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Culture, Health & Sexuality
An International Journal for Research, Intervention and Care
Volume 26, 2024 - Issue 4
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Research Articles

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

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Pages 449-465 | Received 23 Nov 2022, Accepted 08 Jun 2023, Published online: 12 Jul 2023

References

  • Aguinaldo, J. P. 2012. “Qualitative Analysis in Gay Men’s Health Research: Comparing Thematic, Critical Discourse, and Conversation Analysis.” Journal of Homosexuality 59 (6): 765–787. https://doi.org/10.1080/00918369.2012.694753
  • Basch, C. H., B. Yalamanchili, and J. Fera. 2022. “#Climate Change on TikTok: A Content Analysis of Videos.” Journal of Community Health 47 (1): 163–167. https://doi.org/10.1007/s10900-021-01031-x
  • Birnholtz, J., A. Kraus, W. Zheng, D. A. Moskowitz, K. Macapagal, and D. Gergle. 2020. “Sensitive Sharing on Social Media: Exploring Willingness to Disclose PrEP Usage Among Adolescent Males Who Have Sex With Males.” Social Media + Society 6 (3): 205630512095517. https://doi.org/10.1177/2056305120955176
  • Braun, V., and V. Clarke. 2021. “To Saturate or Not To Saturate? Questioning Data Saturation As a Useful Concept For Thematic Analysis and Sample-Size Rationales.” Qualitative Research in Sport, Exercise and Health 13 (2): 201–216. https://doi.org/10.1080/2159676X.2019.1704846
  • Butler, J. 1989. Gender Trouble: Feminism and the Subversion of Identity. New York: Routledge.
  • Calabrese, S. K. 2020. “Understanding, Contextualizing, and Addressing PrEP Stigma to Enhance PrEP Implementation.” Current HIV/AIDS Reports 17 (6): 579–588. https://doi.org/10.1007/s11904-020-00533-y
  • Centres for Disease Control and Prevention. 2021. “Condom Fact Sheet In Brief.” Accessed June 27, 2022. https://www.cdc.gov/condomeffectiveness/brief.html
  • Epps, B., M. Markowski, and K. Cleaver. 2023. “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.” The Journal of School Nursing 39 (1): 87–97. https://doi.org/10.1177/10598405211043394
  • Fairclough, N. 2013. Critical Discourse Analysis: The Critical Study of Language. Abingdon: Routledge.
  • Fitch, C., J. Foley, M. Klevens, J. N. Cermeño, A. Batchelder, K. Mayer, and C. O’Cleirigh. 2021. “Structural Issues Associated with Pre-exposure Prophylaxis Use in Men Who Have Sex with Men.” International Journal of Behavioral Medicine 28 (6): 759–767. https://doi.org/10.1007/s12529-021-09986-w
  • Fowler, L. R., L. Schoen, H. S. Smith, and S. R. Morain. 2022. “Sex Education on TikTok: A Content Analysis of Themes.” Health Promotion Practice 23 (5): 739–742. https://doi.org/10.1177/15248399211031536
  • Freeborn, K., and C. J. Portillo. 2018. “Does Pre-Exposure Prophylaxis for HIV Prevention in Men Who Have Sex With Men Change Risk Behaviour? A Systematic Review.” Journal of Clinical Nursing 27 (17-18): 3254–3265. https://doi.org/10.1111/jocn.13990
  • Gabarron, E., and R. Wynn. 2016. “Use of Social Media for Sexual Health Promotion: A Scoping Review.” Global Health Action 9: 32193–32193. https://doi.org/10.3402/gha.v9.32193
  • Hafeez, H., M. Zeshan, M. A. Tahir, N. Jahan, and S. Naveed. 2017. “Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review.” Cureus 9 (4): e1184. https://doi.org/10.7759/cureus.1184
  • Haire, B. G. 2015. “Preexposure Prophylaxis-Related Stigma: Strategies to Improve Uptake and Adherence - A Narrative Review.” HIV/AIDS (Auckland, N.Z.) 7: 241–249. https://doi.org/10.2147/HIV.S72419
  • Halkitis, P. N. 2012. “Discrimination and Homophobia Fuel The HIV Epidemic in Gay and Bisexual Men.” Accessed May 19, 2022. https://www.apa.org/pi/aids/resources/exchange/2012/04/discrimination-homophobia
  • Hannaford, A., M. Lipshie-Williams, J. L. Starrels, J. H. Arnsten, J. Rizzuto, P. Cohen, D. Jacobs, and V. V. Patel. 2018. “The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature.” AIDS and Behavior 22 (4): 1080–1095. https://doi.org/10.1007/s10461-017-2011-3
  • Herring, S. C. 2004. “Computer-Mediated Discourse Analysis: An Approach to Researching Online Behavior.” In Designing for Virtual Communities in the Service of Learning, edited by James H. Gray, Rob Kling, and Sasha Barab, 338–376. Cambridge: Cambridge University Press.
