Potenciais Candidatos a Profilaxia Pré-Exposição (PrEP): Reflexões de uma Equipa de Intervenção Psiquiátrica num Serviço de Doenças Infeciosas

Lemos, Magda Gomes; Queirós, Tiago Pinto; Gonçalves, Graça; Nabais, Isabel; Braz, Inês; Medeiros, Fábio Cota

doi:10.20344/amp.17850

Cited by 1 publication

(1 citation statement)

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“…On the other hand, in Portugal, PrEP is only available in a few specialized clinics and hospitals, which limits its accessibility to people living outside of major cities. Moreover, there are complaints about the difficulties and bureaucracy involved in accessing the system, as well as the ways and places used to dispense the medication [ 38 ]. In addition, the government has recognized that the strategy covers very little of the necessary target population; however, the expansion of free PrEP in the country has shown modest growth over the years [ 25 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries

Sousa

Lima

Ribeiro

et al. 2023

IJERPH

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Strengthening strategies to improve adherence to the use of pre-exposure prophylaxis (PrEP) in key populations constitutes a global health priority to be achieved across countries, especially in countries that share a high flow of people such as Brazil and Portugal. This study aimed to analyze the factors associated with adherence to PrEP among MSM from two Portuguese-speaking countries, highlighting the opportunities and preventive strategies for the global health scenario. This was a cross-sectional analytical online survey conducted from January 2020 to May 2021 with MSM in Brazil and Portugal. For analysis of the data, the Poisson regression model was used to estimate the prevalence ratio (PR) for developing a model to evaluate the associated factors in both countries in a comparative and isolated way. Adherence to PrEP use corresponded to 19.5% (n = 1682) of the overall sample: 18.3% (n = 970) for Brazil and 21.5% (n = 712) for Portugal. Having more than two sex partners in the last 30 days (aPR: 30.87) and routinely undergoing HIV tests (aPR: 26.21) increased the use of this medication. Being an immigrant (PR: 1.36) and knowing the partner’s serological status (PR: 1.28) increased adherence to PrEP in Portugal, whereas, in Brazil, it was being an immigrant (PR: 0.83) and not knowing the serological status (PR: 2.24) that promoted the use of this medication. Our findings reinforce the need to invest in programs and strategies to improve access and adherence to PrEP, especially in key populations.

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Section: Introductionmentioning

confidence: 99%