Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Brasil.
Instituto de Humanidades, Artes e Ciências Professor Milton Santos, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2024 May 17;40(4):e00066423. doi: 10.1590/0102-311XEN066423. eCollection 2024.
This study aimed to analyze the challenges in demand creation for participation in an HIV pre-exposure prophylaxis (PrEP) project in two Brazilian capitals. This qualitative study was conducted with men who have sex with men and transgender women aged 15 to 19 years who lived in two Brazilian state capitals. For this analysis, 27 semi-structured interviews carried out from 2019 to 2020 were evaluated by reflexive thematic content analysis. For participants, PrEP demand creation was essential for their interaction, mediation, bonding, and attachment and proved effective for PrEP acceptability and adherence. Adolescents' narratives showed that the strategies promoted HIV combination prevention, opened up opportunities for recruitment meetings, helped to negotiate with and convince individuals to use PrEP, strengthened peer education, and evoked a feeling of "being with" and "walking together" despite the challenges. Face-to-face or online interactions using social technologies played a crucial role in recruiting adolescents for the project, expanding knowledge on PrEP and other combination prevention strategies and access to health services and self-care.
本研究旨在分析在巴西两个首府参与艾滋病毒暴露前预防 (PrEP) 项目的需求创造所面临的挑战。这项定性研究是在年龄在 15 至 19 岁之间的男男性行为者和跨性别女性中进行的，他们居住在巴西的两个州府城市。在这项分析中，对 2019 年至 2020 年期间进行的 27 次半结构化访谈进行了反思性主题内容分析。对于参与者来说，PrEP 需求创造对于他们的互动、调解、结合和依恋至关重要，并被证明对 PrEP 的可接受性和依从性有效。青少年的叙述表明，这些策略促进了艾滋病毒综合预防，为招募会议提供了机会，有助于与个人协商并说服他们使用 PrEP，加强了同伴教育，并唤起了一种“在一起”和“共同前行”的感觉，尽管存在挑战。使用社交技术的面对面或在线互动在为项目招募青少年方面发挥了关键作用，扩大了对 PrEP 和其他综合预防策略的了解，并使他们能够获得卫生服务和自我护理。
