Transcript PrEP: What does it mean for MSM, our community, and those who

PrEP:
What does it mean for
MSM, our community,
and those who work with them?
Justin Harbottle
Programme Officer: Quality and Engagement, Terrence Higgins Trust, London
1. Individuals
The PROUD Study (documentary): Voice of the Participants:
https://vimeo.com/132924271
https://vimeo.com/132412294
Rethinking ‘at-risk’?
Ambivalence about HIV,
Socio-economic
education,
poor self-esteem,
drugs and alcohol,
poor mental health.
Poor condom usage
Rethinking ‘at-risk’?
Ambivalence about HIV,
Socio-economic
education,
poor self-esteem,
drugs and alcohol,
poor mental health.
Poor PrEP
adherance
Rethinking ‘at-risk’?
Rethinking ‘at-risk’?
PrEP Activism
PrEP in practice: disclosure
HIV Status
Positive
Undetectable
Poz + Other
Negative
Neg + PrEP
Neg + Other
Other
Unsure
Do not care
Ask me
PrEP in practice: disclosure
Hornet
KYS: Know Your Status
2. US backlash
2. US backlash
11
2. The Community
Critics warned that The Pill would spawn
generations of loose, immoral women; what it
spawned was generations of empowered
women who are
better equipped to
make rational
choices about
their lives
2. Community backlash?
Community statement:
September 2013 &
Nov 2014
www.prepaccess.org.uk
2,491 signatories
2. Community backlash
2. The Community
2. The Community
PrEP Facts
Stop HIV. PreP Now
3. Health Promotion
3. Health Promotion for MSM
Safer
=
Sex
Penetrative anal sex with a condom
Oral sex without a condom? (probably)
STI screens? (at a push)
Partner numbers
duration /settings
group/drug use?
3. Health Promotion
Does PrEP change how we think about PEP?
3. Health Promotion
What are the goals or outcomes with
someone successfully using PrEP?
• Improve wider health determinants?
(chems, sexual compulsion, mental health?)
• Seasons of risk?
• Move back to condoms?
• Other harm reduction?
Thank you
Facebook: Stop HIV. PrEP Now.
www.prepaccess.org.uk