Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation

American Journal of Men's Health
Xavier MabireMarie Préau

Abstract

Pleasure-seeking plays a role in prevention (means choices and use), and in the sexual quality of life of men who have sex with men (MSM). Since HIV is a major threat to MSM health, new means of prevention, like pre-exposure prophylaxis (PrEP), must meet the needs of MSM to be fully efficient. Using a psychosocial approach, we examined how pleasure-seeking plays a role in participation of MSM in "ANRS-IPERGAY," a community-based trial on sexual health which included sexual on-demand PrEP. Thirteen semistructured collective interviews were conducted with 45 participants. First, we analyzed participants' search for new prevention means due to previous failures in condom use. We found that participants perceived condoms as a barrier-both materially and symbolically-to pleasure and desire, causing anxiety and stress considering sexual intercourse. Second, we explored representations and attitudes concerning pleasure within the context of PrEP. We found that PrEP allowed participants to freely choose their desired sexual positions and to better enjoy intimacy. Third, we studied the sexual quality of life for PrEP users in ANRS-IPERGAY and found an improvement. Thanks to the community-based design of the trial, this new prevention to...Continue Reading

Citations

Jan 23, 2020·Journal of General Internal Medicine·Parya Saberi, Hyman M Scott
Nov 10, 2020·The Journal of the Association of Nurses in AIDS Care : JANAC·Anthony K J SmithChristy E Newman
Apr 10, 2020·Cell Host & Microbe·Connie Celum, Jared Baeten
Jun 16, 2021·Journal of Sex Research·Mart Van DijkKai J Jonas
Jul 1, 2021·Anthropology & Medicine·Lauren Textor, William Schlesinger
May 18, 2021·Sociology of Health & Illness·Thijs ReyniersChristiana Nöstlinger
Jan 29, 2022·Journal of Sex Research·Christine M CurleyLisa A Eaton

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Atlas
ANRS
ti
ti Scientific Software
IPERGAY

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