The workings of Pre-Exposure Prophylaxis (PrEP) citizenship amongst queer men in Denmark
DOI:
https://doi.org/10.7146/kkf.v35i1.133799Nøgleord:
Pre-Exposure Prophylaxis, PrEP Citizenship, Biocitizenship, HIV prevention, Queer healthcareResumé
In 2019, oral Pre-Exposure Prophylaxis (PrEP), a HIV prevention pill, was made available for ‘at-risk’ populations in Denmark, with uptake primarily seen amongst men who have sex with men. While PrEP has revolutionised HIV prevention by simultaneously providing sexual freedom and protection from HIV, it is accompanied by firm medical and social surveillance, through which, some commentators argue, PrEP citizenships are produced. This article draws on visual ethnographic data to explore how PrEP users in Denmark experience and reflect on the types of ‘work’ involved with, and moralities arising from, this PrEP citizenship. We argue that PrEP citizenship is contingent on the resources and abilities of individuals to proactively engage with this ‘work’ and balance the moral ambiguities of PrEP in relation to both local communities and their obligations concerning the Danish welfare state.
Referencer
Auerbach, J. D. & Hoppe, T. A. 2015. Beyond "getting drugs into bodies": social science perspectives on pre-exposure prophylaxis for HIV. Journal of the International AIDS Society, 18, 19983.
Bennett, J. A. 2018. 4. Chronic Citizenship: Community, Choice, and Queer Controversy. In: Kelly, E. H., Jenell, J. & Marina, L. eds. Biocitizenship: The Politics of Bodies, Governance, and Power. New York University Press.
Bernays, S., Bourne, A., Kippax, S., Aggleton, P. & Parker, R. 2021. Remaking HIV Prevention: The Promise of TasP, U=U and PrEP. In: Bernays, S., Bourne, A., Kippax, S., Aggleton, P. & Parker, R. eds. Remaking HIV Prevention in the 21st Century: The Promise of TasP, U=U and PrEP. Cham: Springer International Publishing.
Brisson, J. & Nguyen, V. K. 2017. Science, technology, power and sex: PrEP and HIV-positive gay men in Paris. Culture, Health & Sexuality 19, 1066-1077.
Danish Health Authority. 2017. Forebyggende behandling (PrEP) mod HIV i særlige risikogrupper.
Danske Regioner. 2019. Anbefalinger vedr. ibrugtagning af PrEP.
Dean, T. 2015. Mediated intimacies: Raw sex, Truvada, and the biopolitics of chemoprophylaxis. Sexualities, 18, 224-246.
Ecks, S. 2005. Pharmaceutical Citizenship: Antidepressant Marketing and the Promise of Demarginalization in India. Anthropology & Medicine, 12, 239-254.
Ecks, S. 2022. Living Worth: Value and Values in Global Pharmaceutical Markets, Durham, United States, Duke University Press.
Epstein, S. 1996. Impure science : AIDS, activism, and the politics of knowledge, Berkeley, University of California Press.
Epstein, S. 2018. Governing Sexual Health: Bridging Biocitizenship and Sexual Citizenship. In: Happe, K. E., Johnson, J. & Levina, M. eds. Biocitizenship. NYU Press.
Fee, E. & Krieger, N. 1993. Understanding AIDS: historical interpretations and the limits of biomedical individualism. American journal of public health (1971), 83, 1477-1486.
Girard, G., Patten, S., Leblanc, M. A., Adam, B. D. & Jackson, E. 2019. Is HIV prevention creating new biosocialities among gay men? Treatment as prevention and pre‐exposure prophylaxis in Canada. Sociology of health & illness, 41, 484-501.
Guta, A., Newman, P. A. & Lacombe-Duncan, A. 2021. New Hierarchies of Desirability and Old Forms of Deviance Related to PrEP: Insights from the Canadian Experience. In: Bernays, S., Bourne, A., Kippax, S., Aggleton, P. & Parker, R. eds. Remaking HIV Prevention in the 21st Century: The Promise of TasP, U=U and PrEP. Cham: Springer International Publishing.
Heath, D., Rapp, R. & Taussig, K. S. 2007. Genetic Citizenship. Oxford, UK: Blackwell Publishing Ltd.
Heinemann, T. 2016. Biological Citizenship. In: Ten Have, H. ed. Encyclopedia of Global Bioethics. Cham: Springer International Publishing.
