Supporting sexual health and relationships for people with learning disabilities 18 December In relationships, sex and sexual health, people with disabilities often face The authors investigated whether use of pre-exposure prophylaxis PrEP influenced partner selection on an online dating application.
PrEP status was not a significant factor for HIV-positive men when it came to selecting sexual partners. PrEP usage has had divisive effects, either being seen as a responsible preventative measure or an enabler of risky sexual behaviour amongst MSM. The authors used vignettes in order to assess social attitudes of MSM on a popular geo-location sex app.
Participants were presented with stories depicting gay male characters as either sexually promiscuous or monogamous and either taking PrEP or not. None of the characters used condoms. Participants were asked whether they would be friends, date, or have sex with the characters.
A total of men from nine US cities completed the full survey years old, average age 37 in July Most of the men in the sample were white PrEP users also rejected promiscuous men for dating, and appeared to prefer to date men on PrEP, but this difference was once again not significant. They largely rejected promiscuous characters not taking PrEP. As this was a significant finding for HIV-negative but not for HIV-positive individuals in terms of sexual partner selection, it also is consistent with PrEP sorting being used as a risk mitigating strategy.
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A PrEP user perhaps someone obtaining his medication informally who does not test for HIV regularly and who has lapses in adherence may have a false sense of security about his HIV status. This may be because the combination of monogamy and PrEP use is seen as a more responsible way of having sex with HIV-negative individuals, and HIV-positive men may not feel as pressurised to disclose their status if they know their partner is on PrEP. This is further evidence for PrEP sorting while using online apps. Martinez, J.
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