Negotiating HIV protection in the era of online dating and Pre-Exposure-Prophylaxis (PrEP). Insights into how men having sex with men (MSM) living in Switzerland negotiate their HIV protection with non-steady partners
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Autor:in (Körperschaft)
Publikationsdatum
2026
Typ der Arbeit
Studiengang
Typ
01A - Beitrag in wissenschaftlicher Zeitschrift
Herausgeber:innen
Herausgeber:in (Körperschaft)
Betreuer:in
Übergeordnetes Werk
Sexuality & Culture
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Verlag / Herausgebende Institution
Springer
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Programmiersprache
Abtretungsempfänger:in
Praxispartner:in/Auftraggeber:in
Zusammenfassung
HIV protection depends on the consent and cooperation of sexual partners, which requires negotiation. Early HIV-related research identified condom negotiation strategies. However, strategies used specifically among men having sex with men (MSM) remained underexamined. This project explored how HIV-negative MSM negotiate their protection from HIV when having sex with non-steady partners, considering current risk reduction practices, the availability of several effective biomedical prevention options, the strong presence of STIs and prevailing online dating. We conducted in-person interviews with a maximum variation sample of 29 MSM, aged 21–80, combining narrative interviewing with a virtual-reality serious game and a series of standardized questions. We analyzed the interview data using content analysis, combining deductive and inductive approaches. We identified three categories of negotiation strategies used in chats, during in-person dates or when having sex: (i) subject-centered strategies anchored in the will and determination of MSM; (ii) strategies centered on sexual arousal, asserting MSM’s preferred protection strategy; (iii) strategies centered on risk communication. Further, we identified actions that interrupt negotiations and directly enforce protection or bypass negotiations. Participants combined several strategies during negotiations. The strategies also demonstrated versatility: most were used for various aims and were not systematically related to a specific personal protection strategy. This study posits an elaborate range of HIV-protection negotiation strategies used by MSM, including strategies not previously described. It contributes to a more nuanced understanding of negotiation strategies and encourages prevention professionals to reflect on the attention given to negotiation strategies in prevention offers.
Schlagwörter
Veranstaltung
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Enddatum der Ausstellung
Startdatum der Konferenz
Enddatum der Konferenz
Datum der letzten Prüfung
ISBN
ISSN
1095-5143
1936-4822
1936-4822
Sprache
Englisch
Während FHNW Zugehörigkeit erstellt
Ja
Zukunftsfelder FHNW
Publikationsstatus
Veröffentlicht
Begutachtung
Peer-Review der ganzen Publikation
Open Access-Status
Hybrid
Lizenz
Zitation
Gredig, D., Bigoni, D., Bogdanovic, J., & Weber, P. (2026). Negotiating HIV protection in the era of online dating and Pre-Exposure-Prophylaxis (PrEP). Insights into how men having sex with men (MSM) living in Switzerland negotiate their HIV protection with non-steady partners. Sexuality & Culture. https://doi.org/10.1007/s12119-025-10505-2