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Geographies of PrEP and Undetectablity - LRA version.docx (92.81 kB)

Geographies of PrEP, TasP and undetectability: Reconceptualising HIV assemblages to explore what else matters in the lives of gay and bisexual men

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journal contribution
posted on 2021-02-08, 10:10 authored by Gavin Brown, Cesare Di Feliciantonio
Recent biomedical innovations in the field of HIV prevention and treatment—namely PrEP,TasP, and ‘undetectability’—have completely reshaped the experience of living with theHIV virus, as well as the meanings of ‘risk’ and ‘safety’ in relation to sexual practices,leading to new forms of pleasure and sociality for gay and bisexual men in the MinorityWorld. While human geographers have been slow to engage with the changing socialdimensions brought by these innovations, scholars across the whole spectrum of the socialsciences have been far more creative and responsive contributing to a critical understandingof what these processes entail in terms of subject formation as well as social and communalrelations. This article proposes a distinctly geographical contribution to analysing andinterpreting these biomedical technologies, exploring the ways that new spatialities andspatial relations emerge from their use and circulation. Our approach is based on provisionalassemblage thinking as it offers the possibility to think the complex connections betweenbiomedical innovations in the field of HIV, sexual practices, subjectivity, pleasure, spaces,and technologies, going beyond the subdisciplinary preoccupations and methodologicalreflexes of geographers focused primarily on either health or sexuality.


The research was generously supported by the European Commission, MSCA-IF-EF-ST Action, grant number: 747110.


Author affiliation

School of Geography, Geology and Environment, University of Leicester


  • AM (Accepted Manuscript)

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Dialogues in Human Geography


SAGE Publications



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