"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.

ABSTRACT:

Background

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

SUBMITTER: Klassen BJ 

PROVIDER: S-EPMC6350294 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature