Unspeakable PrEP: a qualitative study of sexual communication, problematic integration, and uncertainty management among men who have sex with men in Taiwan

Poyao Huang, Huei Jiuan Wu, Carol Strong, Feng Ming Jan, Ling Wen Mao, Nai Ying Ko, Chia Wen Li, Chien Yu Cheng, Stephane Wen Wei Ku

Research output: Contribution to journalArticlepeer-review

Abstract

This study explored how men who have sex with men (MSM) communicated their use of pre-exposure prophylaxis (PrEP) on smartphone applications. Informed by the theory of problematic integration and uncertainty management, we asked if revealing ‘HIV negative, on PrEP’ status on smartphone applications might increase one's uncertainty in communicating about safe sex with others. We conducted interviews with 31 Taiwanese MSM currently taking PrEP who participated in a national demonstration project. We identified three types of PrEP-related uncertainty: condition, information, and stigma uncertainty. Applied implications of our findings indicate the importance of the feasibility of medical infrastructure in implementing PrEP, the complication in translating scientific and medical jargon into everyday language, and dynamics of negotiating stigmas associated with HIV and AIDS in the context of HIV prevention.

Original languageEnglish
Pages (from-to)611-627
Number of pages17
JournalJournal of Applied Communication Research
Volume47
Issue number6
DOIs
Publication statusPublished - 2019 Nov 2

All Science Journal Classification (ASJC) codes

  • Communication
  • Language and Linguistics

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