Advertisement

 

 

Preexposure Prophylaxis and Patient Centeredness: A Call for Holistically Protecting and Promoting the Health of Gay Men.

Preexposure Prophylaxis and Patient Centeredness: A Call for Holistically Protecting and Promoting the Health of Gay Men.
Author Information (click to view)

Snowden JM, Rodriguez MI, Jackson SD, Marcus JL,


Snowden JM, Rodriguez MI, Jackson SD, Marcus JL, (click to view)

Snowden JM, Rodriguez MI, Jackson SD, Marcus JL,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

American journal of men’s health 2016 07 0710(5) 353-8 doi 10.1177/1557988316658288

Abstract

Preexposure prophylaxis has transformed HIV prevention, becoming widespread in communities of gay and bisexual men in the developed world in a short time. There is a broad concern that preexposure prophylaxis will discourage condom use among gay men (i.e., "risk compensation"). This commentary argues for broadening the focus on gay men’s health beyond sexual health to address the holistic health and well-being of gay men. Gay men may benefit from being offered candid, nonjudgmental health promotion/HIV prevention messages not requiring condom use for anal sex. Lessons can be drawn from the family planning movement, which has undergone a similar shift in focus. The principle of patient centeredness supports such a shift in gay men’s health toward the goal of providing men with the knowledge to evaluate various prevention approaches according to the specifics of their life circumstances and health needs. Bringing more nuance to discussions of sexual risk and sexual pleasure could facilitate more universally healthy attitudes regarding sex among gay men, in turn enabling healthier decisions more compatible with men’s own values and preferences.

Submit a Comment

Your email address will not be published. Required fields are marked *

14 − 4 =

[ HIDE/SHOW ]