“Condoms are … like public transit. It’s something you want everyone else to take”: Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention

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dc.contributor.authorKlassen, Benjamin J.
dc.contributor.authorFulcher, Karyn
dc.contributor.authorChown, Sarah A.
dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorHogg, Robert S.
dc.contributor.authorMoore, David M.
dc.contributor.authorRoth, Eric A.
dc.contributor.authorLachowsky, Nathan J.
dc.date.accessioned2020-11-20T21:39:33Z
dc.date.available2020-11-20T21:39:33Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractBackground The emergence of biomedical and seroadaptive HIV prevention strategies has coincided with a decline in condom use among gay men. Methods We undertook a social ecological analysis of condom use and perceptions using nineteen semi-structured interviews with HIV negative gay men in Vancouver, Canada who used HAART-based prevention strategies. Results Contributors to inconsistent condom use were found at various levels of the social ecological model. Ongoing concern regarding HIV transmission and belief in the proven efficacy of condoms motivated contextual use. When condoms were not used, participants utilized seroadaptive and biomedical prevention strategies to mitigate risk. Conclusions These findings indicate that notions of “safety” and “risk” based on consistent condom use are eroding as other modes of prevention gain visibility. Community-based and public health interventions will need to shift prevention messaging from advocacy for universal condom use toward combination prevention in order to meet gay men’s current prevention needs. Interventions should advance gay men’s communication and self-advocacy skills in order to optimize these strategies.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe authors would like to thank the Momentum Health Study participants, office staff and community advisory board, as well as our community partner agencies, Health Initiative for Men, YouthCO HIV & Hep C Society, and Positive Living Society of BC. Funding Momentum is funded through the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes for Health Research (MOP-107544, FDN-143342, PJT-153139). NJL was supported by a CANFAR/CTN Postdoctoral Fellowship Award. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). The funding bodies had no role in the design of the study, in the collection, analysis or interpretation of the results, or in the writing of the manuscript.en_US
dc.identifier.citationKlassen, B. J., Fulcher, K., Chown, S. A., Armstrong, H. L., Hogg, R. S., Moore, D. M., … Lachowsky, N. J. (2019). “Condoms are … like public transit. It’s something you want everyone else to take”: Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive prevention. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6452-7en_US
dc.identifier.urihttps://doi.org/10.1186/s12889-019-6452-7
dc.identifier.urihttp://hdl.handle.net/1828/12364
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectCondoms
dc.subjectSeroadaptive strategies
dc.subjectHAART
dc.subjectGay and bisexual men
dc.subjectCombination prevention
dc.subjectSocial ecological model
dc.subjectHIV prevention
dc.subjectCentre for Addictions Research of BC (CARBC)
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Public Health and Social Policy
dc.subject.departmentDepartment of Anthropology
dc.title“Condoms are … like public transit. It’s something you want everyone else to take”: Perceptions and use of condoms among HIV negative gay men in Vancouver, Canada in the era of biomedical and seroadaptive preventionen_US
dc.typeArticleen_US

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