Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | MAGNO, Laio | |
dc.contributor.author | SOARES, Fabiane | |
dc.contributor.author | ZUCCHI, Eliana Miura | |
dc.contributor.author | EUSTORGIO, Marcos | |
dc.contributor.author | GRANGEIRO, Alexandre | |
dc.contributor.author | FERRAZ, Dulce | |
dc.contributor.author | GRECO, Dirceu | |
dc.contributor.author | ESCUDER, Maria Mercedes | |
dc.contributor.author | DOURADO, Ines | |
dc.contributor.groupauthor | PrEP1519 Study Grp | |
dc.date.accessioned | 2023-04-14T18:06:37Z | |
dc.date.available | 2023-04-14T18:06:37Z | |
dc.date.issued | 2023 | |
dc.description.abstract | Using baseline data from the PrEP1519 cohort, in this article we aimed to analyze: (i) the effectiveness of demand creation strategies (DCS) to enroll adolescent men who have sex with men (AMSM) and adolescent transgender women (ATGW) into an HIV combination prevention study in Brazil; (ii) the predictors of DCS for adolescents' enrollment; and (iii) the factors associated with DCS by comparing online and face-to-face strategies for enrollment. The DCS included peer recruitment (i.e., online and face-to-face) and referrals from health services and non-governmental organizations (NGOs). AMSM and ATGW who agreed to participate in the study could opt to enroll in either PrEP (PrEP arm) or to use other prevention methods (non-PrEP arm). Bivariate and multivariate analyses were conducted and logistic regression odds ratios were estimated. The DCS reached 4529 AMSM and ATGW, the majority of which were derived online (73.8%). Of this total, 935 (20.6%) enrolled to participate (76.6% in PrEP arm and 23.4% in non-PrEP arm). The effectiveness of enrolling adolescents into both arms was greater via direct referrals (235/382 and 84/382, respectively) and face-to-face peer recruitment (139/670 and 35/670, respectively) than online (328/3342). We found that a combination under DCS was required for successful enrollment in PrEP, with online strategies majorly tending to enroll adolescents of a higher socioeconomic status. Our findings reinforce the need for DCS that actively reaches out to all adolescents at the greatest risk for HIV infection, irrespective of their socioeconomic status. | eng |
dc.description.index | MEDLINE | |
dc.description.index | PubMed | |
dc.description.index | WoS | |
dc.description.index | Scopus | |
dc.description.sponsorship | Unitaid [2017-15-FIOTECPrEP] | |
dc.description.sponsorship | Brazilian Ministry of Health, through the Department of Chronic Diseases and Sexually Transmitted Infections, Bahia State Department of Health, Sao Paulo State | |
dc.description.sponsorship | City Department of Health | |
dc.description.sponsorship | City of Sao Paulo AIDS Program | |
dc.identifier.citation | ARCHIVES OF SEXUAL BEHAVIOR, v.52, n.2, p.703-719, 2023 | |
dc.identifier.doi | 10.1007/s10508-022-02371-y | |
dc.identifier.eissn | 1573-2800 | |
dc.identifier.issn | 0004-0002 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/53140 | |
dc.language.iso | eng | |
dc.publisher | SPRINGER/PLENUM PUBLISHERS | eng |
dc.relation.ispartof | Archives of Sexual Behavior | |
dc.rights | restrictedAccess | eng |
dc.rights.holder | Copyright SPRINGER/PLENUM PUBLISHERS | eng |
dc.subject | HIV pre-exposure prophylaxis | eng |
dc.subject | Adolescent | eng |
dc.subject | Demand creation | eng |
dc.subject | Men who have sex with men | eng |
dc.subject | Transgender women | eng |
dc.subject | Brazil | eng |
dc.subject.other | preexposure prophylaxis | eng |
dc.subject.other | transgender women | eng |
dc.subject.other | men | eng |
dc.subject.other | sex | eng |
dc.subject.other | health | eng |
dc.subject.other | determinants | eng |
dc.subject.other | prevalence | eng |
dc.subject.other | safety | eng |
dc.subject.other | gay | eng |
dc.subject.wos | Psychology, Clinical | eng |
dc.subject.wos | Social Sciences, Interdisciplinary | eng |
dc.title | Reaching Out to Adolescents at High Risk of HIV Infection in Brazil: Demand Creation Strategies for PrEP and Other HIV Combination Prevention Methods | eng |
dc.type | article | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
dspace.entity.type | Publication | |
hcfmusp.author.external | MAGNO, Laio:Univ Estado Bahia, Dept Ciencias Vida, Rua Silveira Martins 2555, BR-41150000 Salvador, BA, Brazil; Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.author.external | SOARES, Fabiane:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.author.external | ZUCCHI, Eliana Miura:Univ Catolica Santos, Mestrado Profiss Psicol & Polit Publ, Programa Posgrad Saude Colet, Santos, SP, Brazil | |
hcfmusp.author.external | EUSTORGIO, Marcos:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.author.external | FERRAZ, Dulce:Fundacao Oswaldo Cruz, Escola FIOCRUZ Governo, Brasilia, DF, Brazil | |
hcfmusp.author.external | GRECO, Dirceu:Univ Fed Minas Gerais, Fac Med, Belo Horizonte, MG, Brazil | |
hcfmusp.author.external | ESCUDER, Maria Mercedes:Inst Hlth, Sao Paulo State Hlth Dept, Sao Paulo, SP, Brazil | |
hcfmusp.author.external | DOURADO, Ines:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil | |
hcfmusp.citation.scopus | 9 | |
hcfmusp.contributor.author-fmusphc | ALEXANDRE DOMINGUES GRANGEIRO | |
hcfmusp.description.beginpage | 703 | |
hcfmusp.description.endpage | 719 | |
hcfmusp.description.issue | 2 | |
hcfmusp.description.volume | 52 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 35876978 | |
hcfmusp.origem.scopus | 2-s2.0-85134725596 | |
hcfmusp.origem.wos | WOS:000829729300003 | |
hcfmusp.publisher.city | NEW YORK | eng |
hcfmusp.publisher.country | USA | eng |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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relation.isAuthorOfPublication.latestForDiscovery | 3d094e2e-f610-41a2-978a-db373a333186 |
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