What people want from sex and preexposure prophylaxis.
What people want from sex and preexposure prophylaxis.
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DOI：
10.1097/coh.0000000000000216
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发表时间：
2016-01
影响因子：
4.1
通讯作者：
Koester KA
中科院分区：
文献类型：
--
作者：
Grant RM;Koester KA
随着对暴露前预防的需求增加，我们正在更多地了解人们对性和PrEP的需求。虽然暴露前预防使用的主要好处是生物学的，以减少艾滋病毒感染的风险，PrEP用户往往表达了另一套由PrEP提供的社会和情感上的好处。PrEP的这些附带好处具有显着性，影响，并在目前体验到，这是人类行为的引人注目的驱动力。PrEP的使用与性行为中的安全感有关，通常与对艾滋病毒或亲密伴侣暴力或控制的恐惧有关的沉思相反。PrEP可以创造授权或代理，定义为代表自己采取行动的能力和自主权，因为它提供了对艾滋病毒脆弱性的控制，并减轻了可能担心其伴侣是否会使用避孕套的妇女和男子，采取抗逆转录病毒治疗，或准确披露其艾滋病毒状况。在平静的时刻规划性和社交目标也是一种赋权。如果PrEP以强制性或煽动对性风险补偿、耐药性、毒性或道德判断的恐惧的方式实施，那么PrEP的这些高度期望的附带好处可能会被破坏或消除。目前的PrEP实施提供了非常期望的直接和间接益处。
As demand for pre-exposure prophylaxis increases, we are learning more about what people want from sex and PrEP. PrEP demand has reached a tipping point in the United States and is increasing rapidly. While the primary benefit of pre-exposure prophylaxis use is biological, to reduce risk of HIV infection, PrEP users often express an alternative set of social and emotional benefits that are provided by PrEP. These collateral benefits of PrEP have salience, affect, and are experienced in the present, which are compelling drivers of human behavior. PrEP use has been associated with feeling safe during sex, usually in contrast to ruminations related to fear of HIV or intimate partner violence or control. PrEP can create empowerment, or agency, defined as the capacity and autonomy to act on one’s own behalf, because it provides control over one’s vulnerability to HIV and relief to women and men who may otherwise worry about whether their partners will use a condom, take antiretroviral therapy, or disclose their HIV status accurately. Planning for sexual and social goals in calm moments is also empowering. These highly desired collateral benefits of PrEP could be undermined, or eliminated, if PrEP is implemented in ways that are coercive or that foment fear of sexual risk compensation, drug resistance, toxicity, or moral judgment. Current PrEP implementation provides direct and indirect benefits that are highly desired.