hepatitis virales y Tuberculosis. Sistema de información de programas de Profilaxis Pre-exposición al VIH en España (SIPrEP). Informe de resultados noviembre 2019-mayo 2022. (2022). Ministerio de Sanidad. Disponible en https://www.sanidad.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/PrEP/Informe_SiPreP__mayo22.pdf
2.Grov, C., Westmoreland, D., D´Angelo, A. & Pantolone, D. (2021). How has HIV Pre-Exposure Prophylaxis (PrEP) changed sex? A review of research in a new era of bio-behavioral HIV prevention. The Journal of sex Research, 58(7), 891-913.
3.Unidad de vigilancia de VIH, ITS y hepatitis B y C. Vigilancia epidemiológica de las infecciones de transmisión sexual, 2019. Centro Nacional de Epidemiología, Instituto de Salud Carlos III/Plan Nacional sobre el Sida, Dirección General de Salud Pública; 2021. Disponible en: https://www.sanidad.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/vigilancia/Vigilancia_ITS_1995_2019.pdf
4.Tuddenham S, Hamill MM, Ghanem KG. (2021). Diagnosis and Treatment of Sexually Transmitted Infections: A Review. JAMA. 2022; 327(2):161–172.
5.Munain, J. (2019). Epidemiología y control actual de las infecciones de transmisión sexual. Papel de las unidades de ITS. Enfermedades Infecciosas y Microbiología Clínica, 37, 45-49.
6.Daroya, E. J. (2021). From Condoms to Antiretrovirals: A Posthumanist Performative Account of Men Who Have Sex with Men!s (MSM) Condomless Sexual Practices [Tesis doctoral] Carleton University. Disponible en: https://curve.carleton.ca/edf4ecfe-2ea2-4c5d-8c39-e47e65c4b665
7.Newman, P. A. et al. Clinical exigencies, psychosocial realities: negotiating HIV pre-exposure prophylaxis beyond the cascade among gay, bisexual and other men who have sex with men in Canada. J Int AIDS Soc., New Jersey, v. 21, n. 11, nov. 2018.
8.Traeger MW, Schroeder SE, Wright EJ, Hellard ME, Cornelisse VJ, Doyle JS, Stoové MA. (2018). Effects of pre-exposure prophylaxis for the prevention of human immunodeficiency virus infection on sexual risk behavior in men who have sex with men: A systematic review and meta-analysis. Clin Infect Dis, 67, 676–86.
9.Traeger, M., Guy, R., Asselin, J., Patel, P., Carter, A., J. Wright, E., Grulich, A., et al. (2022). Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data. The Lancet. Infectious Diseases. S1473-3099 https://doi.org/10.1016/S1473-3099(22)00175-X
10.Jansen, K., Steffen, G., Potthoff, A., Schuppe, A. K., Beer, D., Jessen, H., Scholten, S., Spornraft-Ragaller, P., Bremer, V., Tiemann, C., & MSM Screening Study group (2020). STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany. BMC infectious diseases, 20(1), 110. https://doi.org/10.1186/s12879-020-4831-4
11.López, S., Platero, L, (2019). A modo de introducción. In: López, S, Platero, L. Cuerpos Marcados: vidas que cuentan y políticas públicas. Barcelona: Edicions Bellaterra.
12.Bersani, L. 1995. “Es el recto una tumba”? In. Llamas, R. (comp.). Construyendo sidentidades: estudios desde el corazón de una pandemia. Siglo XXI, p. 80-119.
13.Ayres JR de CM, Franca Junior I, Calazans GJ, Saletti Filho HC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. Promoção da saúde: conceitos, reflexões, tendências [Internet]. 2003; Disponible en: https://repositorio.usp.br/item/001528349
14.Spink, M. J., Frezza, R. (2013). Práticas discursivas e produção de sentido: a perspectiva da psicologia social. In: Spink, Mary (org.) (2013). Práticas discursivas e produção de sentidos no cotidiano. Centro Edlstein de Pesquisas Sociais. RJ, Edição virtual.