  • Hillis, A., J. Germain, V. Hope, J. McVeigh, and M. C. Van Hout. 2020. “Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Men Who Have Sex with Men (MSM): A Scoping Review on PrEP Service Delivery and Programming.” AIDS and Behavior 24 (11): 3056–3070. https://doi.org/10.1007/s10461-020-02855-9
  • Jaspal, R., and B. Nerlich. 2017. “Polarised Press Reporting About HIV Prevention: Social Representations of Pre-Exposure Prophylaxis in the UK Press.” Health 21 (5): 478–497. https://doi.org/10.1177/1363459316649763
  • Jones, L., and L. Collins. 2020. “PrEP in the press: A Corpus-Assisted Discourse Analysis of How Users of HIV-Prevention Treatment Are Represented in British Newspapers.” Journal of Language and Sexuality 9 (2): 202–225. https://doi.org/10.1075/jls.20002.jon
  • Kecojevic, A., Z. C. Meleo-Erwin, C. H. Basch, and M. Hammouda. 2021. “A Thematic Analysis of Pre-Exposure Prophylaxis (PrEP) YouTube Videos.” Journal of Homosexuality 68 (11): 1877–1898. https://doi.org/10.1080/00918369.2020.1712142
  • Klug, D., Y. Qin, M. Evans, and G. Kaufman. 2021. “Trick and Please. A Mixed-Method Study On User Assumptions About the TikTok Algorithm.” 13th ACM Web Science Conference 2021, Virtual Event, United Kingdom. https://doi.org/10.1145/3447535.3462512
  • Kudrati, S. Z., K. Hayashi, and T. Taggart. 2021. “Social Media & PrEP: A Systematic Review of Social Media Campaigns to Increase PrEP Awareness & Uptake Among Young Black and Latinx MSM and Women.” AIDS and Behavior 25 (12): 4225–4234. https://doi.org/10.1007/s10461-021-03287-9
  • Loosier, P. S., K. Renfro, M. Carry, S. P. Williams, M. Hogben, and S. Aral. 2022. “Reddit on PrEP: Posts About Pre-exposure Prophylaxis for HIV from Reddit Users, 2014–2019.” AIDS and Behavior 26 (4): 1084–1094. https://doi.org/10.1007/s10461-021-03463-x
  • Lovelock, M. 2018. “Sex, Death and Austerity: Resurgent Homophobia in The British Tabloid Press.” Critical Studies in Media Communication 35 (3): 225–239. https://doi.org/10.1080/15295036.2018.1442013
  • Lupton, D. 1992. “Discourse Analysis: A New Methodology For Understanding The Ideologies of Health and Illness.” Australian Journal of Public Health 16 (2): 145–150. https://doi.org/10.1111/j.1753-6405.1992.tb00043.x
  • Matacotta, J. J., F. J. Rosales-Perez, and C. M. Carrillo. 2020. “HIV Preexposure Prophylaxis and Treatment as Prevention - Beliefs and Access Barriers in Men Who Have Sex With Men (MSM) and Transgender Women: A Systematic Review.” Journal of Patient-Centered Research and Reviews 7 (3): 265–274. https://doi.org/10.17294/2330-0698.1737
  • McGregor, K. A., and F. Gomes. 2019. “189. Let’s Talk Prep! A Natural Language Processing Approach To Understanding Prep Attitudes And Beliefs In Online Communities.” Journal of Adolescent Health 64 (2): S96–S97. https://doi.org/10.1016/j.jadohealth.2018.10.206
