Access to PrEP by cisgender mens and transsexual person: A qualitative study

Authors

DOI:

https://doi.org/10.33448/rsd-v10i1.11843

Keywords:

Pre-Exposure Prophylaxis; Sexually Transmitted Infections; Men who have sex with men; Transgender; Primary prevention.

Abstract

A study carried out in Rio de Janeiro, investigates the perception of users of public services that offer HIV pre-exposure prophylaxis. Objective: To raise possible barriers and facilitating factors in accessing Pre-Exposure Prophylaxis (PrEP). Method: This is a research with a qualitative approach, conducted with users of services that offer PrEP in the greater Rio, interviews were recorded and transcribed. The analysis categories are derived from the construction of the experiences narrated by the interlocutors. Results and Discussion: 12 users of this therapy aged between 25 and 39 years were interviewed, 10 men who have sex with other men and 2 trans women. All users reported having some knowledge about PrEP; the transgender person is the one who attends the services least. There is a consensus that combined prevention is a positive step in the STI prevention policy. Conclusion: The main barriers are related to the structural limitations of health services.

References

Amaral, R. T. do, Soares, R. de F. S., Silva, S. M. T. C. da, Neves, M. P. das, Silva, L. A., & Silva, R. R. da. (2020). Identification and analysis of Garbage code occurred when filling out the Death Certificate at the Hospital Geral de Nova Iguaçu - RJ, a reality to be modified. Research, Society and Development, 9(11), e91591110658. https://doi.org/10.33448/rsd-v9i11.10658

Baral, S., Poteat, T., Strömdahl, S., Wirtz, A., Guadamuz, T., & Beyrer, C. (2018). Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. The Lancet Infectious Diseases. 13 (3), 214-222. Recuperado de: https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(12)70315-8/fulltext

Barbosa, I. de S. F., et al. (2020). Care for people with a problem related to alcohol abuse: an integrative literature review study. Research, Society and Development, 9(11), e52091110062. https://doi.org/10.33448/rsd-v9i11.10062

Bardin, L., (2011). Análise de Conteúdo. Editora Almedina

Bastos, F., Bastos, L., Coutinho, C., Toledo, L., Mota, J., & Velasco-de-Castro, C. (2018). HIV, HCV, HBV, and syphilis among transgender women from Brazil. Medicine. (97) S16-S24. https://journals.lww.com/md-journal/Fulltext/2018/05251/HIV,_HCV,_HBV,_and_syphilis_among_transgender.7.aspx#R6-7

Brasil. Ministério da Saúde. (2019) Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis. Boletim epidemiológico HIV/Aids 19. http:// http://www.aids.gov.br/pt-br/pub/2019/boletim-epidemiologico-de-hivaids-

Brasil. Ministério da Saúde. (2017). Protocolo Clínico e Diretrizes Terapêuticas para Profilaxia Pré-Exposição (PrEP) de Risco à Infecção pelo HIV. http://www.aids.gov.br/pt-br/pub/2017/protocolo-clinico-e-diretrizes-terapeuticas-para-profilaxia-pre-exposicao-prep-de-risco

Carvalho, J. L. F., & Vergara, S. C. (2016). A fenomenologia e a pesquisa dos espaços de serviços. Revista de Administração de Empresas. 42 (3), 1-14. http://dx.doi.org/10.1590/S0034-75902002000300008

Couto, P. L. S., Paiva, M. S., Oliveira, J. F., Gomes, A. M. T., Rodrigues, L. S. A., & Teixeira, M. A. (2020). Dilemmas and challenges for HIV prevention in representations of young Catholics. Online Braz j Nurs, 17 (1), 97-108. http://www.objnursing.uff.br/index.php/nursing/article/view/5909

D'avanzo, P. A., Bass, S. B., Brajuha, J., Gutierrez-Mock, L., Ventriglia, N., & Wellington, C. (2020). Mistrust And Prep Perceptions Between Women Transgender: A Cluster Analysis. Behavioral Medicine (45) 2 143-152. 10.1080 / 08964289.2019.1585325

Grant, R., Lama, J., Anderson, P., McMahan, V., Liu, A., & Vargas, L. (2019). Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men. New England Journal of Medicine, 363 (27) 2587-2599. https://www.nejm.org/doi/full/10.1056/NEJMoa1011205

Grinsztejn, B. (2019). Retention, engagement, and adherence to pre-exposure prophylaxis for men who have sex with men and transgender women in PrEP Brasil: Lancet HIV. (5) 2 136-145. https://www.thelancet.com/journals/lanhiv/article/PIIS2352-3018(18)30008-0/fulltext. 10.1016/S2352-3018(18)30008-0

Hipólito, R. L., Oliveira, D. C. de, Cecilio, H. P. M., Marques, S. C., Flores, P. V. P., Costa, T. L. da, & Lima, F. O. de. (2020). Quality of life of people living with HIV and their multifactorial relationships. Research, Society and Development, 9(7), e82973749. https://doi.org/10.33448/rsd-v9i7.3749

Jalil, E. M., Grinsztejn, B. G. J., Velasque, L., Makkeda, A. R., Luz, P. M., & Moreira, R. I. (2018). Awareness, Willingness, and PrEP Eligibility Among Transgender Women in Rio de Janeiro, Brazil; JAIDS Journal of Acquired Immune Deficiency Syndromes (79) 4. https://pubmed.ncbi.nlm.nih.gov/30142140/

