Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study

Detalhes bibliográficos
Autor(a) principal: ZucchiI, Eliana Miura
Data de Publicação: 2021
Outros Autores: Couto, Marcia Thereza, Castellanos, Marcelo, Dumont-Pena, Érica, Ferraz, Dulce Aurélia de Souza, Pinheiro, Thiago Félix, Grangeiro, Alexandre, Silva, Luís Augusto Vasconcelos da, Dourado, Inês, Pedrana, Leo, Santos, Fernanda Soares de Resendes, Magno, Laio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/48361
Resumo: ID and AG are principal investigators of the PrEP 1519 Study (‘A Demonstration Project of the effectiveness HIV Pre-exposure Prophylaxis (PrEP) amongst adolescent men who have sex with men, transgender women at high risk for HIV infection in the context of Combination Prevention in Brazil’) in the cities of Salvador and São Paulo, respectively, which is funded by Unitaid (grant number 2017-15-FIOTECPrEP). PrEP 1519 Study is also funded by the Brazilian Ministry of Health, through the Department of Chronic Diseases and Sexually Transmitted Infections, Bahia State Department of Health, São Paulo State and City Department of Health, and City of São Paulo AIDS Program, by donating PrEP medications, condoms, and rapid tests and providing the necessary infrastructure for the study development.
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spelling ZucchiI, Eliana MiuraCouto, Marcia TherezaCastellanos, MarceloDumont-Pena, ÉricaFerraz, Dulce Aurélia de SouzaPinheiro, Thiago FélixGrangeiro, AlexandreSilva, Luís Augusto Vasconcelos daDourado, InêsPedrana, LeoSantos, Fernanda Soares de ResendesMagno, Laio2021-07-26T13:26:26Z2021-07-26T13:26:26Z2021ZUCCHII, Eliana Miura et al. Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study. Plos One, [San Francisco], v. 16, n. 5, p.1-20, may. 2021.1932-6203https://www.arca.fiocruz.br/handle/icict/4836110.1371/journal.pone.0249293ID and AG are principal investigators of the PrEP 1519 Study (‘A Demonstration Project of the effectiveness HIV Pre-exposure Prophylaxis (PrEP) amongst adolescent men who have sex with men, transgender women at high risk for HIV infection in the context of Combination Prevention in Brazil’) in the cities of Salvador and São Paulo, respectively, which is funded by Unitaid (grant number 2017-15-FIOTECPrEP). PrEP 1519 Study is also funded by the Brazilian Ministry of Health, through the Department of Chronic Diseases and Sexually Transmitted Infections, Bahia State Department of Health, São Paulo State and City Department of Health, and City of São Paulo AIDS Program, by donating PrEP medications, condoms, and rapid tests and providing the necessary infrastructure for the study development.Universidade Católica de Santos. Programa de Pós-Graduação Profissional em Psicologia e Políticas Públicas. Santos, SP, Brasil / Universidade Católica de Santos. Programa de Pós-Graduação em Saúde Coletiva. Santos, SP, BrasilUniversidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Departamento de Enfermagem Materno Infantil e Saúde Pública. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Escola Fiocruz de Governo. Brasília, DF, Brasil.Universidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil.Universidade de São Paulo. Faculdade de Medicina. São Paulo, SP, Brasil.Universidade Federal da Bahia. Instituto de Humanidades, Artes e Ciências, Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Programa de Pós-Graduação em Enfermagem. Belo Horizonte, MG, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Universidade do Estado da Bahia. Departamento de Ciências da Vida. Salvador, BA, Brasil.Background: Adolescents face socio-structural, personal and programmatic barriers to HIV prevention services, highlighting the importance of understanding knowledge and acceptability as essential aspects to promote their broader access to pre-exposure prophylaxis (PrEP). We analyzed the acceptability of PrEP among adolescent men who have sex with men (MSM), travestis and transgender women (TGW). Methods: A qualitative investigation was conducted as part of the formative research of the PrEP15-19 study, an ongoing demonstration study that analyzes the effectiveness of daily PrEP among adolescent MSM, travestis and TGW aged 15–19 in three Brazilian cities. A total of 37 semi-structured interviews and 6 focus groups were conducted. Building from thematic analysis focusing on participants’ sexual encounters, perceptions about PrEP efficacy, and vulnerability contexts, we analyzed prospective acceptability of PrEP. Findings: Knowledge about PrEP was incipient and characterized by adolescents’ frequent doubts about its prescription and efficacy. The ‘ideal’ use of PrEP appeared together with consistent condom use, especially in casual sex. PrEP use was also mentioned as depending on increased learning about prevention management over time. Main barriers to PrEP use included the incorporation of a daily medication into participants’ routine and