Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men
This study offers a set of reflections on the relationship between risk and pleasure in the field of HIV prevention and care, as it mediates new biomedical prevention/care technologies, particularly pre-exposure prophylaxis (PrEP), among men who have sex with men (MSM). We begin by investigating som...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2023-03-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001303001&lng=en&tlng=en |
| _version_ | 1827978140316598272 |
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| author | Luís Augusto Vasconcelos da Silva Sandra Assis Brasil Filipe Mateus Duarte Litza Andrade Cunha Marcelo Eduardo Pfeiffer Castellanos |
| author_facet | Luís Augusto Vasconcelos da Silva Sandra Assis Brasil Filipe Mateus Duarte Litza Andrade Cunha Marcelo Eduardo Pfeiffer Castellanos |
| author_sort | Luís Augusto Vasconcelos da Silva |
| collection | DOAJ |
| description | This study offers a set of reflections on the relationship between risk and pleasure in the field of HIV prevention and care, as it mediates new biomedical prevention/care technologies, particularly pre-exposure prophylaxis (PrEP), among men who have sex with men (MSM). We begin by investigating some studies about condomless sex between men, more specifically barebacking and PrEP use among young MSM. We base our analysis on the assumption that PrEP, as one of these new actants, has reconfigured the field of HIV prevention/care, especially in relation to the dimensions of risk and pleasure, with the potential to considerably reduce the chances of HIV infection while enabling maximum pleasure and a sense of greater safety and freedom. Despite this progress, we also problematize some of the ambivalences, tensions, and moral conflicts that still exist in the field of prevention, especially the potential for condomless sex. Finally, taking a praxiographic perspective on health care and foregrounding the situated practices of human and non-human actors/actants in interaction, we consider HIV/AIDS prevention as a more fluid, non-linear, erratic phenomenon that involves multiple types of knowledge, feelings, and participations, and is open to different kinds of experimentation. Besides a “logic of choice”, we hold that health care is a permeable, continuous process that is enacted in situated practices and may produce different effects in response to a heterogeneous network of interactions. |
| first_indexed | 2024-04-09T21:17:13Z |
| format | Article |
| id | doaj.art-4180fe5265cc43af947bd0647aa76597 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-04-09T21:17:13Z |
| publishDate | 2023-03-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-4180fe5265cc43af947bd0647aa765972023-03-28T07:32:39ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642023-03-0139suppl 110.1590/0102-311xen139221Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with menLuís Augusto Vasconcelos da Silvahttps://orcid.org/0000-0003-0742-9902Sandra Assis Brasilhttps://orcid.org/0000-0002-1873-4577Filipe Mateus Duartehttps://orcid.org/0000-0001-5508-8773Litza Andrade Cunhahttps://orcid.org/0000-0002-3937-6318Marcelo Eduardo Pfeiffer Castellanoshttps://orcid.org/0000-0002-4977-5574This study offers a set of reflections on the relationship between risk and pleasure in the field of HIV prevention and care, as it mediates new biomedical prevention/care technologies, particularly pre-exposure prophylaxis (PrEP), among men who have sex with men (MSM). We begin by investigating some studies about condomless sex between men, more specifically barebacking and PrEP use among young MSM. We base our analysis on the assumption that PrEP, as one of these new actants, has reconfigured the field of HIV prevention/care, especially in relation to the dimensions of risk and pleasure, with the potential to considerably reduce the chances of HIV infection while enabling maximum pleasure and a sense of greater safety and freedom. Despite this progress, we also problematize some of the ambivalences, tensions, and moral conflicts that still exist in the field of prevention, especially the potential for condomless sex. Finally, taking a praxiographic perspective on health care and foregrounding the situated practices of human and non-human actors/actants in interaction, we consider HIV/AIDS prevention as a more fluid, non-linear, erratic phenomenon that involves multiple types of knowledge, feelings, and participations, and is open to different kinds of experimentation. Besides a “logic of choice”, we hold that health care is a permeable, continuous process that is enacted in situated practices and may produce different effects in response to a heterogeneous network of interactions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001303001&lng=en&tlng=enRiskPleasurePre-Exposure ProphylaxisMen Who Have Sex With Men |
| spellingShingle | Luís Augusto Vasconcelos da Silva Sandra Assis Brasil Filipe Mateus Duarte Litza Andrade Cunha Marcelo Eduardo Pfeiffer Castellanos Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men Cadernos de Saúde Pública Risk Pleasure Pre-Exposure Prophylaxis Men Who Have Sex With Men |
| title | Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men |
| title_full | Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men |
| title_fullStr | Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men |
| title_full_unstemmed | Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men |
| title_short | Between risk and pleasure: reflections on HIV prevention and care in the current context of PrEP use by men who have sex with men |
| title_sort | between risk and pleasure reflections on hiv prevention and care in the current context of prep use by men who have sex with men |
| topic | Risk Pleasure Pre-Exposure Prophylaxis Men Who Have Sex With Men |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001303001&lng=en&tlng=en |
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