  • Mowlabocus, S. 2020. “What a skewed sense of values’: Discussing PreP in the British press.” Sexualities 23 (8): 1343–1361. https://doi.org/10.1177/1363460719872726
  • National AIDS Trust. 2019. “HIV in The UK Statistics.” Accessed May 16, 2022. https://www.nat.org.uk/about-hiv/hiv-statistics
  • Office for National Statistics. 2021. “Sexual Orientation, UK: 2019.” Accessed May 16, 2022. https://www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/sexuality/bulletins/sexualidentityuk/2019
  • Ong, K. J., A. J. van Hoek, R. J. Harris, J. Figueroa, L. Waters, C. Chau, S. Croxford, P. Kirwan, A. Brown, M. J. Postma, et al. 2019. “HIV Care Cost In England: A Cross-Sectional Analysis of Antiretroviral Treatment and The Impact of Generic Introduction.” HIV Medicine 20 (6): 377–391. https://doi.org/10.1111/hiv.12725
  • Pawson, M., and C. Grov. 2018. “It’s Just an Excuse To Slut Around’: Gay and Bisexual Mens’ Constructions of HIV Pre-Exposure Prophylaxis (PrEP) As a Social Problem.” Sociology of Health & Illness 40 (8): 1391–1403. https://doi.org/10.1111/1467-9566.12765
  • Peng, P., S. Su, C. K. Fairley, M. Chu, S. Jiang, X. Zhuang, and L. Zhang. 2018. “A Global Estimate of the Acceptability of Pre-exposure Prophylaxis for HIV Among Men Who have Sex with Men: A Systematic Review and Meta-analysis.” AIDS and Behavior 22 (4): 1063–1074. https://doi.org/10.1007/s10461-017-1675-z
  • Purushothaman, V., T. McMann, M. Nali, Z. Li, R. Cuomo, and T. K. Mackey. 2022. “Content Analysis of Nicotine Poisoning (Nic Sick) Videos on TikTok: Retrospective Observational Infodemiology Study.” Journal of Medical Internet Research 24 (3): e34050. https://doi.org/10.2196/34050
  • Ramallo, J., T. Kidder, T. Albritton, G. Blick, J. Pachankis, V. Grandelski, and T. Kershaw. 2015. “Exploring Social Networking Technologies as Tools for HIV Prevention for Men Who Have Sex With Men.” AIDS Education and Prevention 27 (4): 298–311. https://doi.org/10.1521/aeap.2015.27.4.298
  • Ray, T. N., and M. R. Parkhill. 2021. “Heteronormativity, Disgust Sensitivity, and Hostile Attitudes toward Gay Men: Potential Mechanisms to Maintain Social Hierarchies.” Sex Roles 84 (1–2): 49–60. https://doi.org/10.1007/s11199-020-01146-w
  • Ringer, R. Jeffrey. ed. 1994. Queer Words, Queer Images Communication and the Construction of Homosexuality. New York: New York University Press.
  • Roberts, L. D., and C. J. Rajah-Kanagasabai. 2013. “I’d Be So Much More Comfortable Posting Anonymously”: Identified Versus Anonymous Participation In Student Discussion Boards.” Australasian Journal of Educational Technology 29 (5): 612–625. https://doi.org/10.14742/ajet.452
  • Saldaña, J. 2021. The Coding Manual for Qualitative Researchers, 4 ed. London: SAGE Publications.
