Preexposure Prophylaxis and Patient Centeredness
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 argue...
| Main Authors: | , , , |
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| Format: | Article |
| Jezik: | English |
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SAGE Publishing
2016-09-01
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| Serija: | American Journal of Men's Health |
| Online dostop: | https://doi.org/10.1177/1557988316658288 |
| _version_ | 1828404044649988096 |
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| author | Jonathan M. Snowden PhD Maria I. Rodriguez MD, MPH Skyler D. Jackson MS Julia L. Marcus PhD, MPH |
| author_facet | Jonathan M. Snowden PhD Maria I. Rodriguez MD, MPH Skyler D. Jackson MS Julia L. Marcus PhD, MPH |
| author_sort | Jonathan M. Snowden PhD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T10:29:21Z |
| format | Article |
| id | doaj.art-c9b51a4a0e7646c2827fd97067ee87c5 |
| institution | Directory Open Access Journal |
| issn | 1557-9883 1557-9891 |
| language | English |
| last_indexed | 2024-12-10T10:29:21Z |
| publishDate | 2016-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | American Journal of Men's Health |
| spelling | doaj.art-c9b51a4a0e7646c2827fd97067ee87c52022-12-22T01:52:37ZengSAGE PublishingAmerican Journal of Men's Health1557-98831557-98912016-09-011010.1177/1557988316658288Preexposure Prophylaxis and Patient CenterednessJonathan M. Snowden PhD0Maria I. Rodriguez MD, MPH1Skyler D. Jackson MS2Julia L. Marcus PhD, MPH3Oregon Health & Science University, Portland, OR, USAOregon Health & Science University, Portland, OR, USAUniversity of Maryland, College Park, MD, USAKaiser Permanente Northern California, Oakland, CA, USAPreexposure 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.https://doi.org/10.1177/1557988316658288 |
| spellingShingle | Jonathan M. Snowden PhD Maria I. Rodriguez MD, MPH Skyler D. Jackson MS Julia L. Marcus PhD, MPH Preexposure Prophylaxis and Patient Centeredness American Journal of Men's Health |
| title | Preexposure Prophylaxis and Patient Centeredness |
| title_full | Preexposure Prophylaxis and Patient Centeredness |
| title_fullStr | Preexposure Prophylaxis and Patient Centeredness |
| title_full_unstemmed | Preexposure Prophylaxis and Patient Centeredness |
| title_short | Preexposure Prophylaxis and Patient Centeredness |
| title_sort | preexposure prophylaxis and patient centeredness |
| url | https://doi.org/10.1177/1557988316658288 |
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