I Can't Take This Shitty Quarantine Anymore: Sexual Behavior and PrEP Use Among Young Men Who Have Sex with Men and Transgender Women in Brazil During the COVID-19 Pandemic

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Citações na Scopus
6
Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER/PLENUM PUBLISHERS
Autores
FERRAZ, Dulce
ROSSI, Thais Aranha
ZUCCHI, Eliana Miura
DEUS, Luiz Fabio Alves de
MABIRE, Xavier
FERGUSON, Laura
MAGNO, Laio
PREAU, Marie
Citação
ARCHIVES OF SEXUAL BEHAVIOR, v.52, n.2, p.689-702, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
This study analyzes how the COVID-19 pandemic affected sexual behavior and use of HIV prevention methods among young transgender women (YTGW) and young gay, bisexual and other men who have sex with men (YGBMSM) participating in an HIV pre-exposure prophylaxis (PrEP) demonstration study in Brazil. Online interviews with 39 participants aged 15-22 years old were conducted between September and November 2020 and analyzed based on social constructionism and human rights-based approaches to health. The pandemic disrupted interviewees' routines, negatively affecting their life conditions. Among those who did not have a steady partner, social distance measures led to temporary interruption of sexual encounters and increased sexting and solo sex. Conversely, for those who had a steady relationship such measures contributed to increasing sexual practices and intimacy. Participants who had sexual encounters during the pandemic reported having continued to use PrEP. However, home confinement with family, lack of privacy, loss of daily routines and changes in housing impaired PrEP adherence and attendance at follow-up consultations. These results highlight the importance of maintaining HIV-service delivery for these groups during a public health crisis, as well as to address the structural drivers of the epidemic with comprehensive HIV prevention policies and by ensuring access of YGBMSM and YTGW to social protection policies.
Palavras-chave
HIV prevention, Pre-exposure prophylaxis, COVID-19, Men who have sex with men, Transgender women
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