CAHSS Faculty Articles

Publication Date

1-23-2018

Publication Title

Culture, Health & Sexuality: An International Journal for Research, Intervention and Care

ISSN

1464-5351

Volume

20

Issue/No.

11

First Page

1185

Last Page

1198

Abstract

Limited data suggest that some gay and other men who have sex with men are using antiretroviral medications informally, without a prescription, for HIV prevention. This qualitative study examined this phenomenon among gay and other men who have sex with men in South Florida. Participants initiated informal antiretroviral medication use as a means of protecting each other and because of the confidence in knowledge of antiretroviral medications shared by their friends and sex partners. The most commonly used medications included Truvada and Stribild. Motivations for use included condom avoidance, risk reduction, and fear of recent HIV exposure. Participants described positive and negative sentiments related to informal use, including concerns about informal antiretroviral medications offering sufficient protection against HIV, and limited knowledge about pre-exposure prophylaxis (PrEP). Because the antiretroviral medications used for PrEP have the potential to prevent HIV infection, future research must consider the informal antiretroviral medication use and related concerns, including adherence, diversion and viral resistance.

ORCID ID

0000-0002-5001-7391

DOI

10.1080/13691058.2017.1421709

Peer Reviewed

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