There are significant psychological, social, and cultural dimensions to the HIV epidemic in the United States, especially among lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities. Biomedical HIV treatment has been shown to impact these dimensions. However, there is little understanding of the real-world psychosocial and sociocultural effects of the latest biomedical HIV prevention strategy, HIV pre-exposure prophylaxis (PrEP). This study explored the psychosocial and sociocultural dimensions of PrEP use among LGBTQ adults. We interviewed 23 LGBTQ adults who were current or former users of PrEP. Results included that PrEP users' experiences were shaped by multiple forms of stigma. Participants were highly motivated to challenge PrEP stigma and to support PrEP use among other community members. Lastly, participants described positive impacts on their individual well-being and their sexual partnerships. Findings suggest that PrEP has significant impacts beyond biomedical outcomes for both the individuals who use PrEP and their communities.

中文翻译：

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“小金币”：LGBTQ社区中PrEP的心理和社会影响

在美国，尤其是在女同性恋，男同性恋，双性恋，变性者和同性恋者（LGBTQ）社区中，艾滋病毒的流行具有重要的心理，社会和文化意义。已证明生物医学HIV治疗会影响这些方面。但是，人们对最新的生物医学艾滋病毒预防策略即艾滋病毒暴露前预防（PrEP）的现实社会心理和社会文化影响了解甚少。这项研究探讨了LGBTQ成人中PrEP使用的社会心理和社会文化层面。我们采访了23位使用过或以前使用过PrEP的LGBTQ成人。结果包括PrEP用户的体验受到多种形式的污名的影响。参与者非常有动力挑战PrEP的污名，并支持其他社区成员使用PrEP。最后，参与者描述了对他们的个人福祉和性伴侣的积极影响。研究结果表明，对于使用PrEP的个人及其社区，PrEP会对生物医学成果产生重大影响。