Evidence map›Paper›PMID 30819060›Full record

ArticleAmerican journal of men's health

Pleasure and PrEP: Pleasure-Seeking Plays a Role in Prevention Choices and Could Lead to PrEP Initiation.

Xavier Mabire, Costanza Puppo, Stéphane Morel, Marion Mora, Daniela Rojas Castro, Julie Chas, Eric Cua, Claire Pintado, Marie Suzan-Monti, Bruno Spire and 2 more

Abstract read
In one paragraph

Article in American journal of men's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Pre-Exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex With Men in Ottawa: A Real World View With Benefits Beyond HIV Risk Reduction.International journal of sexual health : official journal of the World Association for Sexual Health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Xavier Mabire1 GRePS, Lyon 2 University, Lyon, France.
Costanza Puppo1 GRePS, Lyon 2 University, Lyon, France.
Stéphane Morel2 AIDES, Pantin, France.
Marion Mora3 Aix Marseille University, INSERM, IRD, SESSTIM, Marseille, France.
Daniela Rojas Castro3 Aix Marseille University, INSERM, IRD, SESSTIM, Marseille, France.
Julie Chas6 Hospital Tenon, Paris, France.
Eric Cua7 Hospital Archet, Nice, France.
Claire Pintado8 Hospital Saint-Louis, Department of infectious Disease, Assistance Publique Hôpitaux de Paris, Paris, France.
Marie Suzan-Monti3 Aix Marseille University, INSERM, IRD, SESSTIM, Marseille, France.
Bruno Spire3 Aix Marseille University, INSERM, IRD, SESSTIM, Marseille, France.
Jean-Michel Molina8 Hospital Saint-Louis, Department of infectious Disease, Assistance Publique Hôpitaux de Paris, Paris, France.
Marie Préau1 GRePS, Lyon 2 University, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pleasure-seeking plays a role in prevention (means choices and use), and in the sexual quality of life of men who have sex with men (MSM). Since HIV is a major threat to MSM health, new means of prevention, like pre-exposure prophylaxis (PrEP), must meet the needs of MSM to be fully efficient. Using a psychosocial approach, we examined how pleasure-seeking plays a role in participation of MSM in "ANRS-IPERGAY," a community-based trial on sexual health which included sexual on-demand PrEP. Thirteen semistructured collective interviews were conducted with 45 participants. First, we analyzed participants' search for new prevention means due to previous failures in condom use. We found that participants perceived condoms as a barrier-both materially and symbolically-to pleasure and desire, causing anxiety and stress considering sexual intercourse. Second, we explored representations and attitudes concerning pleasure within the context of PrEP. We found that PrEP allowed participants to freely choose their desired sexual positions and to better enjoy intimacy. Third, we studied the sexual quality of life for PrEP users in ANRS-IPERGAY and found an improvement. Thanks to the community-based design of the trial, this new prevention tool became a means to develop agency and empowerment for participants, not only in negotiating individual prevention but also in opposing the normative and stigmatizing discourse on sexuality and HIV. In conclusion, pleasure-seeking appears to be an essential element of sexual fulfillment that needs to be integrated as a positive notion in the study of HIV prevention.

Indexed as

PleasurePre-Exposure ProphylaxisSexual BehaviorAdultAgedBisexualityHIV InfectionsHomosexuality, MaleHumansInterviews as TopicMaleMiddle Agedhealth-care issueshealth promotion and disease preventionHIV/AIDSphysiological and endocrine disorderssexual healthsexuality

Identifiers

PMID30819060
PMCPMC6440035

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.