Gay and bisexual adolescents and other men who have sex with men: intersectionality and the PrEP care continuum.

IF 2.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI:10.11606/s1518-8787.2024058005705

Eduardo Araújo de Oliveira, Lorruan Alves Dos Santos, Eliana Miura Zucchi, Paula Massa, Alexandre Grangeiro, Marcia Thereza Couto

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Abstract

Objective: To analyze the impact of intersecting systems of oppression on the continuum of PrEP care among adolescent gays, bisexuals, and other men who have sex with men (aGBMSM), and to examine how health professionals (HP) identify and address these challenges to provide sexual health care and HIV prevention.

Methods: This qualitative exploratory study was part of a cohort research project involving aGBMSM, travesties, and transgender women (aTrTW) using PrEP. Data analyzed consisted of 16 interviews with aGBMSM and eight with health professionals (HPs) in São Paulo study site. The methodological and theoretical framework for the interactive categorization of thematic analysis was based on an intersectional approach.

Results: The knowledge of aGBMSM about PrEP was influenced by the adverse effects of systems of oppression, particularly among Black adolescents, who acquired knowledge in a less technical manner compared to White adolescents. Most professionals recognized oppression and its impact on the PrEP care continuum (PrEPCC), especially noting the presence of racism. However, few articulated how different social markers compound barriers to the success of the PrEPCC.

Conclusion: Social oppression affects the success of the PrEP care continuum (PrEPCC) in multiple ways. Health professionals (HPs) play a crucial role in mitigating and not perpetuating these negative experiences within health services, as well as in PrEP access, use, and adherence.

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男同性恋和双性恋青少年及其他男男性行为者：交叉性与 PrEP 护理的连续性。

目的分析相互交叉的压迫系统对青少年男同性恋、双性恋和其他男男性行为者（aGBMSM）中 PrEP 护理连续性的影响，并研究医疗专业人员（HP）如何识别和应对这些挑战，以提供性健康护理和 HIV 预防：这项定性探索性研究是一个队列研究项目的一部分，该项目涉及使用 PrEP 的男男性行为者、人妖和变性女性 (aTrTW)。所分析的数据包括对圣保罗研究地点的 16 名女同性恋、男同性恋、双性恋和变性者（aGBMSM）以及 8 名医疗专业人员（HPs）进行的访谈。专题分析互动分类的方法和理论框架以交叉方法为基础：黑人青少年对 PrEP 的了解受到了压迫制度不良影响的影响，尤其是在黑人青少年中，与白人青少年相比，他们获取知识的技术性较低。大多数专业人员认识到压迫及其对 PrEP 护理连续性（PrEPCC）的影响，尤其注意到种族主义的存在。然而，很少有人能清楚地说明不同的社会标记是如何加剧 PrEPCC 的成功障碍的：结论：社会压迫以多种方式影响着 PrEPCC 的成功实施。医疗卫生专业人员（HPs）在医疗卫生服务中以及在 PrEP 的获取、使用和坚持方面发挥着至关重要的作用，以减轻这些负面经历并避免其长期存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.

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