Gabriel Girard's research while affiliated with Aix-Marseille Université and other places

Publications (17)

Article
Full-text available
Objective The present study aimed to understand what factors can lead to late HIV diagnosis of illegal gold miners at French Guiana’s border with Brazil. Design An exploratory qualitative study with in-depth interviews and observations was conducted between November 2019 and February 2020. Setting The study was conducted in the main medical healt...
Article
Full-text available
Chemsex—the use of drugs in a sexual context—has been associated with more at-risk sexual practices and substance-related complications in men who have sex with men (MSM). To date, no study has focused on the impact of France’s first coronavirus disease 2019 (COVID-19)-related lockdown on the mental health and drug/alcohol use of MSM who practice c...
Article
Background: ANRS IPERGAY found that on-demand pre-exposure prophylaxis (PrEP) with oral tenofovir disoproxil fumarate plus emtricitabine was associated with an 86% relative reduction of HIV-1 incidence compared with placebo among men who have sex with men at high risk of HIV. We aimed to investigate whether on-demand PrEP was similarly effective a...
Article
Au cours des années 1990, la lutte contre le VIH est devenue une cause nationale dont les actions de prévention s’adressent à l’ensemble de la population afin de prévenir toute stigmatisation. Dans les années 2000, la reconnaissance de l’existence de « groupes à risque » n’a plus posé problème et a déterminé des actions plus ciblées. Constatant la...
Article
In the 1990s, the fight against HIV became a national cause, the preventive initiatives of which addressed the entire population to avoid any stigmatization. In the 2000s, recognizing the existence of “high-risk groups” no longer posed a problem and determined more targeted action. In response to the resurgence in risk-taking, the players involved...
Article
Full-text available
The advancements of “treatment as prevention” (TasP), “undetectable viral load” (UVL) and “pre‐exposure prophylaxis” (PrEP) are redefining HIV prevention standards. Relying on the concept of biosociality, this article explores how gay men rally around, debate, and sometimes disagree about these emerging HIV prevention technologies. This article is...
Article
Based on the analysis of a French pre-exposure prophylaxis trial (Ipergay), and focusing on the communication strategies used to recruit volunteers, this article explores the figure who serves to justify the trial and who shapes the way in which populations concerned by this prevention tool are targeted. We show that this figure is that of the fall...
Article
Full-text available
Research on homosexuality and HIV/AIDS in the social sciences has evolved into a vast and multiform field of study since the beginning of the epidemic in the Global North. Studies from France in this domain have remained relatively unknown at the international level. This article offers a narrative review of publications that resulted from research...
Article
Background: Data for on-demand pre-exposure prophylaxis (PrEP) are scarce. We implemented a cohort study to assess its efficacy, safety, and effect on sexual behaviour. Methods: We invited men and transgender women who have sex with men, previously enrolled in the randomised placebo-controlled ANRS IPERGAY trial at seven sites (six in France and...
Article
Full-text available
Background: Antiretroviral preexposure prophylaxis has been shown to reduce the risk of human immunodeficiency virus type 1 (HIV-1) infection in some studies, but conflicting results have been reported among studies, probably due to challenges of adherence to a daily regimen. Methods: We conducted a double-blind, randomized trial of antiretrovir...
Presentation
Full-text available
Aim: ANRS-Ipergay is a biomedical trial investigating the efficacy of an ”on demand” HIV pre-exposure prophylaxis (PrEP). This randomized, double-blind, placebo-controlled trial, focuses on men who have sex with men. We conducted a social psychology study to examine the subjective experience of participants, this communication presents the main res...
Presentation
Introduction : L’essai ANRS-Ipergay est une recherche biomédicale qui vise à tester l’efficacité d’une prophylaxie pré-exposition au VIH « à la demande ». Il est destiné aux hommes ayant des relations sexuelles avec des hommes (HSH) ayant eu au moins deux pénétrations anales non protégées avec au moins deux partenaires différents lors des six derni...
Book
Dossier élaboré dans le cadre d’un projet de recherche (2012-2014) financé par l’Agence Nationale de Recherche sur le Sida et les hépatites virales (ANRS). Constitué en cause exceptionnelle au cours des années 1990, le sida est aujourd’hui moins présent dans l’espace public, parfois laissé à ses spécialistes. En rassemblant quelques recherches actu...

Citations

... 6,18 Partici pants took a median of 15 pills per month and, although a post hoc analysis showed similar efficacy in participants using fewer than 15 pills per month, there remain modest data on effective ness in those with more sporadic exposures. 18,19 • Preexposure prophylaxis should be offered to patients who are at high risk of HIV exposure, including gay, bisexual and other men who have sex with men (GBM), women reporting condomless intercourse with partners of confirmed or unknown transmissible HIV status and persons who inject drugs and share injection equipment. ...
... Se puede también usar el tratamiento posterior a la exposición. Si una persona ha tenido una relación de riesgo sin usar preservativo, puede tomar el tratamiento antirretroviral para limitar la probabilidad de infección (Trachman, Gelly, Girard, 2018) Así, en los estudios se nota que los usuarios pueden no tener el sentimiento de estar exponiéndose a un "riesgo". 4 Para analizar, calcular y anticipar el riesgo, así como medir su impacto, los principales organismos internacionales (ONU, PNUD, FMI, OCDE, Banco Mundial) han desarrollado indicadores estadísticos tomando en cuenta la vulnerabilidad (Bordiez-Dolino, 2016). ...
... He explained how his decision to not try PrEP was informed by perceived peer norms, "if my Black friends aren't taking it then I'm obviously not going to take it." This comment validates existing scholarship that demonstrates the significance of informal conversations about PrEP on increasing acceptability and interest within social networks (Felsher et al., 2021) and reflects Girard et al.'s (2019) assertions that PrEP may be creating different biosocialites among GBQM, forms of subjectivity and modes of belonging that are shaped in and through HIV technologies. This participant articulated how PrEP use among a cohort of Black men in his community made them "the desired ones. ...
... 28 However, even within diout of the gay community's HIV activism. 27 For a critique of this rationalistic paradigm which leaves out gay experience, subjectivity, fantasy, sex and desire, see Adam (2011), Race (2012), Dean (2011Dean ( , 2012Dean ( , 2015aDean ( , 2015b, Halperin (2016), Trachman and Girard (2018). 28 In Germany, for example, there is a correlation between the growing political power of the homophobic right-wing populist party AfD, the rise of homophobic attitudes (LSVD n.d.; Decker and Kiess 2016, p. 51), and the rise of homophobic hate crimes (Beiker 2017), that many actors interpret as a causation (LSVD 2017). ...
... Pre-exposure prophylaxis (PrEP) is highly effective in preventing new HIV infections among adherent key populations [6][7][8]. However, suboptimal adherence to PrEP in real-world studies is a substantial barrier [9,10]. ...
... 1 Most studies of the effect of PrEP are concerned with continuous PrEP usage by people exposed to risk. There are also studies which suggest that PrEP may be taken as needed when one suspects that one will be exposed to this risk, see eg, [26]. However, in the following we leave such use of PrEP aside. ...
... MSM are a known and relatively self-aware priority population for HIV intervention, and this cultural climate may influence their preferences for condom insistence strategies. Thus, MSM who are more risk averse may still wish to insist on condom use, even with a partner who claims to be HIV negative or claims to have an undetectable viral load (LeBlanc et al., 2014). The use of strategies like Relationship Conceptualizing or Deception may be preferred by MSM because these strategies are more normalizing and less confrontational than Withholding Sex or reminding a partner about the risks of HIV/STI transmission. ...