Kerr, L., Kendall, C., Guimarães, M. D. C., Mota, R. S., Veras, M. A., & Dourado, I. (2018). HIV prevalence among men who have sex with men in Brazil. Medicine. (97) S9-S15. https://journals.lww.com/mdjournal/Fulltext/2018/05251/HIV_prevalence_among_men_who_have_sex_with_men_in.11.aspx

McCormack, S., Dunn, D. T., Desai, M., Dolling, D. I., Gafos, M., & Gilson, R. (2016). Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): effectiveness results from the pilot phase of a pragmatic open-label randomised trial. The Lancet (387) P53-60 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)00056-2/fulltext

Meireles, J. V. C., & Brito, M. de V. (2020). Imunossenescência precoce na infecção por HIV: efeito da persistência viral crônica ou da terapia antirretroviral. Research, Society and Development, 9(9), e592997436. https://doi.org/10.33448/rsd-v9i9.7436

Mendonça, E. T. M., Araújo, E. da C., Botelho, E. P., Polaro, S. H. I., & Gonçalves, L. H. T. (2020). Vivência de sexualidade e HIV/AIDS na terceira idade. Research, Society and Development, 9(7), e483974256. https://doi.org/10.33448/rsd-v9i7.4256

Molina, J., Capitant, C., Spire, B., Pialoux, G., Cotte, L., & Charreau, I. (2015). On-Demand Preexposure Prophylaxis in Men at High Risk for HIV-1 Infection. New England Journal of Medicine 373 (23), 2237-2246. https://www.nejm.org/doi/full/10.1056/NEJMoa1506273

Neves, M. P., Silva, R. R., Silva, L. A. da ., Silva, M. V. G. da ., Silva, M. M. dos S. da ., Francisco, M. T. R. ., & Marta, C. B. (2020). Adição à drogas, o consumo de substâncias psicoativas por jovens, utilizando o instrumento assist. Saúde Coletiva (Barueri), 9(51), 1913-1919. https://doi.org/10.36489/saudecoletiva.2019v9i51p1913-1919

Pereira, A. S. (2018). Metodologia da pesquisa científica. UAB/NTE/UFSM.

Reisner, S. L., Moore, C. S., Asquith, A., Pardee, D. J., Sarvet, A., & Mayer, G. (2019). High risk and low uptake of pre‐exposure prophylaxis to prevent HIV acquisition in a national online sample of transgender men who have sex with men in the United States. J Int AIDS Soc. 22 (9), e25391. Recuperado de: https://doi.org/10.1002/jia2.25391

Ryan, K. E., Mak, A., Mark. S., Price, B., Fairley, C. K., & Ruth, S. (2020). Protocol For An Hiv Pre-Exposure Prophylaxis (Prep) Population Level Intervention Study In Victoria Australia: The Prepx Study; Public Health. 5 (8) Https://Doi.Org/10.3389/Fpubh.2018.00151

Sevelius, J. M., Deutsch, M. B., & Grant, R. (2016). The future of PrEP among transgender women: the critical role of gender affirmation in research and clinical practice. J Int AIDS Soc. (2), 2-3. Recuperado de: https://doi.org/10.7448/IAS.19.7.21105

Silva, R. R., Silva, L. A, Silva, M. V. G., Neves, M. P., Silva, M. M. S., & Francisco, M. T. R. (2019). Os Impactos do Chemsex na saúde pública mundial: um estudo sobre uma perigosa prática sexual entre homens. Rev Saúde Coletiva Barueri. (2) 51 1920-5. https://doi.org/10.36489/saudecoletiva.2019v9i51p1920-1925.

Silva, R.R., Neves, M. P., Silva, L. A., Silva, M. V. G., Hipolito, R. L., & Marta, C. B. (2020). Consumo de drogas psicoativas em contexto sexual entre homens gays como fator de risco para transmissão de HIV/Aids. Glob Acad Nurs. 1(3):e57. https://dx.doi.org/10.5935/2675-5602.20200057

UNAIDS - Joint Programme on HIV/AIDS. (2017). Declaração de Paris. Acabar com a epidemia da AIDS: Cidades acelerando a resposta. https://unaids.org.br/wp-content/uploads/2015/12/Declara%C3%A7%C3%A3o-de-Paris-PORT-1.pdf.

Published

24/01/2021

How to Cite

SOUZA, M. V. L. de .; SILVA, R. R. da; OLIVEIRA, M. C. P. de .; SILVA, L. A. da .; SILVA, M. V. G. da .; VARGAS, D. de; HIPÓLITO, R. L. .; SOUZA, M. das G. G. de .; SILVEIRA, M. L. F. G. da .; MESQUITA, L. M. F. de .; ARAÚJO, M. S. .; IGNÁCIO, L. P. .; FONTES, T. V. .; ALENCAR, Ícaro F. de .; SOUZA, D. A. C. .; OLIVEIRA, J. V. E. .; NEVES, M. P. das .; PEREIRA, A. V. .; SOARES FILHO, M. O. .; DUTRA, V. de C. de A. . Access to PrEP by cisgender mens and transsexual person: A qualitative study. Research, Society and Development, [S. l.], v. 10, n. 1, p. e44310111843, 2021. DOI: 10.33448/rsd-v10i1.11843. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/11843. Acesso em: 7 nov. 2024.

Issue

Section

Health Sciences