Evidence map›Paper›PMID 30874978›Full record

ArticleArchives of sexual behavior2019

Making Meaning of the Impact of Pre-Exposure Prophylaxis (PrEP) on Public Health and Sexual Culture: Narratives of Three Generations of Gay and Bisexual Men.

Phillip L Hammack, Erin E Toolis, Bianca D M Wilson, Richard C Clark, David M Frost

Abstract read
In one paragraph

Article in Archives of sexual behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

5 authors.

Phillip L HammackDepartment of Psychology, University of California,Santa Cruz, 1156 High Street, Santa Cruz, CA, 95064, USA. hammack@ucsc.edu.ORCID 0000-0003-2203-858X
Erin E ToolisDepartment of Psychology, University of California,Santa Cruz, 1156 High Street, Santa Cruz, CA, 95064, USA.
Bianca D M WilsonWilliams Institute, UCLA School of Law, Los Angeles, CA, USA.
Richard C ClarkDepartment of Psychology, City University of New York Graduate Center, New York, NY, USA.
David M FrostDepartment of Social Science, University College, London, UK.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
Identity Stress and Health in Three Cohorts of LGB individualsR01HD078526 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MEYER, ILAN H · 2014 to 2018
$4.1M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD078526NICHD NIH HHS P2C HD041022NICHD NIH HHS R01 HD078526
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) with Truvada has emerged as an increasingly common approach to HIV prevention among gay, bisexual, and other men who have sex with men. This study examined generational differences and similarities in narrative accounts of PrEP among a diverse sample of 89 gay and bisexual men in the U.S. Over 50% of men in the older (52-59 years) and younger (18-25 years) generations endorsed positive views, compared with 32% of men in the middle (34-41 years) generation. Men in the middle cohort expressed the most negative (21%) and ambivalent (47%) views of PrEP. Thematic analysis of men's narratives revealed three central stories about the perceived impact of PrEP: (1) PrEP has a positive impact on public health by preventing HIV transmission (endorsed more frequently by men in the older and younger cohorts); (2) PrEP has a positive effect on gay and bisexual men's sexual culture by decreasing anxiety and making sex more enjoyable (endorsed more frequently by men in the middle and younger cohorts); and (3) PrEP has a negative impact on public health and sexual culture by increasing condomless, multi-partner sex (endorsed more frequently by men in the middle and younger cohorts). Results are discussed in terms of the significance of generation cohort in meanings of sexual health and culture and implications for public health approaches to PrEP promotion among gay and bisexual men.

Indexed as

AdolescentAdultHomosexuality, MaleHumansMaleMiddle AgedPre-Exposure ProphylaxisPublic HealthSexual and Gender MinoritiesSexual BehaviorYoung AdultGay menHIV/AIDSPrEPPublic healthSexual cultureSexual orientation

Identifiers

PMID30874978
PMCPMC7175836

What OpenQuestion holds

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Registered trials

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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.