Combination HIV prevention for adolescent men who have sex with men and adolescent transgender women in Brazil: vulnerabilities, access to healthcare, and expansion of PrEP

Dourado, Inês; Magno, Laio; Greco, Dirceu Bartolomeu; Grangeiro, Alexandre

doi:10.1590/0102-311xen228122

Cited by 5 publications

(6 citation statements)

References 33 publications

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“…At moderate levels of social satisfaction, the consumption of these substances is considered high, with an average risk of dependence in 46.9% of LGBTQIAPN+ people who use this means to escape the lack of social support and stress due to prejudice. When consump-tion occurs immediately before or during sexual practices (chemical sex), people are also exposed to vulnerable behavior in terms of the risk of contamination by HIV, viral hepatitis and other STIs, due to the loss of decision-making capacity in the use of condoms and the perception of risk of contamination, heightened by the lack of guidance and access to information and combined prevention methods in health services ( 36 , 37 ) .…”

Section: Discussionmentioning

confidence: 99%

Continuing nursing education actions in the face of homophobia: an integrative review

West,

Araújo,

Vilar

et al. 2024

Rev. Bras. Enferm.

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Objectives: to analyze continuing nursing education actions in the scientific literature in the face of homophobia. Methods: an integrative literature review with structured search in June 2022 in eight databases, using the descriptors Nursing Education, Homophobia, Sexual and Gender Minorities. Final sample consisted of six primary studies. Results: continuing nursing education actions are supported by strategies such as use of teaching materials, lectures, case studies and focus groups, addressing content such as gender identity issues and affective-sexual orientation, health disparities and their relationship with homophobia in healthcare settings. Final considerations: carried out in various healthcare settings, continuing education actions proved to be successful in raising nurses’ awareness in facing homophobia in health services, however, their expansion is necessary to create health spaces that meet the specific needs of these people.

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Section: Discussionmentioning

confidence: 99%

Continuing nursing education actions in the face of homophobia: an integrative review

West,

Araújo,

Vilar

et al. 2024

Rev. Bras. Enferm.

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“…This study analyzes data from the PrEP1519 study, a demonstrative cohort of PrEP use by adolescent MSM and TGW aged 15 to 19 years in three cities in Brazil: Salvador, Belo Horizonte (Minas Gerais State), and São Paulo. Further methodological details can be found in Dourado et al 27 . In Salvador, this research project is called PrEPara Salvador [a play on words between PrEP and "prepara" -Get ready!…”

Section: Methodsmentioning

confidence: 99%

Building bridges to care: the experience of peer navigation in enabling linkage to PrEP for adolescent men who have sex with men and transgender women

et al. 2023

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Vulnerable populations are at increased risk for HIV/AIDS, especially adolescent men who have sex with men (AMSM) and adolescent travestis and transgender women (ATGW). Pre-exposure prophylaxis (PrEP) is one component of combination HIV prevention and is already available for these populations in Brazil. However, ensuring its uptake entails certain challenges since inequality and barriers have traditionally marked access and linkage to the related public health services. Peer navigation could be a way of mediating the linkage process because it involves peers keeping track of others’ care schedules, dynamically fostering linkage to care according to the needs of users and the actors involved in their everyday care contexts. Therefore, this study proposes analyzing peer-navigator-mediated linkage to PrEP care for 15- to 19-year-old MSM and transgender women from the PrEP1519 project in Salvador, Bahia State, Brazil. In total, 15 field notebooks/diaries, written in April-July 2019, by four peer navigators were analyzed, as were the transcripts of one focal group and 20 semi-structured interviews with adolescents (17 MSM and three trans women) between June and December 2019. Linkage via peer navigator and participant is influenced by emotional dynamics and shared personal characteristics. It is fluid and unstable and calls for care practices to be shaped to meet each participant’s needs. For peer navigation to be adopted as a care strategy for sexually transmitted infection prevention and treatment, it should envisage not only increased linkage to care but also sensitivity to service users’ specific characteristics and lived experiences.

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“…Qualitative research that was part of the study to demonstrate the effectiveness of PrEP among adolescents MSM (men who have sex with men) and transgender women at increased risk of HIV infection (PrEP1519 study), developed in Belo Horizonte, São Paulo, and Salvador (Bahia State). More methodological informations can be found in Dourado et al 17 .…”

Section: Methodsmentioning

confidence: 99%

When prevention is the best remedy: HIV pre-exposure prophylaxis (PrEP) among adolescents gays and transgender women in Belo Horizonte, Minas Gerais State, Brazil

et al. 2023

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Based on the incorporation of pre-exposure prophylaxis (PrEP) as an HIV prevention strategy and considering the need to comprehend the use of medication among young people, this article analyzes narratives of gay men and transgender women from Belo Horizonte, Minas Gerais State, Brazil, participating in the PrEP1519 study. This is a qualitative research, based on the interpretative anthropology, developed by 10 in-depth interviews with PrEP users followed-up for at least three months between October and November 2019. The results showed that the drug was seen as the main motivation for participating in the study and as a strategy combined with the use of condoms, whether as additional prevention, or assuming the leading role. The medication revealed signs built by the gender performances and their relation to other medications, especially the experience of trans girls in hormonal therapy. Regarding the socialization of the use of PrEP, the narratives showed that there was no secret between the couples, which did not meant that stigmas on the association with HIV did not exist, mainly in the virtual context. In the family environment, they reported questions about the preventive function of the medication and the voluntary nature of the participation in the study. The youth’s narratives revealed plural meanings of the medication and its social use, composing both the boys’ and girls’ performances. The signs attributed to the medication indicated that in addition to maintenance of health, the medication improves life and sexual freedom.

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Combination HIV prevention for adolescent men who have sex with men and adolescent transgender women in Brazil: vulnerabilities, access to healthcare, and expansion of PrEP

Cited by 5 publications

References 33 publications

Continuing nursing education actions in the face of homophobia: an integrative review

Continuing nursing education actions in the face of homophobia: an integrative review

Building bridges to care: the experience of peer navigation in enabling linkage to PrEP for adolescent men who have sex with men and transgender women

When prevention is the best remedy: HIV pre-exposure prophylaxis (PrEP) among adolescents gays and transgender women in Belo Horizonte, Minas Gerais State, Brazil

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