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Dosing practices made mundane: Enacting HIV pre‐exposure prophylaxis adherence in domestic routines

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Bibliographic Details
Title: Dosing practices made mundane: Enacting HIV pre‐exposure prophylaxis adherence in domestic routines
Authors: Anthony K. J. Smith, Kari Lancaster, Tim Rhodes, Martin Holt
Source: Sociology of Health & Illness. 45:1747-1764
Publisher Information: Wiley, 2023.
Publication Year: 2023
Subject Terms: Male, anzsrc-for: 2202 History and Philosophy of Specific Fields, Anti-HIV Agents, anzsrc-for: 4401 Anthropology, Sexual Behavior, HIV prevention, anzsrc-for: 4206 Public health, HIV Infections, 4401 Anthropology, Science and Technology Studies, Medication Adherence, Behavioral and Social Science, Humans, anzsrc-for: 44 Human Society, Homosexuality, Male, anzsrc-for: 4410 Sociology, 44 Human Society, Prevention, Australia, gay and bisexual men, 4410 Sociology, 3 Good Health and Well Being, Homosexuality, dosing, 3. Good health, anzsrc-for: 1608 Sociology, Infectious Diseases, qualitative, HIV/AIDS, Sexually Transmitted Infections, Pre-Exposure Prophylaxis, anzsrc-for: 1117 Public Health and Health Services
Description: Maintaining routines of medication dosing requires effort amidst the variabilities of everyday life. This article offers a sociomaterial analysis of how the oral HIV prevention regimen, pre‐exposure prophylaxis (PrEP), is put to use and made to work, including in situations which disrupt or complicate dosing regimes. Other than a daily pill, PrEP can be taken less frequently based on anticipated sexual activity and HIV risk, including ‘on‐demand’ and ‘periodic’ dosing. Drawing on 40 interviews with PrEP users in Australia in 2022, we explore PrEP and its dosing as features of assemblages in which bodies, routines, desires, material objects and the home environment interact. Dosing emerges as a practice of coordination involving dosette boxes, blister packs, alarms, partners, pets, planning sex, routines and domestic space, and as an effect of experimentations with timing to suit life circumstances and manage side effects. Dosing is materialised in the mundane; a practice that is made to work, as well as domesticated, in its situations. Although there are no ‘simple’ solutions to adherence, our analysis offers practical insights into how routine, planning and experimentation come together to capacitate PrEP to work in people’s lives, in sometimes unexpected ways, including through adaptations of PrEP dosing.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1467-9566
0141-9889
DOI: 10.1111/1467-9566.13687
Access URL: https://pubmed.ncbi.nlm.nih.gov/37309108
Rights: CC BY NC
Accession Number: edsair.doi.dedup.....a9f36e9d3e1bdd5b74aef1fac69b30f4
Database: OpenAIRE
Description
Abstract:Maintaining routines of medication dosing requires effort amidst the variabilities of everyday life. This article offers a sociomaterial analysis of how the oral HIV prevention regimen, pre‐exposure prophylaxis (PrEP), is put to use and made to work, including in situations which disrupt or complicate dosing regimes. Other than a daily pill, PrEP can be taken less frequently based on anticipated sexual activity and HIV risk, including ‘on‐demand’ and ‘periodic’ dosing. Drawing on 40 interviews with PrEP users in Australia in 2022, we explore PrEP and its dosing as features of assemblages in which bodies, routines, desires, material objects and the home environment interact. Dosing emerges as a practice of coordination involving dosette boxes, blister packs, alarms, partners, pets, planning sex, routines and domestic space, and as an effect of experimentations with timing to suit life circumstances and manage side effects. Dosing is materialised in the mundane; a practice that is made to work, as well as domesticated, in its situations. Although there are no ‘simple’ solutions to adherence, our analysis offers practical insights into how routine, planning and experimentation come together to capacitate PrEP to work in people’s lives, in sometimes unexpected ways, including through adaptations of PrEP dosing.
ISSN:14679566
01419889
DOI:10.1111/1467-9566.13687