  • Schraer, R. 2021. “HIV: The Misinformation Still Circulating in 2021.” Accessed June 6, 2022. https://www.bbc.co.uk/news/59431598
  • Schwartz, J., and J. Grimm. 2017. “PrEP on Twitter: Information, Barriers, and Stigma.” Health Communication 32 (4): 509–516. https://doi.org/10.1080/10410236.2016.1140271
  • Sedgwick, E. K. 1990. Epistemology of the Closet. California: University of California Press.
  • Statista. 2023. “TikTok: Distribution of Global Audiences 2023, By Age and Gender.” Accessed February 8, 2023. https://www.statista.com/statistics/1299771/tiktok-global-user-age-distribution/
  • Terrence Higgins Trust. 2020. “PrEP (Pre-Exposure Prophylaxis).” Accessed May 16, 2022. https://www.tht.org.uk/hiv-and-sexual-health/prep-pre-exposure-prophylaxis
  • Tomé, J., and S. Cardita. 2021. “In 2021, The Internet Went For TikTok, Space and Beyond.” Cloudfare. https://blog.cloudflare.com/popular-domains-year-in-review-2021/
  • Townsend, L., and C. Wallace. 2016. “Social Media Research: A Guide to Ethics.” University of Aberdeen. Accessed May 17 2023. http://www.gla.ac.uk/media/media_487729_en.pdf
  • United Kingdom Health Security Agency. 2021. “HIV Testing, New HIV Diagnoses, Outcomes and Quality of Care For People Accessing HIV Services: 2021 Report.” Accessed May 16, 2022. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1037215/hiv-2021-report.pdf
  • United States Food and Drug Administration. 2021. “FDA Approves First Injectable Treatment for HIV Pre-Exposure Prevention.” Accessed May 16, 2022. https://www.fda.gov/news-events/press-announcements/fda-approves-first-injectable-treatment-hiv-pre-exposure-prevention
  • van der Toorn, J., R. Pliskin, and T. Morgenroth. 2020. “Not Quite Over The Rainbow: The Unrelenting and Insidious Nature of Heteronormative Ideology.” Current Opinion in Behavioral Sciences 34: 160–165. https://doi.org/10.1016/j.cobeha.2020.03.001
  • van Kampen, K., J. Laski, G. Herman, and T. M. Chan. 2022. “Investigating COVID-19 Vaccine Communication and Misinformation on TikTok: Cross-sectional Study.” JMIR Infodemiology 2 (2): e38316. https://doi.org/10.2196/38316
  • Walsh-Buhi, E., R. F. Houghton, C. Lange, R. Hockensmith, J. Ferrand, and L. Martinez. 2021. “Pre-exposure Prophylaxis (PrEP) Information on Instagram: Content Analysis.” JMIR Public Health and Surveillance 7 (7): e23876. https://doi.org/10.2196/23876
  • Warner, M. 2011. Fear of a Queer Planet: Queer Politics and Social Theory. Minneapolis: University of Minnesota Press.
  • Wodak, R., and Meyer, M., eds. 2009. Methods of Critical Discourse Analysis, 2nd ed. London: SAGE.
  • World Health Organization. 2021. “HIV/AIDS.” Accessed June 6, 2022. https://www.who.int/news-room/fact-sheets/detail/hiv-aids
  • Yi, S., S. Tuot, G. W. Mwai, C. Ngin, K. Chhim, K. Pal, E. Igbinedion, P. Holland, S. C. Choub, and G. Mburu. 2017. “Awareness and Willingness To Use HIV Pre-Exposure Prophylaxis Among Men Who Have Sex With Men In Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.” Journal of the International AIDS Society 20 (1): 21580. https://doi.org/10.7448/IAS.20.1.21580
  • Yus, F. 2011. Cyberpragmatics. Internet-Mediated Communication in Context. Amsterdam: John Benjamins.