Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures?

Sayer, C, Fisher, M, Nixon, E, Nambiar, K, Richardson, D, Perry, N and Llewellyn, Carrie (2008) Will I? won't I? Why do men who have sex with men present for post-exposure prophylaxis for sexual exposures? Sexually Transmitted Infections, 85. pp. 206-211. ISSN 1368-4973

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Abstract

Background: Failures of post-exposure prophylaxis following sexual exposure (PEPSE) to prevent seroconversion have been reported and are often associated with ongoing risk exposure. Understanding why men who have sex with men (MSM) access PEPSE on some occasions and not others may lead to more effective health promotion and disease prevention strategies Methods: A qualitative study design using semi-structured interviews of 15 MSM within 6 months of them initiating PEPSE treatment at an HIV outpatient service in Brighton, UK. Results: PEPSE seeking was motivated by a number of factors: an episode that related to a particular sexual partner and their behaviour; the characteristics of the venue where the risk occurred; the respondent’s state of mind and influences of alcohol and recreational drug use; and their perceived beliefs on the effectiveness of PEPSE. Help was sought in the light of a “one-off” or “unusual” event. Many respondents felt they were less likely to behave in a risky manner following PEPSE. Conclusion: If PEPSE is to be effective as a public health measure, at risk individuals need to be empowered to make improved risk calculations from an increased perception that they could be exposed to HIV if they continue their current behaviour patterns. The concern is that PEPSE was sought by a low number of MSM implying that a greater number are not using the service based on failure to make accurate risk calculations or recognise high-risk scenarios

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Primary Care and Public Health
Brighton and Sussex Medical School > Brighton and Sussex Medical School
Subjects: R Medicine > R Medicine (General)
Depositing User: Caroline Brooks
Date Deposited: 04 Jun 2010
Last Modified: 09 Mar 2017 06:28
URI: http://sro.sussex.ac.uk/id/eprint/2276
Google Scholar:9 Citations

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