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. 2023 Jan;27(1):114-128.
doi: 10.1177/13634593211005177. Epub 2021 Mar 24.

From training wheels to chemical condoms: Exploring narratives of PrEP discontinuation

Jaime Garcia Iglesias  1
Affiliations

From training wheels to chemical condoms: Exploring narratives of PrEP discontinuation

Jaime Garcia Iglesias. Health (London). 2023 Jan.

Abstract

This paper explores experiences of PrEP, a HIV-prevention intervention, among bugchasers, gay men who eroticize HIV. While PrEP has been hailed as a "game changer" in HIV-prevention, little attention has been paid to why and how some people may discontinue it in the face of HIV risk, such as bugchasers do. This paper relies on interview data with bugchasers themselves to discuss the process of discontinuation and its effects. The paper argues that, for these men, discontinuation is a fluid, complex, and sometimes contradictory process. It also describes how participants perceived themselves as being at different stages of discontinuation. The paper also analyzes how these men see PrEP as a barrier to intimacy, risk, and a tool to negotiate their desires and identity: through discontinuing PrEP, these men are able to reflect on and build their identities as bugchasers.

Keywords: HIV; PrEP; adherence; discontinuation; sexual health.

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References

    1. Auerbach JD, Hoppe T. (2015) Beyond ‘getting drugs into bodies’: Social science perspectives on pre-exposure prophylaxis for HIV. Journal of the International AIDS Society 18: 19983. - PMC - PubMed
    1. Belluz J. (2014) The Truvada wars. The British Medical Journal 348: g3811. - PubMed
    1. Brady M. (2015) HIV prevention finally has a game-changer, and it’s called Truvada. The Guardian, 26 February. Available at: https://www.theguardian.com/commentisfree/2015/feb/26/hiv-treatment-game... (accessed 12 March 2021).
    1. Brady M, Rodger A, Asboe D, et al.. (2019) Bhiva/Bashh guidelines on the use of HIV pre-exposure prophylaxis (PrEP) 2018. HIV Medicine 20(Suppl 2): s2–s80. - PubMed
    1. Brooks RA, Kaplan RL, Lieber E, et al.. (2011) Motivators, concerns and barriers to adoption of pre-exposure prophylaxis for HIV-prevention among gay and bisexual men in HIV-serodiscordant male relationships. AIDS Care 23(9): 1136–1145. - PMC - PubMed

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