{"id":464645,"date":"2022-06-18T00:30:12","date_gmt":"2022-06-17T21:30:12","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/prep-stigma-still-high-among-men-who-have-sex-with-men\/"},"modified":"2022-06-18T00:30:12","modified_gmt":"2022-06-17T21:30:12","slug":"prep-stigma-still-high-among-men-who-have-sex-with-men","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/prep-stigma-still-high-among-men-who-have-sex-with-men\/","title":{"rendered":"#PrEP stigma still high among men who have sex with men"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a4e081f96a5e\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a4e081f96a5e\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/prep-stigma-still-high-among-men-who-have-sex-with-men\/#%E2%80%9CPrEP_stigma_still_high_among_men_who_have_sex_with_men%E2%80%9D\" >&#8220;PrEP stigma still high among men who have sex with men&#8221;<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CPrEP_stigma_still_high_among_men_who_have_sex_with_men%E2%80%9D\"><\/span>&#8220;PrEP stigma still high among men who have sex with men&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n                                        Many male couples in the U.S. seem to be underestimating the effectiveness of HIV pre-exposure prophylaxis (PrEP) for HIV prevention, and educating partners together could improve the number of male couples who decide to adopt PrEP. These conclusions come from a study reported in the July\/August issue of The Journal of the Association of Nurses in AIDS Care (JANAC), the official journal of the Association of Nurses in AIDS Care.\n                                                <\/p>\n<p>                                                                                PrEP\u2014medicine taken to prevent HIV infection\u2014reduces the risk of getting HIV from sex by about 99%, according to the U.S. Centers for Disease Control and Prevention. Yet among men who have sex with men, PrEP use is suboptimal, and new HIV diagnoses have decreased by only 5%. One-third to two-thirds of new HIV infections in this group come from the man&#8217;s primary partner.<\/p>\n<p>Rob Stephenson, Ph.D., a professor at the University of Michigan School of Nursing, and colleagues studied how PrEP-related stigma (shame) and views of PrEP effectiveness affect decisions of male couples about whether to use it. &#8220;[A]lthough risk perceptions may help reduce stigma by framing PrEP as a potential protector against&#8230; perceived risks, there is evidence that partnered men may also be undervaluing the efficacy of PrEP,&#8221; they say.<\/p>\n<p>The team conducted an online survey of 375 U.S. cisgender male couples in which one or both partners was HIV-negative. All couples had been together for at least 3 months. Partners took the survey individually and each reported his own views of PrEP effectiveness. Each also rated his agreement (scale of 1\u20135) with these statements:<\/p>\n<ul>\n<li>I would feel dirty if a doctor recommended PrEP to me<\/li>\n<li>Someone who takes PrEP is probably promiscuous<\/li>\n<li>Most people I know think that taking PrEP is a sign of a weak character<\/li>\n<li>If you&#8217;re on PrEP you probably have a sexually-transmitted infection<\/li>\n<li>Taking PrEP means you have poor morals<\/li>\n<\/ul>\n<p>A majority of participants (62.6%) rated PrEP as very effective, while 29.8% rated it somewhat effective and 7.6% rated it minimally effective. But of 25 possible points on the stigma scale, the average score was 21, indicating a high level of PrEP-related stigma. Other key results were:<\/p>\n<ul>\n<li>High-risk behaviors such as binge drinking and having sex partners outside the relationship were linked to reduced PrEP stigma. This suggests partnered men with HIV-related risks are practical about the need for HIV prevention. However, those risk factors were often associated with reduced trust in PrEP effectiveness.<\/li>\n<li>A man&#8217;s level of PrEP-related stigma and his rating of PrEP effectiveness was likely to be influenced by his partner&#8217;s behavior and experiences. For instance, among men whose partners reported behaviors associated with high risk of HIV, ratings of PrEP-related stigma were reduced\u2014but so were ratings of PrEP effectiveness.<\/li>\n<li>&#8220;Serodiscordant&#8221; couples\u2014those in which only one man was HIV-negative\u2014reported higher levels of PrEP-related stigma than couples in which both partners were HIV-negative. The explanation might be that serodiscordant couples encounter more judgment and dis<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>roval from family, friends, and healthcare providers.<\/li>\n<\/ul>\n<p>HIV prevention efforts (e.g., pretest education, HIV testing, and post-test education) commonly involve both members of a couple, the authors note. They suggest adapting that approach when educating patients about PrEP. &#8220;Providing this information to couples provides an opportunity for them to learn together and talk through their concerns about PrEP and their potential to use it.&#8221;\n                                                                                                                        <\/p>\n<hr\/>\n<div class=\"article-main__explore my-4 d-print-none\">\n<p>                                                                                        Awareness of, referral to HIV PrEP low among Hispanics\n                                                                                    <\/p><\/div>\n<hr class=\"mb-4\"\/>\n<div class=\"article-main__more p-4\">\n                                                                                                <strong>More information:<\/strong><br \/>\n                                                Rob Stephenson et al, Pre-Exposure Prophylaxis Stigma and Beliefs in the Efficacy of Pre-Exposure Prophylaxis, <i>Journal of the Association of Nurses in AIDS Care<\/i> (2021).  <a rel=\"nofollow noopener\" target=\"_blank\" data-doi=\"1\" href=\"https:\/\/dx.doi.org\/10.1097\/JNC.0000000000000315\">DOI: 10.1097\/JNC.0000000000000315<\/a><\/p><\/div>\n<div class=\"d-inline-block text-medium my-4\">\n                                                Provided by<br \/>\n                                                                                                    Wolters Kluwer Health<br \/>\n                                                                                                        <a rel=\"nofollow noopener\" target=\"_blank\" class=\"icon_open\" href=\"http:\/\/www.wolterskluwerhealth.com\/pages\/welcome.aspx\"><br \/>\n                                                        <svg>\n                                                            <use href=\"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/svg\/sprite.svg#icon_open\" x=\"0\" y=\"0\"\/>\n                                                        <\/svg><br \/>\n                                                    <\/a><\/p><\/div>\n<p>                                        <!-- print only --><\/p>\n<div class=\"d-none d-print-block\">\n<p>\n                                                 <strong>Citation<\/strong>:<br \/>\n                                                 PrEP stigma still high among men who have sex with men (2022, June 17)<br \/>\n                                                 retrieved 17 June 2022<br \/>\n                                                 from https:\/\/medicalxpress.com\/<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a>\/2022-06-prep-stigma-high-men-sex.html<\/p>\n<p>                                            This document is subject to copyright. 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These conclusions come from a study reported in&#8230;<\/p>\n","protected":false},"author":1,"featured_media":464646,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/medx308px.png","fifu_image_alt":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-464645","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sciencee"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/464645","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=464645"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/464645\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/464646"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=464645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=464645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=464645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}