Access to PrEP by cisgender mens and transsexual person: A qualitative study
DOI:
https://doi.org/10.33448/rsd-v10i1.11843Keywords:
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Marcus Vinicius Lessa de Souza; Roni Robson da Silva; Maria Cristina Pimenta de Oliveira; Leandro Andrade da Silva; Maria Virginia Godoy da Silva; Divane de Vargas; Rodrigo Leite Hipólito; Maria das Graças Gazel de Souza; Maria Lucia Feitosa Goulart da Silveira; Lucas Marvilla Fraga de Mesquita; Michael Silva Araújo; Lígia Paula Ignácio; Tatiana Vasconcellos Fontes; Ícaro Ferracini de Alencar; Daniele Augusto Correa Souza; João Vitor Emídio Oliveira; Milena Preissler das Neves; Amanda Vargas Pereira; Marcelo Oliveira Soares Filho; Vania de Cassia de Araujo Dutra
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.