its impact on their social lives, especially related to stigma. Concerns over short- and long-term side effects were also reported as barriers to PrEP use. TGW and travestis contrasted using PrEP with the precarity of their life conditions, and some expressed a critical vision about PrEP by associating it with pharmaceuticalization and trans necropolitics. Conclusions: Participants’ low knowledge and acceptability of PrEP are circumscribed by a rigid perception of condom as the ideal prevention method and the context of their sexual relations. Prospective acceptability highlights that the successful uptake of PrEP depends on overcoming barriers of access to health services and confronting transphobia and homophobia as part of care.engPublic Library of ScienceAdolescentHIVSexual and Gender MinoritiesTransgender PersonsAdolescentsHIVSexual and gender minoritiesTransgender personsHIV preventionAdolescenteHIVMinorias Sexuais e de GêneroPessoas TransgêneroPrevenção de DoençasAcceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
title Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
spellingShingle Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
ZucchiI, Eliana Miura
Adolescent
HIV
Sexual and Gender Minorities
Transgender Persons
Adolescents
HIV
Sexual and gender minorities
Transgender persons
HIV prevention
Adolescente
HIV
Minorias Sexuais e de Gênero
Pessoas Transgênero
Prevenção de Doenças
title_short Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
title_full Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
title_fullStr Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
title_full_unstemmed Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
title_sort Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study
author ZucchiI, Eliana Miura
author_facet ZucchiI, Eliana Miura
Couto, Marcia Thereza
Castellanos, Marcelo
Dumont-Pena, Érica
Ferraz, Dulce Aurélia de Souza
Pinheiro, Thiago Félix
Grangeiro, Alexandre
Silva, Luís Augusto Vasconcelos da
Dourado, Inês
Pedrana, Leo
Santos, Fernanda Soares de Resendes
Magno, Laio
author_role author
author2 Couto, Marcia Thereza
Castellanos, Marcelo
Dumont-Pena, Érica
Ferraz, Dulce Aurélia de Souza
Pinheiro, Thiago Félix
Grangeiro, Alexandre
Silva, Luís Augusto Vasconcelos da
Dourado, Inês
Pedrana, Leo
Santos, Fernanda Soares de Resendes
Magno, Laio
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv ZucchiI, Eliana Miura
Couto, Marcia Thereza
Castellanos, Marcelo
Dumont-Pena, Érica
Ferraz, Dulce Aurélia de Souza
Pinheiro, Thiago Félix
Grangeiro, Alexandre
Silva, Luís Augusto Vasconcelos da
Dourado, Inês
Pedrana, Leo
Santos, Fernanda Soares de Resendes
Magno, Laio
dc.subject.mesh.pt_BR.fl_str_mv Adolescent
HIV
Sexual and Gender Minorities
Transgender Persons
topic Adolescent
HIV
Sexual and Gender Minorities
Transgender Persons
Adolescents
HIV
Sexual and gender minorities
Transgender persons
HIV prevention
Adolescente
HIV
Minorias Sexuais e de Gênero
Pessoas Transgênero
Prevenção de Doenças
dc.subject.en.pt_BR.fl_str_mv Adolescents
HIV
Sexual and gender minorities
Transgender persons
HIV prevention
dc.subject.decs.pt_BR.fl_str_mv Adolescente
HIV
Minorias Sexuais e de Gênero
Pessoas Transgênero
Prevenção de Doenças
description ID and AG are principal investigators of the PrEP 1519 Study (‘A Demonstration Project of the effectiveness HIV Pre-exposure Prophylaxis (PrEP) amongst adolescent men who have sex with men, transgender women at high risk for HIV infection in the context of Combination Prevention in Brazil’) in the cities of Salvador and São Paulo, respectively, which is funded by Unitaid (grant number 2017-15-FIOTECPrEP). PrEP 1519 Study is also funded by the Brazilian Ministry of Health, through the Department of Chronic Diseases and Sexually Transmitted Infections, Bahia State Department of Health, São Paulo State and City Department of Health, and City of São Paulo AIDS Program, by donating PrEP medications, condoms, and rapid tests and providing the necessary infrastructure for the study development.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-07-26T13:26:26Z
dc.date.available.fl_str_mv 2021-07-26T13:26:26Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.citation.fl_str_mv ZUCCHII, Eliana Miura et al. Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study. Plos One, [San Francisco], v. 16, n. 5, p.1-20, may. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/48361
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0249293
identifier_str_mv ZUCCHII, Eliana Miura et al. Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study. Plos One, [San Francisco], v. 16, n. 5, p.1-20, may. 2021.
1932-6203
10.1371/journal.pone.0249293
url https://www.arca.fiocruz.br/handle/icict/48361
dc.language.iso.fl_str_mv eng
language eng
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collection Repositório Institucional da FIOCRUZ (ARCA)
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