ArticleBMC public health2019
"Condoms are … like public transit. It's something you want everyone else to take": Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Motivations, benefits, and barriers to the use of HIV pre-exposure prophylaxis based on the health belief model.Revista latino-americana de enfermagem · 2025Article
- Patterns of PrEP and condom use among PrEP users in Belgium: a web-based longitudinal study.BMC public health · 2023Article
- Condom stigma among men who have sex with men population: Concept synthesis.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022Article
- Challenges to communicating the Undetectable equals Untransmittable (U=U) HIV prevention message: Healthcare provider perspectives.PloS one · 2022Article
- Serodiscordance predictors among couples in the HIV context: implications for health care.BMC public health · 2021Article
- Leisure Boredom, Timing of Sexual Debut, and Co-Occurring Behaviors among South African Adolescents.Archives of sexual behavior · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundThe emergence of biomedical and seroadaptive HIV prevention strategies has coincided with a decline in condom use among gay men.
methodsWe undertook a social ecological analysis of condom use and perceptions using nineteen semi-structured interviews with HIV negative gay men in Vancouver, Canada who used HAART-based prevention strategies.
resultsContributors to inconsistent condom use were found at various levels of the social ecological model. Ongoing concern regarding HIV transmission and belief in the proven efficacy of condoms motivated contextual use. When condoms were not used, participants utilized seroadaptive and biomedical prevention strategies to mitigate risk.
conclusionsThese findings indicate that notions of "safety" and "risk" based on consistent condom use are eroding as other modes of prevention gain visibility. Community-based and public health interventions will need to shift prevention messaging from advocacy for universal condom use toward combination prevention in order to meet gay men's current prevention needs. Interventions should advance gay men's communication and self-advocacy skills in order to optimize these strategies.
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