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

Publications (25)

Article
EPOSIM is a community-based participatory research study which used the Photovoice method with people who inject drugs (PWID) ahead of a possible opening of a drug consumption room (DCR) in Marseille, France. It aimed to identify the strategies used by PWID when injecting, and the risks they take when they have no safe private space to inject in th...
Article
Introduction: Since the advent of HIV pre-exposure prophylaxis (PrEP), stigma has been shown to be a major barrier to its uptake and adherence. It is therefore essential to define the proportion of users who consider that PrEP can negatively impact their image and the factors associated with this perception. Method: We performed a multivariable...
Article
Full-text available
Most domestic servants (DS) in Mali are very young female migrants living in precarious conditions. We aimed to understand their living and working conditions in relation to their general and sexual health. Seven focus groups (53 participants) were conducted by the DS community-based organization ADDAD. Narratives were thematically analyzed using a...
Article
Objectives To assess the impact on the estimated glomerular filtration rate (eGFR) of different tenofovir disoproxil/emtricitabine dosing regimens for HIV pre-exposure prophylaxis (PrEP). Patients and methods We included in the study individuals with baseline eGFR > 50 mL/min/1.73 m2 who initiated PrEP in the ongoing ANRS-PREVENIR PrEP cohort. We...
Preprint
BACKGROUND The World Health Organization recommends pre-exposure prophylaxis (PrEP) for all populations at substantial risk of HIV infection. However, at-risk women very rarely use PrEP in France—this represents a critical issue among migrant women sex workers (MWSWs). Previous studies on PrEP use among women sex workers or migrants focused on indi...
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
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
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
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

... In fact, not everybody will experience side effects, and most reported side effects are transient and slight (39,40). To address the knowledge gaps mentioned above, more promoting and health education campaigns should be conducted based on schools and communities in order to improve the conception of the potential PrEP clients and their parents or partners, and promote a positive image of PrEP users (41,42). ...
... Whether FTC/TDF is related to a decline in the estimated glomerular filtration rate (eGFR) remains controversial and so far, contradictory data has been reported in this respect (4,5). Importantly, kidney tubule and bone toxicity are a common side effect of TDF-based regimens among people living with HIV (PLWH) (6). ...
... Relational factors (Herrijgers et al., 2020;Nagington & King, 2022), and homonegativity-related factors (Tan, Phua et al., 2021;Uholyeva & Pitoňák, 2022) are also covered in the published chemsex literature since March 2020. Recently, chemsex and possible interactions with new health challenges such as COVID-19 and mpox (previously known as monkeypox) have also started being explored (Ringshall et al., 2022;Roux et al., 2022;H. Wang et al., 2022), with for example, one study finding that the likelihood of practicing chemsex increased with use of PrEP to prevent COVID-19 transmission (Chone et al., 2021). ...
... Comme d'autres médecins, hommes ou femmes devenues sociologues (Pinell, 2021 ;Fournier et Girard, 2021), j'ai traversé les études de médecine avec le sentiment d'un désajustement profond, et je viens d'un espace dominé du champ médical. Être médecin généraliste en centre d'IVG, c'est occuper une position marginale dans le champ médical. ...
... The development of new PrEP products is challenged by the high efficacy and effectiveness of approved and tested interventions. 18,[20][21][22][23][24][25] As HIV seroconversion event rates decrease on approved PrEP regimens, sample sizes become prohibitively large for active-controlled trials assessing superiority or noninferiority. ...
... 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). ...
... PrEP involves not just the taking of drugs, but also involves embodying ideas about community belonging, personal identity, shifting ideas about what constitutes safe sex, and anticipations about risk and future sexual practices (García-Iglesias, 2022;Girard et al., 2019;Haire et al., 2021;Hughes et al., 2018;Martinez-Lacabe, 2019;Møller & Ledin, 2021;Race, 2016;Smith et al., 2022b). If PrEP use constitutes an identity or sense of belonging, what does that mean when the necessity of taking pills is disrupted, and how might PrEP use be made differently afterwards? ...
... 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). ...
... Since 2000, sexually transmitted infections (STIs) have been rising in France, as in most high-income countries, with an increase in gonorrhoea and chlamydia, a resurgence of syphilis, and the emergence of lymphogranuloma venereum (LGV) [1][2][3][4][5][6]. Men who have sex with men (MSM), especially those living with HIV or using PrEP, are particularly affected by STIs, followed by heterosexual men and women with multiple sexual partners [2][3][4][5][6][7][8][9][10][11][12]. As these epidemics are concentrated in relatively small highly sexually active populations, an intervention to increase testing and treatment of STI-exposed sexual partners could break transmission chains in limiting onward transmission [13]. ...
... In the era of biomedical HIV prevention, high adherence of pre-exposure prophylaxis (PrEP) could reduce HIV acquisition risk in PrEP users by at least 86% [1][2][3]. Inclusion of PrEP use for key populations as highlighted in the UNAIDS 2025 AIDS Targets has shown the importance of PrEP for HIV epidemic control [4]. However, indefinite use of PrEP is unlikely to be sustainable, while full PrEP adherence without risk exposure is an unrealistic goal and is unnecessary. ...