The stratified biomedicalization of HIV prevention in Mexico City.

In the late 1990s antiretroviral pharmaceuticals began to be used in the United States and Western Europe to prevent HIV infection in contexts of occupational exposure. One decade later, the application of Post Exposure Prophylaxis (PEP) and Pre-Exposure Prophylaxis (PrEP) had been extended to inclu...

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Publicado en:Global Public Health Vol. 15; no. 4; pp. 598 - 611
Autores principales: Torres-Cruz, César, Suárez-Díaz, Edna
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/17441692.2019.1679217
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        atl: The stratified biomedicalization of HIV prevention in Mexico City.
      aug:
        au:
          Torres-Cruz, César
          Suárez-Díaz, Edna
        affil: Science and Technology Studies Group, School of Sciences, Universidad Nacional Autónoma de México (UNAM), Mexico City, Mexico
      sug:
        subj:
          HIV Infections Prevention and Control
          Preventive Health Care Methods
          Outpatient Service
          Hospitals, Public Mexico
          Hospital Programs
          Human
          Mexico
          Postexposure Follow-Up
          Pre-Exposure Prophylaxis
          Public Health
          Program Implementation
          Sociology
          Feminism
          Science
          Technology
          Anthropology, Cultural
          Unsafe Sex
          Risk Taking Behavior
          Socioeconomic Factors
          Sex Factors
          Anti-Retroviral Agents Therapeutic Use
          Personnel, Health Facility
          Interviews
          Ethnographic Research
          Funding Source
          Social Workers
          Gay Men
          Facebook
          Mobile Applications
          Health Services Accessibility
          Attitude to Medical Treatment
          Health Care Costs
          Descriptive Statistics
      ab: In the late 1990s antiretroviral pharmaceuticals began to be used in the United States and Western Europe to prevent HIV infection in contexts of occupational exposure. One decade later, the application of Post Exposure Prophylaxis (PEP) and Pre-Exposure Prophylaxis (PrEP) had been extended to include cases of exposure to sexual assault, injection-drug use, and consensual sexual intercourse deemed at high risk. This article explores the implementation of biomedicalized HIV prevention protocols at a public healthcare clinic in Mexico City, building on sociological-feminist approaches in Science and Technology Studies (STS) and drawing on interviews with key actors, as well as digital ethnography. We emphasise the stratified biomedicalization or, said otherwise, the differences in PEP and PrEP accessibility and consumption among different populations and groups. We also describe the fragile grip of institutionalised biomedical solutions when alternative 'moral economies' intersect with them, particularly in contexts like Mexico, where governmental funding for experimental research on biomedical innovations has been limited. This text reveals both the existence of contrasting technoscientific interventions along class and gender differences, and the multiple and vivid ways by which individuals appropriate and interpret global biomedical practices.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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