15.Spink, M, Medrado, B. (2013). Uma abordagem teórico-metodológica para análise das práticas discursivas. In: Spink, Mary (org.). Práticas discursivas e produção de sentidos no cotidiano. Centro Edlstein de Pesquisas Sociais. RJ: Edição virtual.
16.Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto.Temáticas, Campinas, 22, (44): 203-220, ago/dez. https://econtents.bc.unicamp.br/inpec/index.php/tematicas/article/view/10977
17.Vázquez Sixto, F. (1996). El análisis de contenido temático. Objetivos y medios en la investigación psicosocial. (Documento de trabajo). (pp. 47-70). Universitat Autónoma de Barcelona, 1996.
18.Zhang, J., Li, C., Xu, J., Hu, Z., Rutstein, S. E., Tucker, J. D., Ong, J. J., Jiang, Y., Geng, W., Wright, S. T., Cohen, M. S., Shang, H., & Tang, W. (2022). Discontinuation, suboptimal adherence, and reinitiation of oral HIV pre-exposure prophylaxis: a global systematic review and meta-analysis. The lancet. HIV, 9(4), e254–e268. https://doi.org/10.1016/S2352-3018(22)00030-3.
19.Bourne, A., Cassolato, M., Thuan Wei, C. K., Wang, B., Pang, J., Lim, S. H., Azwa, I., Yee, I., & Mburu, G. (2017). Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia: findings from a qualitative study. Journal of the International AIDS Society, 20(1), 21899. https://doi.org/10.7448/IAS.20.1.21899
20.Stuart D. (2019). Chemsex: origins of the word, a history of the phenomenon and a respect to the culture. 19:3–10.
21.Curley, C. M., Rosen, A. O., Mistler, C. B., & Eaton, L. A. (2022). Pleasure and PrEP: A Systematic Review of Studies Examining Pleasure, Sexual Satisfaction, and PrEP. Journal of sex research, 1–14. Advance online publication.
22.Mabire, X., Puppo, C., Morel, S., Mora, M., Rojas Castro, D., Chas, J., Cua, E., Pintado, C., Suzan-Monti, M., Spire, B., Molina, J. M., & Préau, M. (2019). Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation. American journal of men's health, 13(1), 1557988319827396. https://doi.org/10.1177/1557988319827396
23.Ferreira, A., Young, T., Mathews, Zunza, M., Low., N. Strategies for partner notification for sexually transmitted infections, including HIV. Cochrane Database Syst Rev. 2013 Oct 3;2013(10):CD002843. doi: 10.1002/14651858.CD002843.pub2. Disponible en https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138045/
24.Ayres, J. R. (2011). O cuidado e o espaço público da saúde: virtude, vontade e reconhecimento na construção política da integralidade. In: Pinheiro, R. & Silva Júnior, A.G. (orgs). Cidadania no cuidado: o universal e o comum integralidade das ações na saúde. 1. Ed. Rio de Janeiro – RJ: IMS/UERJ – Cepesc, p. 27-44
25.Foro de Expertos en ITS (FEXITS). (s/d). Optimización del cribado y abordaje de las ITS en España: recomendaciones desde una perspectiva multidisciplinar. https://apoyopositivo.org/wp-content/uploads/2022/10/Documento-de-recomendaciones-FEXITS.pdf
26.Mascort, J., Carrillo, R., Alastrue, L., Zarco, C. Aguado, B., Rodríguez, L., Fransi, L. Romon, J. L. Profilaxis pre-exposición de la infección por el VIH y Atención Primaria (AP). Aten. Primaria. 2020 Mar; 52(3): 137–139. Published online 2020 Mar 7. Spanish. doi: 10.1016/j.aprim.2020.02.001
2.Grov, C., Westmoreland, D., D´Angelo, A. & Pantolone, D. (2021). How has HIV Pre-Exposure Prophylaxis (PrEP) changed sex? A review of research in a new era of bio-behavioral HIV prevention. The Journal of sex Research, 58(7), 891-913.
