Negotiating HIV and pregnancy prevention and sexual pleasure amongst heterosexual men and women in South Africa

Pascoe, Laura

doi:10.1080/13691058.2019.1696983

Cited by 6 publications

(2 citation statements)

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“…This knowledge disparity reflects a long history of women's underrepresentation in HIV clinical trials and behavioral research more generally (Blackstock, 2019;Liu & Mager, 2016;Mandavilli, 2019;Marill, 2020). Further, within the context of sexual and reproductive health research, the study of women's sexual pleasure has routinely been understudied compared to gendered relationship dynamics, sexual scripts, and condom negotiation -a pattern that is replicated in the extant literature on women and PrEP (Higgins & Hirsch, 2008;Pascoe, 2020).…”

Section: How Has Prep Changed Sex For Cisgender Women?mentioning

confidence: 99%

How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention

Grov

Westmoreland

D’Angelo

et al. 2021

The Journal of Sex Research

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In 2012, the U.S. FDA approved the first drug for use as HIV Pre-Exposure Prophylaxis (PrEP), which is nearly 99% effective when taken as prescribed. Although the manifest function of PrEP is to prevent HIV infection in the event of exposure, the drug has also had a significant impact on various facets of sexuality. In this review, we focus on research that emerged in the near decade since PrEP's approval, with a specific focus on the ways in which different elements of sex and sexuality have been impacted by gay, bisexual, and other men who have sex with men (GBMSM), cisgender women, and transgender individuals. We highlight evidence showing how PrEP has enhanced sexual self-esteem, improved sexual pleasure, reduced sexual anxiety, and has increased sexual agency for those taking it. For many, PrEP also serves as a gateway to improve routine health and increase sexual health-care utilization. Additionally, we review the question of whether PrEP is associated with increased sexual risk taking (i.e. risk compensation), and note that, although some data are mixed, PrEP is not intended as an intervention to reduce condomless anal sex or STIs: it aims to prevent HIV. Finally, our review highlights that, although the volume of research on PrEP among GBMSM is robust, it is underdeveloped for cisgender women and transgender populations and insufficient for inclusion in such a review for cisgender heterosexual men was. PrEP research with these populations is an important direction for future research. Finally, from 2012 to 2019, a single PrEP formulation and delivery method was FDA approved (oral emtricitabine/tenofovir disoproxil fumarate). As additional drug formulations (ie.g., emtricitabine/tenofovir alafenamide) and delivery methods (e.g., microbiocides, vaginal ring, injectable) come to market, it will be important to examine how these, too, impact the spectrum of sexuality.

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Section: How Has Prep Changed Sex For Cisgender Women?mentioning

confidence: 99%

How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention

Grov

Westmoreland

D’Angelo

et al. 2021

The Journal of Sex Research

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“…Adolescent girls and young women in Southern Africa are at high risk of both sexually transmitted infections (STIs) ( 1 ) and unintended pregnancies ( 2 ). Sexual reproductive health (S&RH) is difficult to talk about during adolescence, because of fear of judgement and shame in discussions with parents, caregivers, partners, or healthcare providers ( 3 , 4 ). However, constructive conversations about S&RH are known to improve knowledge and S&RH outcomes ( 5 ), and creative approaches to engage, facilitate, and ease such conversations are urgently needed as these could promote the ability of young women to address their S&RH concerns.…”

Section: Introductionmentioning

confidence: 99%

“Words are too small”: exploring artmaking as a tool to facilitate dialogues with young South African women about their sexual and reproductive health experiences

Hartley,

Knight,

Humphries

et al. 2023

Front. Reprod. Health

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BackgroundAdolescents and young women are at high risk for sexually transmitted infections (STIs) and unintended pregnancies. However, conversations about sexual and reproductive health (S&RH) are difficult and stigmatised. Visual art-based approaches have been a useful adjunct to language-dependent interviews, encouraging embodied memory recall. Here, we explored a novel visual art-based methodology—“Stories from the Edge”—with a cohort of young women to understand how artmaking might facilitate dialogue of how S&RH experiences influenced behaviour, to enrich dialogues captured in the individual in-depth interviews (IDIs).MethodsSeven isiXhosa-speaking young women (aged 21–25 years) were recruited into a six-session art-based engagement, painting the stories of their S&RH experiences. Large format artmaking and IDIs contributed to the data set. IDIs were audio recorded, transcribed, and translated and then analysed thematically.ResultsYoung women felt that the visual art-based methodology eased barriers to communicating experiences of S&RH-seeking behaviours, with one woman commenting that “words are too small” to capture lived experiences. Artmaking provided the opportunity to express emotional complexities of the pleasures of intimate relationships and the heartbreak of betrayal for which they had no language. Significant social relationships (family, partners, peers) influenced sexual and reproduction attitudes and practices more than healthcare facilities and staff and more distal socio-cultural attitudes/practices. These influences shifted from adolescence to adulthood—from family to peer and partners.ConclusionYoung women valued using the art-based methodology, which facilitated recall and verbalising their S&RH experiences more fully than language-only research. The process outlined here could provide a creative method that builds communication skills to negotiate the needs and desires of young women with partners and staff at S&RH services.

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Anthropologies Of Men, Masculinities, And Reproduction

Wentzell,

Erol,

AciksöZ

2023

A Companion to the Anthropology of Reproductive Medicine and Technology

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Negotiating HIV and pregnancy prevention and sexual pleasure amongst heterosexual men and women in South Africa

Cited by 6 publications

References 50 publications

How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention

How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention

“Words are too small”: exploring artmaking as a tool to facilitate dialogues with young South African women about their sexual and reproductive health experiences

Anthropologies Of Men, Masculinities, And Reproduction

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