Prep-Tok: a queer critical discourse analysis of TikToks regarding HIV-related pre-exposure prophylaxis

被引:3
作者
Lewis, Joseph [1 ]
Melendez-Torres, G. J. [1 ]
机构
[1] Univ Exeter, Fac Hlth & Life Sci, Exeter, England
关键词
PrEP; HIV; homophobia; TikTok; discourse; SEX; PREVENTION; BARRIERS; MEN; BELIEFS; HEALTH;
D O I
10.1080/13691058.2023.2224414
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
Human immunodeficiency virus (HIV) continues to present a public health problem, and pre-exposure prophylaxis (PrEP) offers a promising preventative intervention; however, its uptake remains low, so investigating determinants of use is essential. This article applies queer critical discourse analysis to a corpus of 121 TikToks sampled via the TikTok algorithm, coded and refined into three overarching content categories: 'what makes a PrEP user?', 'what is PrEP as a drug?', and 'sexual health and HIV'. Examples from within these categories reveal four underlying discursive themes: (1) stigmatisation of HIV as a 'gay disease' with a poor prognosis; (2) stigmatisation of gay men as unsafe, high-risk and untrustworthy; (3) stigmatisation of PrEP as increasing 'unsafe' sexual practices; (4) poor healthcare and education gay men and other beneficiaries of PrEP. These themes are influenced by a broad spectrum of homophobic and heteronormative discourses available with specific examples reflecting parts of this spectrum from predominantly perpetuating to occasionally challenging. The findings report complementary evidence obtained from other media platforms yet offer a unique take while suggesting useful avenues for future public health messaging relating to PrEP which may be used to inform the next steps against HIV.
引用
收藏
页码:449 / 465
页数:17
相关论文
共 58 条
[1]   Qualitative Analysis in Gay Men's Health Research: Comparing Thematic, Critical Discourse, and Conversation Analysis [J].
Aguinaldo, Jeffrey P. .
JOURNAL OF HOMOSEXUALITY, 2012, 59 (06) :765-787
[2]   #Climate Change on TikTok: A Content Analysis of Videos [J].
Basch, Corey H. ;
Yalamanchili, Bhavya ;
Fera, Joseph .
JOURNAL OF COMMUNITY HEALTH, 2022, 47 (01) :163-167
[3]   Sensitive Sharing on Social Media: Exploring Willingness to Disclose PrEP Usage Among Adolescent Males Who Have Sex With Males [J].
Birnholtz, Jeremy ;
Kraus, Ashley ;
Zheng, Weiwei ;
Moskowitz, David A. ;
Macapagal, Kathryn ;
Gergle, Darren .
SOCIAL MEDIA + SOCIETY, 2020, 6 (03)
[4]   To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales [J].
Braun, Virginia ;
Clarke, Victoria .
QUALITATIVE RESEARCH IN SPORT EXERCISE AND HEALTH, 2021, 13 (02) :201-216
[5]  
Butler, 1990, GENDER TROUBLE FEMIN, DOI DOI 10.4324/9780203824979
[6]   Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation [J].
Calabrese, Sarah K. .
CURRENT HIV/AIDS REPORTS, 2020, 17 (06) :579-588
[7]  
Centres for Disease Control and Prevention, 2021, COND FACT SHEET BRIE
[8]   A Rapid Review and Narrative Synthesis of the Consequences of Non-Inclusive Sex Education in UK Schools on Lesbian, Gay, Bisexual, Transgender and Questioning Young People [J].
Epps, Beth ;
Markowski, Marianne ;
Cleaver, Karen .
JOURNAL OF SCHOOL NURSING, 2023, 39 (01) :87-97
[9]  
Fairclough N., 1995, CRITICAL DISCOURSE A, DOI DOI 10.4324/9781315834368
[10]   Structural Issues Associated with Pre-exposure Prophylaxis Use in Men Who Have Sex with Men [J].
Fitch, Calvin ;
Foley, Jacklyn ;
Klevens, Monina ;
Cermeno, Jesse Najarro ;
Batchelder, Abigail ;
Mayer, Kenneth ;
O'Cleirigh, Conall .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 2021, 28 (06) :759-767