RAMIRO ANDRES FERNANDEZ UNSAIN

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  • article 1 Citação(ões) na Scopus
    PrEP perception and experiences of adolescent and young gay and bisexual men: an intersectional analysis
    (2023) SANTOS, Lorruan Alves dos; UNSAIN, Ramiro Fernandez; BRASIL, Sandra Assis; SILVA, Luis Augusto Vasconcelos da; DUARTE, Filipe Mateus; COUTO, Marcia Thereza
    Studies indicate gaps in knowledge about the barriers to access and adhere to HIV pre-exposure prophylaxis (PrEP) in adolescents. In this article, we ex-plore the perceptions and experiences of young gay, bisexual, and other men who have sex with men (YGBMSM) of the search, use and adherence to PrEP, considering their positions according to social markers of difference such as race/skin color, gender, sexuality, and social status. Intersectionality provides theoretical and methodological tools to interpret how the interlinking of these social markers of difference constitutes barriers and facilitators in the PrEP care continuum. The analyzed material is part of the PrEP1519 study and is comprised of 35 semi-structured interviews with YGBMSM from two Bra-zilian capitals (Salvador and Sao Paulo). The analyses suggest connections between social markers of difference, sexual cultures, and the social mean-ings of PrEP. Subjective, relational and symbolic aspects permeate the aware-ness of PrEP in the range of prevention tools. Willingness to use and adhere to PrEP is part of a learning process, production of meaning, and negotiation in the face of getting HIV and other sexually transmittable infections and the possibilities of pleasure. Thus, accessing and using PrEP makes several ado-lescents more informed about their vulnerabilities, leading to more informed decision-making. Interlinking the PrEP continuum of care among YGBMSM with the intersections of the social markers of difference may provide a con-ceptual framework to problematize the conditions and effects of implement-ing this prevention strategy, which could bring advantages to HIV prevention programs.
  • article 0 Citação(ões) na Scopus
    Weight stigma after bariatric surgery: A qualitative study with Brazilian women
    (2023) ULIAN, Mariana Dimitrov; UNSAIN, Ramiro Fernandez; FRANCO, Ruth Rocha; SANTO, Marco Aurelio; BREWIS, Alexandra; TRAINER, Sarah; STURTZSREETHARAN, Cindi; WUTICH, Amber; GUALANO, Bruno; SCAGLIUSI, Fernanda Baeza
    Prior studies suggest that one anticipated benefit of bariatric surgery is the achievement of a thinner body, one that is less subject to perceived negative judgment and condemnation by others. However, additional analyses also indicate that stigma may persist even with significant post-surgery weight loss. To investigate the stigma-related perceptions and experiences of women who have undergone bariatric surgery and the resulting body transformations, we conducted individual, semi-structured interviews with thirty Brazilian women (15 aged 33-59 and 15 aged 63-72). The resulting text was then analyzed using thematic analysis. We found that some form of weight stigma persisted for our participants, regardless of weight loss. Ongoing experiences of stigma were also evidenced by the constant internal and external vigilance reported by the women, as well as their articulated efforts to distance themselves from their previous bodies. Additionally, participants reported being judged for choosing an ""easy way out"" to lose weight. Those in the older group reported that weight stigma was entangled with ageism: older participants received mixed messages underscoring the ways that weight and age may interact in doubly stigmatizing ways. Family and close peers were especially powerful sources of stigma experiences. Collectively, these results show that weight stigma persists even when people undergo a procedure to lose substantive weight and that the degree and types of stigma experiences are influenced by gender and age. Our study suggest future research should explore whether a targeted approach might be more effective, for example, an approach that would emphasize the importance of developing coping strategies with respect to experiences of stigma and discrimination after surgery.