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“这很不寻常,但也很令人惊喜”:在巴西,为青少年男男性行为者(MSM)和跨性别女性(TGW)人群创造 PrEP 需求。

"It was unusual but amazing": demand creation for PrEP among adolescents' men who have sex with men (MSM) and transgender women (TGW) in Brazil.

机构信息

Escola de Enfermagem, Universidade Federal da Bahia, Salvador, Brasil.

Instituto de Humanidades, Artes e Ciências Professor Milton Santos, Universidade Federal da Bahia, Salvador, Brasil.

出版信息

Cad Saude Publica. 2024 May 17;40(4):e00066423. doi: 10.1590/0102-311XEN066423. eCollection 2024.


DOI:10.1590/0102-311XEN066423
PMID:38775571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11105349/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b440/11105349/60f24d31b0aa/1678-4464-csp-40-04-EN066423-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b440/11105349/60f24d31b0aa/1678-4464-csp-40-04-EN066423-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b440/11105349/60f24d31b0aa/1678-4464-csp-40-04-EN066423-gf1.jpg

相似文献

[1]
"It was unusual but amazing": demand creation for PrEP among adolescents' men who have sex with men (MSM) and transgender women (TGW) in Brazil.

Cad Saude Publica. 2024

[2]
Demand creation and retention strategies for oral pre-exposure prophylaxis for HIV prevention among men who have sex with men and transgender women: a systematic review and meta-analysis.

BMC Infect Dis. 2023-11-14

[3]
A Transgender Chatbot (Amanda Selfie) to Create Pre-exposure Prophylaxis Demand Among Adolescents in Brazil: Assessment of Acceptability, Functionality, Usability, and Results.

J Med Internet Res. 2023-6-23

[4]
"I wish to remain HIV negative": Pre-exposure prophylaxis adherence and persistence in transgender women and men who have sex with men in coastal Kenya.

PLoS One. 2021

[5]
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. 2021

[6]
Pre-exposure prophylaxis for men and transgender women who have sex with men in Brazil: opportunities and challenges.

J Int AIDS Soc. 2015-7-20

[7]
Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods.

Arch Sex Behav. 2023-2

[8]
High pre-exposure prophylaxis uptake and early adherence among men who have sex with men and transgender women at risk for HIV Infection: the PrEP Brasil demonstration project.

J Int AIDS Soc. 2017-4-6

[9]
Preferences for pre-exposure prophylaxis (PrEP) among men who have sex with men and transgender women at risk of HIV infection: a multicentre protocol for a discrete choice experiment in Brazil.

BMJ Open. 2021-9-27

[10]
Reconciling advantages and difficulties: knowledge and perceptions of event-driven PrEP among young people.

Rev Saude Publica. 2024

本文引用的文献

[1]
A Transgender Chatbot (Amanda Selfie) to Create Pre-exposure Prophylaxis Demand Among Adolescents in Brazil: Assessment of Acceptability, Functionality, Usability, and Results.

J Med Internet Res. 2023-6-23

[2]
Interdisciplinarity in HIV prevention research: the experience of the PrEP1519 study protocol among adolescent MSM and TGW in Brazil.

Cad Saude Publica. 2023

[3]
Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods.

Arch Sex Behav. 2023-2

[4]
From declining PrEP to PrEP initiation as "first nature" - what changes PrEP initiation decisions among young, Black MSM.

AIDS Care. 2022-3

[5]
Global Epidemiology of HIV/AIDS: A Resurgence in North America and Europe.

J Epidemiol Glob Health. 2021-9

[6]
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. 2021

[7]
[Brazilian Protocol for Sexually Transmitted Infections 2020: HIV infection in adolescents and adults].

Epidemiol Serv Saude. 2021-3-15

[8]
Health functional literacy and adherence to antiretroviral therapy in people living with HIV.

Rev Gaucha Enferm. 2021

[9]
Interventions to improve daily medication use among adolescents and young adults: what can we learn for youth pre-exposure prophylaxis services?

AIDS. 2021-3-1

[10]
Chemsex practice among men who have sex with men (MSM) during social isolation from COVID-19: multicentric online survey.

Cad Saude Publica. 2020-11-20

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