Pharmaceutical HIV prevention technologies in the UK: six domains for social science research

Keogh, Peter; Dodds, Catherine

doi:10.1080/09540121.2014.989484

Cited by 17 publications

(17 citation statements)

References 67 publications

(56 reference statements)

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“…Furthermore, they help us to understand how and why TasP can be explained differently in specific country contexts. Indeed, how systems, institutions and structures deal with the reframing of meanings and associations traditionally ascribed to HIV treatment that is increasingly seen as prevention is a key domain of enquiry for social sciences (Keogh & Dodds, 2015). In this regard, our findings illustrate the importance of understanding local meanings ascribed within such a reframing, which is not always dominated by similar concerns about benefits or interests.…”

Section: Discussionmentioning

confidence: 75%

Access for all: contextualising HIV treatment as prevention in Swaziland

Vernooij

Hardon

et al. 2016

AIDS Care

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This article explores how notions of the individual and population are evoked in two ongoing HIV treatment as prevention (TasP) implementation studies in Swaziland. By contrasting policy discourses with lived kinship experiences of people living with HIV, we seek to understand how TasP unfolds in the Swazi context. Data collection consisted of eight focus group discussions with people living with HIV who were members of support groups to examine their perspectives about TasP. In addition, 18 key informant interviews were conducted with study team members, national-level policy-makers and NGO representatives involved in the design of health communication messages about TasP in Swaziland. Thematic analysis was used to identify recurrent themes in transcripts and field notes. Policy-makers and people living with HIV actively resisted framing HIV treatment as a prevention technology but promoted it as (earlier) access to treatment for all. TasP was not conceptualised in terms of individual or societal benefits, which are characteristic of international public health debates; rather its locally situated meanings were embedded in kinship experiences, concerns about taking responsibility for one's own health and others, local biomedical knowledge about drug resistance, and secrecy. The findings from this study suggest that more attention is needed to understand how the global discourse of TasP becomes shaped in practice in different cultural contexts. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 75%

Access for all: contextualising HIV treatment as prevention in Swaziland

Vernooij

Hardon

et al. 2016

AIDS Care

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“…As HIV prevention efforts are social interventions, consideration of the different meanings afforded to biomedical prevention efforts among high risk populations is significant. While some research identifies PrEP as disrupting and challenging traditional HIV prevention discourse (Keogh and Dodds , Spieldenner ), there is little research seeking to critically analyse the complexities of competing constructions of PrEP and PrEP users within gay and bisexual communities. By analysing the competing constructions of PrEP as well as the ways symbolic boundaries are drawn between PrEP users, this paper aims to make deeper meaning of how certain subcultural norms and values shape sexual health beliefs and practices within gay and bisexual communities.…”

Section: Introductionmentioning

confidence: 99%

‘It's just an excuse to slut around’: gay and bisexual mens’ constructions of HIV pre‐exposure prophylaxis (PrEP) as a social problem

Pawson

Grov

2018

Sociology Health & Illness

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Since the 2012 FDA approval of HIV Pre-exposure Prophylaxis (PrEP) as a method to prevent HIV, its uptake among gay and bisexual men has been met with conflict. Drawing on discussions of PrEP from focus groups with gay and bisexual men in New York City (N = 5 groups, n = 32 participants), we sought to make meaning of the moral debate surrounding the implementation of biomedical HIV prevention medications. Grounded in the constructionist perspective on social problems, this case study focuses on the competing claims making activities gay and bisexual men engage in when framing PrEP and PrEP users. As HIV prevention is a communicative endeavour, analysing the micro level social problems work on PrEP provides key insight into the subcultural norms and values that shape sexual health practices and beliefs within gay and bisexual communities.

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“…It is critical that researchers continue to be attuned to the way in which changes in the social and sexual world that gay men inhabit, including the increasing focus on pharmaceutical HIV prevention technologies, shift understandings of risk and responsibility, and imbue HIV testing with new meanings [ 7 ]. As Keogh and Dodds’ [ 7 ] note, as individuals and communities engage with ‘new’ HIV prevention technologies, those involved in health promotion and intervention design must continue to engage with earlier research that focused on issues around morality, responsibility and rights, with a view to ensuring that ongoing prevention efforts are equitable and do not increase health inequalities among gay, bisexual and other men who have sex with men.…”

Section: Discussionmentioning

confidence: 99%

Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study

2017

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BackgroundIncreasing overall rates, and frequency, of HIV testing in populations at risk is a key public health objective and a critical dimension of HIV prevention efforts. In the UK, men who have sex with men (MSM) remain one of the communities most at risk of HIV and, within this, young gay men are a key risk group. Understanding HIV testing practices is important in the development of interventions to promote testing among young gay and bisexual men.MethodsQualitative interviews were conducted with thirty young gay and bisexual men (aged 18–29) in Scotland. Thematic analysis of men’s accounts of their approach to HIV testing identified three overarching patterns of testing: ‘habitual’, ‘reactive’ and ‘ ad hoc’.ResultsThis qualitative study, the first to explore patterns of HIV testing practices among young gay and bisexual men in the UK, contributes novel findings around the role of social support and ‘community’ in shaping young men’s approaches to HIV testing. The findings suggest that social support can play an important role in encouraging and facilitating HIV testing among young gay men, however, social norms of non-testing also have the potential to act as a barrier to development of a regular routine. Men with habitual testing practices framed HIV testing as both a personal and ‘community’ responsibility, and more effective than testing in response to risk events or emergent symptoms. Men who reported reactive testing practices described testing for HIV primarily in response to perceived exposure to sexual risk, along with ‘transitional moments’ such as starting, ending or changes to a relationship. Among young men who reported testing on an ad hoc basis, inconvenience and disruptions to HIV testing practices, particularly where men lacked social support, acted as a barrier to developing a routine of regular testing.ConclusionsOur findings suggest that interventions which seek to increase rates of HIV testing and testing frequency among young gay and bisexual men should include a specific focus on promoting and supporting positive testing practices within young men’s friendship groups and wider gay communities.

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Pharmaceutical HIV prevention technologies in the UK: six domains for social science research

Cited by 17 publications

References 67 publications

Access for all: contextualising HIV treatment as prevention in Swaziland

Access for all: contextualising HIV treatment as prevention in Swaziland

‘It's just an excuse to slut around’: gay and bisexual mens’ constructions of HIV pre‐exposure prophylaxis (PrEP) as a social problem

Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study

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