Heinsen, L. L., Wahlberg, A. & Petersen, H. V. 2022. Surveillance life and the shaping of 'genetically at risk' chronicities in Denmark. Anthropology & Medicine, 29, 29-44.
Holt, M., Newman, C. E., Lancaster, K., Smith, A. K., Hughes, S. & Truong, H. M. 2019. HIV pre-exposure prophylaxis and the 'problems' of reduced condom use and sexually transmitted infections in Australia: a critical analysis from an evidence-making intervention perspective. Sociology of health & illness, 41, 1535-1548.
Hughes, S. D., Sheon, N., Andrew, E. V. W., Cohen, S. E., Doblecki-Lewis, S. & Liu, A. Y. 2018. Body/Selves and Beyond: Men's Narratives of Sexual Behavior on PrEP. Medical Anthropology, 37, 387-400.
Jauho, M. & Helén, I. 2022. Citizenship by vitality: rethinking the concept of health citizenship. Distinktion (Aarhus), ahead-of-print, 1-21.
Kippax, S. 2012. Effective HIV prevention: the indispensable role of social science. Journal of the International AIDS Society, 15, 17357-n/a.
Martinez-Lacabe, A. 2019. The non-positive antiretroviral gay body: the biomedicalisation of gay sex in England. Culture, Health & Sexuality, 21, 1117 - 1130.
Nguyen, V.-K. 2007. Antiretroviral Globalism, Biopolitics, and Therapeutic Citizenship. Global Assemblages.
Nguyen, V.-K., Ako, C. Y., Niamba, P., Sylla, A. & Tiendrébéogo, I. 2007. Adherence as therapeutic citizenship: impact of the history of access to antiretroviral drugs on adherence to treatment. AIDS (London), 21 Suppl 5, S31-S35.
Orne, J. & Gall, J. 2019. Converting, Monitoring, and Policing PrEP Citizenship: Biosexual Citizenship and the PrEP Surveillance Regime. Surveillance & society, 17, 641-661.
Petryna, A. 2004. Biological Citizenship: The Science and Politics of Chernobyl-Exposed Populations. Osiris (Bruges), 19.
Primdahl, N. L., Borchmann, O., Hanghøj, C., Jensen, M. V. & Skovdal, M. 2022. PrEPping sundhedstiltag rettet mod HIV-forebyggelse i Danmark: Et vindue ind i hvordan målgruppen og sundhedspersonale oplever og erfarer PrEP Institut for Folkesundhedsvidenskab, Københavns Universitet.
Race, K. 2014. The difference practice makes: Evidence, articulation, and affect in HIV prevention. AIDS education and prevention: official publication of the International Society for AIDS Education, 26, 256-266.
Race, K. 2016. Reluctant Objects: Sexual Pleasure as a Problem for HIV Biomedical Prevention. GLQ, 22, 1-31.
Region Syddanmark. 2020. Afrapportering PrEP-behandling.
Roberts, C. & Tutton, R. 2018. 9. The Rise of Health Activism: The Importance of Social Class to Biosociality. In: Kelly, E. H., Jenell, J. & Marina, L. eds. Biocitizenship: The Politics of Bodies, Governance, and Power. New York University Press.
Rose, N. & Novas, C. 2005. Biological Citizenship. Biological Citizenship.
Russell, S., Namukwaya, S., Zalwango, F. & Seeley, J. 2016. The Framing and Fashioning of Therapeutic Citizenship Among People Living With HIV Taking Antiretroviral Therapy in Uganda. Qualitative health research, 26, 1447-1458.
Skovdal, M. 2019. Facilitating engagement with PrEP and other HIV prevention technologies through practice-based combination prevention. Journal of the International AIDS Society, 22 Suppl 4, e25294.
Treichler, P. A. 1987. AIDS, Homophobia, and Biomedical Discourse: An Epidemic of Signification. October, 43, 31-70.
Wang, C. C., Yi, W. K., Tao, Z. W. & Carovano, K. 1998. Photovoice as a Participatory Health Promotion Strategy. Health promotion international, 13, 75-86.
World Health Organization. 2016. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Recommendations for a Public Health Approach. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection: Recommendations for a Public Health Approach. Geneva: World Health Organization.
Young, I., Davis, M., Flowers, P. & Mcdaid, L. M. 2019. Navigating HIV citizenship: identities, risks and biological citizenship in the treatment as prevention era. Health, Risk & Society, 21, 1-16.
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