3.Unidad de vigilancia de VIH, ITS y hepatitis B y C. Vigilancia epidemiológica de las infecciones de transmisión sexual, 2019. Centro Nacional de Epidemiología, Instituto de Salud Carlos III/Plan Nacional sobre el Sida, Dirección General de Salud Pública; 2021. Disponible en: https://www.sanidad.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/vigilancia/Vigilancia_ITS_1995_2019.pdf
4.Tuddenham S, Hamill MM, Ghanem KG. (2021). Diagnosis and Treatment of Sexually Transmitted Infections: A Review. JAMA. 2022; 327(2):161–172.
5.Munain, J. (2019). Epidemiología y control actual de las infecciones de transmisión sexual. Papel de las unidades de ITS. Enfermedades Infecciosas y Microbiología Clínica, 37, 45-49.
6.Daroya, E. J. (2021). From Condoms to Antiretrovirals: A Posthumanist Performative Account of Men Who Have Sex with Men!s (MSM) Condomless Sexual Practices [Tesis doctoral] Carleton University. Disponible en: https://curve.carleton.ca/edf4ecfe-2ea2-4c5d-8c39-e47e65c4b665
7.Newman, P. A. et al. Clinical exigencies, psychosocial realities: negotiating HIV pre-exposure prophylaxis beyond the cascade among gay, bisexual and other men who have sex with men in Canada. J Int AIDS Soc., New Jersey, v. 21, n. 11, nov. 2018.
8.Traeger MW, Schroeder SE, Wright EJ, Hellard ME, Cornelisse VJ, Doyle JS, Stoové MA. (2018). Effects of pre-exposure prophylaxis for the prevention of human immunodeficiency virus infection on sexual risk behavior in men who have sex with men: A systematic review and meta-analysis. Clin Infect Dis, 67, 676–86.
9.Traeger, M., Guy, R., Asselin, J., Patel, P., Carter, A., J. Wright, E., Grulich, A., et al. (2022). Real-world trends in incidence of bacterial sexually transmissible infections among gay and bisexual men using HIV pre-exposure prophylaxis (PrEP) in Australia following nationwide PrEP implementation: an analysis of sentinel surveillance data. The Lancet. Infectious Diseases. S1473-3099 https://doi.org/10.1016/S1473-3099(22)00175-X
10.Jansen, K., Steffen, G., Potthoff, A., Schuppe, A. K., Beer, D., Jessen, H., Scholten, S., Spornraft-Ragaller, P., Bremer, V., Tiemann, C., & MSM Screening Study group (2020). STI in times of PrEP: high prevalence of chlamydia, gonorrhea, and mycoplasma at different anatomic sites in men who have sex with men in Germany. BMC infectious diseases, 20(1), 110. https://doi.org/10.1186/s12879-020-4831-4
11.López, S., Platero, L, (2019). A modo de introducción. In: López, S, Platero, L. Cuerpos Marcados: vidas que cuentan y políticas públicas. Barcelona: Edicions Bellaterra.
12.Bersani, L. 1995. “Es el recto una tumba”? In. Llamas, R. (comp.). Construyendo sidentidades: estudios desde el corazón de una pandemia. Siglo XXI, p. 80-119.
13.Ayres JR de CM, Franca Junior I, Calazans GJ, Saletti Filho HC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. Promoção da saúde: conceitos, reflexões, tendências [Internet]. 2003; Disponible en: https://repositorio.usp.br/item/001528349
14.Spink, M. J., Frezza, R. (2013). Práticas discursivas e produção de sentido: a perspectiva da psicologia social. In: Spink, Mary (org.) (2013). Práticas discursivas e produção de sentidos no cotidiano. Centro Edlstein de Pesquisas Sociais. RJ, Edição virtual.
15.Spink, M, Medrado, B. (2013). Uma abordagem teórico-metodológica para análise das práticas discursivas. In: Spink, Mary (org.). Práticas discursivas e produção de sentidos no cotidiano. Centro Edlstein de Pesquisas Sociais. RJ: Edição virtual.
