PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304 |
Resumo: | Studies indicate gaps in knowledge about the barriers to access and adhere to HIV pre-exposure prophylaxis (PrEP) in adolescents. In this article, we explore the perceptions and experiences of young gay, bisexual, and other men who have sex with men (YGBMSM) of the search, use and adherence to PrEP, considering their positions according to social markers of difference such as race/skin color, gender, sexuality, and social status. Intersectionality provides theoretical and methodological tools to interpret how the interlinking of these social markers of difference constitutes barriers and facilitators in the PrEP care continuum. The analyzed material is part of the PrEP1519 study and is comprised of 35 semi-structured interviews with YGBMSM from two Brazilian capitals (Salvador and São Paulo). The analyses suggest connections between social markers of difference, sexual cultures, and the social meanings of PrEP. Subjective, relational and symbolic aspects permeate the awareness of PrEP in the range of prevention tools. Willingness to use and adhere to PrEP is part of a learning process, production of meaning, and negotiation in the face of getting HIV and other sexually transmittable infections and the possibilities of pleasure. Thus, accessing and using PrEP makes several adolescents more informed about their vulnerabilities, leading to more informed decision-making. Interlinking the PrEP continuum of care among YGBMSM with the intersections of the social markers of difference may provide a conceptual framework to problematize the conditions and effects of implementing this prevention strategy, which could bring advantages to HIV prevention programs. |
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PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysisPercepción y experiencias de la PrEP de adolescentes y hombres jóvenes gais y bisexuales: análisis interseccionalPercepção e experiências da PrEP de homens gays e bissexuais jovens e adolescentes: uma análise interseccionalAdolescenteProfilaxia Pré-ExposiçãoHIVInterseccionalidadeMinorias Sexuais e de GêneroAdolescenteProfilaxis Pre-ExposiciónVIHInterseccionalidadMinorías Sexuales y de GéneroAdolescentPre-Exposure ProphylaxisHIVIntersectionalitySexual and Gender MinoritiesStudies indicate gaps in knowledge about the barriers to access and adhere to HIV pre-exposure prophylaxis (PrEP) in adolescents. In this article, we explore the perceptions and experiences of young gay, bisexual, and other men who have sex with men (YGBMSM) of the search, use and adherence to PrEP, considering their positions according to social markers of difference such as race/skin color, gender, sexuality, and social status. Intersectionality provides theoretical and methodological tools to interpret how the interlinking of these social markers of difference constitutes barriers and facilitators in the PrEP care continuum. The analyzed material is part of the PrEP1519 study and is comprised of 35 semi-structured interviews with YGBMSM from two Brazilian capitals (Salvador and São Paulo). The analyses suggest connections between social markers of difference, sexual cultures, and the social meanings of PrEP. Subjective, relational and symbolic aspects permeate the awareness of PrEP in the range of prevention tools. Willingness to use and adhere to PrEP is part of a learning process, production of meaning, and negotiation in the face of getting HIV and other sexually transmittable infections and the possibilities of pleasure. Thus, accessing and using PrEP makes several adolescents more informed about their vulnerabilities, leading to more informed decision-making. Interlinking the PrEP continuum of care among YGBMSM with the intersections of the social markers of difference may provide a conceptual framework to problematize the conditions and effects of implementing this prevention strategy, which could bring advantages to HIV prevention programs.Los estudios muestran que existen lagunas en el conocimiento sobre las barreras para acceder y adherirse a la profilaxis preexposición contra el VIH (PrEP) en el segmento adolescente. En este artículo, exploramos las percepciones y experiencias de jóvenes gays, bisexuales, y otros hombres que mantienen sexo con hombres (JGBHSH) sobre la búsqueda, uso y adherencia a la PrEP, considerando sus posiciones respecto a los marcadores sociales de las diferencias tales como: raza/color, género, sexualidad y estatus social. La interseccionalidad aporta apoyo teórico y metodológico para interpretar cómo la interrelación de estos marcadores sociales de la diferencia constituye barreras y facilitadores en el continuum del cuidado por PrEP. El material empírico analizado es parte del estudio PrEP1519 y comprende 35 entrevistas semiestructuradas con JGBHSH, procedentes de dos capitales de estados brasileños (Salvador y São Paulo). Los análisis apuntan conexiones entre marcadores sociales de la diferencia, culturas sexuales, y los significados sociales de la PrEP. Aspectos estructurales subjetivos, de relaciones y simbólicos permean la concientización de la PrEP en el rango de las posibilidades de prevención. La voluntad de utilizar y adherirse a la PrEP es parte de un proceso de aprendizaje, producción de significado, y negociación frente al riesgo de VIH y otras enfermedades de trasmisión sexual, así como la posibilidad de obtener placer. Tener conocimiento sobre el acceso y uso de la PrEP consigue que muchos adolescentes estén más informados sobre sus vulnerabilidades, logrando una toma de decisiones más informadas. Interrelacionar el continuum de la atención PrEP entre JGBHSH con las intersecciones de los marcadores sociales de diferencia tal vez pueda proveer un marco conceptual para problematizar las condiciones y efectos de implementar esta estrategia de prevención, lo que podría traer ventajas para los programas de prevención del VIH.Os estudos revelam lacunas no conhecimento sobre as barreiras ao acesso e à adesão à profilaxia pré-exposição do HIV (PrEP) em adolescentes. O artigo explora as percepções e experiências de jovens gays e bissexuais e outros homens que fazem sexo com homens (JGBHSH) na busca, uso e adesão à PrEP, considerando suas posições de acordo com marcadores sociais de diferença como raça/cor da pele, gênero, sexualidade e nível social. A interseccionalidade fornece suporte teórico e metodológico para interpretar de que maneira a interconexão desses marcadores sociais de diferença constitui barreiras e facilitadores no continuum de cuidados. O material empírico faz parte do estudo PrEP1519 e consiste em 35 entrevistas semiestruturadas