"Condoms are … like public transit. It's something you want everyone else to take": Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention
"Condoms are … like public transit. It's something you want everyone else to take": Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention
BACKGROUND: The emergence of biomedical and seroadaptive HIV prevention strategies has coincided with a decline in condom use among gay men.
METHODS: We undertook a social ecological analysis of condom use and perceptions using nineteen semi-structured interviews with HIV negative gay men in Vancouver, Canada who used HAART-based prevention strategies.
RESULTS: Contributors to inconsistent condom use were found at various levels of the social ecological model. Ongoing concern regarding HIV transmission and belief in the proven efficacy of condoms motivated contextual use. When condoms were not used, participants utilized seroadaptive and biomedical prevention strategies to mitigate risk.
CONCLUSIONS: These findings indicate that notions of "safety" and "risk" based on consistent condom use are eroding as other modes of prevention gain visibility. Community-based and public health interventions will need to shift prevention messaging from advocacy for universal condom use toward combination prevention in order to meet gay men's current prevention needs. Interventions should advance gay men's communication and self-advocacy skills in order to optimize these strategies.
120
Klassen, Benjamin J
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Fulcher, Karyn
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Chown, Sarah A.
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Armstrong, Heather L.
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Hogg, Robert S.
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Moore, David M.
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Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
28 January 2019
Klassen, Benjamin J
8fd512d2-2cb7-45f8-b9f1-df38a526e938
Fulcher, Karyn
24f72f7a-3783-4c93-877e-cf7a663c9261
Chown, Sarah A.
c6789199-94f8-4275-b20c-6bf2c24edd07
Armstrong, Heather L.
3dc9c223-1a61-47ad-ab0b-50d06cddf4f2
Hogg, Robert S.
3f71ad69-9c8a-4732-bb86-4aa0652e1f3f
Moore, David M.
b3bb7f8f-4409-412e-959b-bcda959a8d2d
Roth, Eric A.
4900d79c-ac00-475b-8bb9-e96243905ca7
Lachowsky, Nathan J.
87634bac-759c-4e7b-9f16-22fb37e87cf6
Klassen, Benjamin J, Fulcher, Karyn, Chown, Sarah A., Armstrong, Heather L., Hogg, Robert S., Moore, David M., Roth, Eric A. and Lachowsky, Nathan J.
(2019)
"Condoms are … like public transit. It's something you want everyone else to take": Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention.
BMC Public Health, 19 (1), .
(doi:10.1186/s12889-019-6452-7).
Abstract
BACKGROUND: The emergence of biomedical and seroadaptive HIV prevention strategies has coincided with a decline in condom use among gay men.
METHODS: We undertook a social ecological analysis of condom use and perceptions using nineteen semi-structured interviews with HIV negative gay men in Vancouver, Canada who used HAART-based prevention strategies.
RESULTS: Contributors to inconsistent condom use were found at various levels of the social ecological model. Ongoing concern regarding HIV transmission and belief in the proven efficacy of condoms motivated contextual use. When condoms were not used, participants utilized seroadaptive and biomedical prevention strategies to mitigate risk.
CONCLUSIONS: These findings indicate that notions of "safety" and "risk" based on consistent condom use are eroding as other modes of prevention gain visibility. Community-based and public health interventions will need to shift prevention messaging from advocacy for universal condom use toward combination prevention in order to meet gay men's current prevention needs. Interventions should advance gay men's communication and self-advocacy skills in order to optimize these strategies.
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Accepted/In Press date: 18 January 2019
Published date: 28 January 2019
Identifiers
Local EPrints ID: 430038
URI: http://eprints.soton.ac.uk/id/eprint/430038
ISSN: 1471-2458
PURE UUID: 70ac830e-eb4e-443f-a6ec-0c4e1c6e3a4f
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Date deposited: 10 Apr 2019 16:30
Last modified: 16 Mar 2024 04:40
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Contributors
Author:
Benjamin J Klassen
Author:
Karyn Fulcher
Author:
Sarah A. Chown
Author:
Robert S. Hogg
Author:
David M. Moore
Author:
Eric A. Roth
Author:
Nathan J. Lachowsky
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