16.Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto.Temáticas, Campinas, 22, (44): 203-220, ago/dez. https://econtents.bc.unicamp.br/inpec/index.php/tematicas/article/view/10977
17.Vázquez Sixto, F. (1996). El análisis de contenido temático. Objetivos y medios en la investigación psicosocial. (Documento de trabajo). (pp. 47-70). Universitat Autónoma de Barcelona, 1996.
18.Zhang, J., Li, C., Xu, J., Hu, Z., Rutstein, S. E., Tucker, J. D., Ong, J. J., Jiang, Y., Geng, W., Wright, S. T., Cohen, M. S., Shang, H., & Tang, W. (2022). Discontinuation, suboptimal adherence, and reinitiation of oral HIV pre-exposure prophylaxis: a global systematic review and meta-analysis. The lancet. HIV, 9(4), e254–e268. https://doi.org/10.1016/S2352-3018(22)00030-3.
19.Bourne, A., Cassolato, M., Thuan Wei, C. K., Wang, B., Pang, J., Lim, S. H., Azwa, I., Yee, I., & Mburu, G. (2017). Willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia: findings from a qualitative study. Journal of the International AIDS Society, 20(1), 21899. https://doi.org/10.7448/IAS.20.1.21899
20.Stuart D. (2019). Chemsex: origins of the word, a history of the phenomenon and a respect to the culture. 19:3–10.
21.Curley, C. M., Rosen, A. O., Mistler, C. B., & Eaton, L. A. (2022). Pleasure and PrEP: A Systematic Review of Studies Examining Pleasure, Sexual Satisfaction, and PrEP. Journal of sex research, 1–14. Advance online publication.
22.Mabire, X., Puppo, C., Morel, S., Mora, M., Rojas Castro, D., Chas, J., Cua, E., Pintado, C., Suzan-Monti, M., Spire, B., Molina, J. M., & Préau, M. (2019). Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation. American journal of men's health, 13(1), 1557988319827396. https://doi.org/10.1177/1557988319827396
23.Ferreira, A., Young, T., Mathews, Zunza, M., Low., N. Strategies for partner notification for sexually transmitted infections, including HIV. Cochrane Database Syst Rev. 2013 Oct 3;2013(10):CD002843. doi: 10.1002/14651858.CD002843.pub2. Disponible en https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138045/
24.Ayres, J. R. (2011). O cuidado e o espaço público da saúde: virtude, vontade e reconhecimento na construção política da integralidade. In: Pinheiro, R. & Silva Júnior, A.G. (orgs). Cidadania no cuidado: o universal e o comum integralidade das ações na saúde. 1. Ed. Rio de Janeiro – RJ: IMS/UERJ – Cepesc, p. 27-44
25.Foro de Expertos en ITS (FEXITS). (s/d). Optimización del cribado y abordaje de las ITS en España: recomendaciones desde una perspectiva multidisciplinar. https://apoyopositivo.org/wp-content/uploads/2022/10/Documento-de-recomendaciones-FEXITS.pdf
26.Mascort, J., Carrillo, R., Alastrue, L., Zarco, C. Aguado, B., Rodríguez, L., Fransi, L. Romon, J. L. Profilaxis pre-exposición de la infección por el VIH y Atención Primaria (AP). Aten. Primaria. 2020 Mar; 52(3): 137–139. Published online 2020 Mar 7. Spanish. doi: 10.1016/j.aprim.2020.02.001
How to Cite
Lima, M., Gómez Vargas, M., Iñiguez-Rueda, L., Fernández-Gonzalez, E., Vasconcelos da Silva, L. A., & Mascort Roca, J. J. (2023). Affective-sexual practices, pre-exposure prophylaxis to acquired immunodeficiency virus and related risks. Gerencia Y Políticas De Salud, 22. https://doi.org/10.11144/Javeriana.rgps22.pasp
Section
Artículos
This work is licensed under a Creative Commons Attribution 4.0 International License.