com JGBHSH de duas capitais brasileiras (Salvador e São Paulo). As análises identificam conexões entre marcadores sociais de diferença, culturas sexuais e os sentidos sociais da PrEP. Aspectos estruturais subjetivos, relacionais e simbólicos permeiam o conhecimento da PrEP dentro do leque de possibilidades de prevenção. A disposição de usar e aderir à PrEP faz parte de um processo de aprendizagem, produção de sentido e negociação frente ao risco de HIV e de outras infecções sexualmente transmissíveis e as possibilidades para obter prazer. O conhecimento, acesso e uso da PrEP fazem com que muitos adolescentes estejam mais informados sobre suas vulnerabilidades, resultando em decisões com mais informação. A interconexão do continuum de cuidados em PrEP entre JGBHSH com as intersecções dos marcadores sociais de diferença pode fornecer um arcabouço conceitual para problematizar as condições e os efeitos da implementação dessa estratégia preventiva, com o potencial de trazer vantagens para os programas de prevenção do HIV.Reports in Public HealthCadernos de Saúde Pública2023-07-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304Reports in Public Health; Vol. 39 No. 13 (2023): Supplement 1Cadernos de Saúde Pública; v. 39 n. 13 (2023): Suplemento 1 1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304/18548https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304/18549Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessAlves dos Santos, LorruanFernandez Unsain, RamiroAssis Brasil, SandraAugusto Vasconcelos da Silva, LuísMateus Duarte, FilipeThereza Couto, Marcia2023-08-03T13:58:42Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8304Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:09:29.086624Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis Percepción y experiencias de la PrEP de adolescentes y hombres jóvenes gais y bisexuales: análisis interseccional Percepção e experiências da PrEP de homens gays e bissexuais jovens e adolescentes: uma análise interseccional |
title |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
spellingShingle |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis Alves dos Santos, Lorruan Adolescente Profilaxia Pré-Exposição HIV Interseccionalidade Minorias Sexuais e de Gênero Adolescente Profilaxis Pre-Exposición VIH Interseccionalidad Minorías Sexuales y de Género Adolescent Pre-Exposure Prophylaxis HIV Intersectionality Sexual and Gender Minorities |
title_short |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
title_full |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
title_fullStr |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
title_full_unstemmed |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
title_sort |
PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis |
author |
Alves dos Santos, Lorruan |
author_facet |
Alves dos Santos, Lorruan Fernandez Unsain, Ramiro Assis Brasil, Sandra Augusto Vasconcelos da Silva, Luís Mateus Duarte, Filipe Thereza Couto, Marcia |
author_role |
author |
author2 |
Fernandez Unsain, Ramiro Assis Brasil, Sandra Augusto Vasconcelos da Silva, Luís Mateus Duarte, Filipe Thereza Couto, Marcia |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Alves dos Santos, Lorruan Fernandez Unsain, Ramiro Assis Brasil, Sandra Augusto Vasconcelos da Silva, Luís Mateus Duarte, Filipe Thereza Couto, Marcia |
dc.subject.por.fl_str_mv |
Adolescente Profilaxia Pré-Exposição HIV Interseccionalidade Minorias Sexuais e de Gênero Adolescente Profilaxis Pre-Exposición VIH Interseccionalidad Minorías Sexuales y de Género Adolescent Pre-Exposure Prophylaxis HIV Intersectionality Sexual and Gender Minorities |
topic |
Adolescente Profilaxia Pré-Exposição HIV Interseccionalidade Minorias Sexuais e de Gênero Adolescente Profilaxis Pre-Exposición VIH Interseccionalidad Minorías Sexuales y de Género Adolescent Pre-Exposure Prophylaxis HIV Intersectionality Sexual and Gender Minorities |
description |
Studies indicate gaps in knowledge about the barriers to access and adhere to HIV pre-exposure prophylaxis (PrEP) in adolescents. In this article, we explore the perceptions and experiences of young gay, bisexual, and other men who have sex with men (YGBMSM) of the search, use and adherence to PrEP, considering their positions according to social markers of difference such as race/skin color, gender, sexuality, and social status. Intersectionality provides theoretical and methodological tools to interpret how the interlinking of these social markers of difference constitutes barriers and facilitators in the PrEP care continuum. The analyzed material is part of the PrEP1519 study and is comprised of 35 semi-structured interviews with YGBMSM from two Brazilian capitals (Salvador and São Paulo). The analyses suggest connections between social markers of difference, sexual cultures, and the social meanings of PrEP. Subjective, relational and symbolic aspects permeate the awareness of PrEP in the range of prevention tools. Willingness to use and adhere to PrEP is part of a learning process, production of meaning, and negotiation in the face of getting HIV and other sexually transmittable infections and the possibilities of pleasure. Thus, accessing and using PrEP makes several adolescents more informed about their vulnerabilities, leading to more informed decision-making. Interlinking the PrEP continuum of care among YGBMSM with the intersections of the social markers of difference may provide a conceptual framework to problematize the conditions and effects of implementing this prevention strategy, which could bring advantages to HIV prevention programs. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-02 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304/18548 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8304/18549 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Cadernos de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/xml application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 39 No. 13 (2023): Supplement 1 Cadernos de Saúde Pública; v. 39 n. 13 (2023): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Fundação Oswaldo Cruz (FIOCRUZ) |
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FIOCRUZ |
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FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
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Cadernos de Saúde Pública |
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Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
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cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
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