{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:33:57Z","timestamp":1789500837749,"version":"build-2803163510"},"reference-count":52,"publisher":"Guilford Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>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\u2019 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.<\/jats:p>","DOI":"10.1521\/aeap.2019.31.1.51","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T12:24:55Z","timestamp":1549887895000},"page":"51-62","source":"Crossref","is-referenced-by-count":24,"title":["\u201cLittle Tablets of Gold\u201d: An Examination of the Psychological and Social Dimensions of PrEP Among LGBTQ Communities"],"prefix":"10.1521","volume":"31","author":[{"given":"Christina J.","family":"Sun","sequence":"first","affiliation":[{"name":"School of Public Health, Oregon Health & Science University-Portland State University, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten M.","family":"Anderson","sequence":"additional","affiliation":[{"name":"School of Public Health, Oregon Health & Science University-Portland State University, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Toevs","sequence":"additional","affiliation":[{"name":"Multnomah County Health Department, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayna","family":"Morrison","sequence":"additional","affiliation":[{"name":"Oregon AIDS Education and Training Center at Portland Veterans Affairs Research Foundation, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Wells","sequence":"additional","affiliation":[{"name":"Cascade AIDS Project, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Nicolaidis","sequence":"additional","affiliation":[{"name":"School of Public Health, Oregon Health & Science University-Portland State University, Portland, Oregon."},{"name":"Department of Medicine, Oregon Health & Science University, Portland, Oregon, and the School of Social Work, Portland State University, Portland, Oregon."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172354"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.18.4.19983"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1177\/135910530000500408"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2011.554528"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302816"},{"key":"ref6","volume-title":"U.S. Public Health Service: Preexposure prophylaxis for the prevention of HIV infection in the United States\u20142017 update: A clinical practice guideline","author":"Centers for Disease Control and Prevention","year":"2018"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2016.1206051"},{"key":"ref8","first-page":"51","volume":"17","author":"Conrad P.","year":"1986","journal-title":"Social Policy"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.4135\/9781483326917.n8"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2015.27.4.289"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001145"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-1964-6"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13990"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-116"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0184014"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2013.0116"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2015.11.005"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1080\/19359705.2015.1105520"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1129-4"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2017.0153"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000216"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011205"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31828ece33"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1030-1"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-2011-3"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1177\/0002764299042007006"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2014.0114"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050312"},{"key":"ref30","first-page":"137","volume-title":"Psychosocial and public health impacts of new HIV therapies","author":"Kalichman S. 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