دورية أكاديمية
أعرض في EDS

Perception and barriers to access Pre-exposure Prophylaxis for HIV/AIDS (PrEP) among the MSM (men who have sex with men) Brazilian Amazon: A qualitative study.

التفاصيل البيبلوغرافية
العنوان: Perception and barriers to access Pre-exposure Prophylaxis for HIV/AIDS (PrEP) among the MSM (men who have sex with men) Brazilian Amazon: A qualitative study.
المؤلفون: Batista DR; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Dávila RN; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Santos ACD; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Rocha FQ; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Araújo JA; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Alencar AC; Universidade do Estado do Amazonas, Manaus, Brazil., Nascimento LR; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil., Araújo ND; Fundação Hospitalar de Hematologia e Hemoterapia do Amazonas, Manaus, Brazil., Lopes SCP; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil., Araújo PS; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil., Filgueiras RA; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil., Saraiva PF; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil., Lacerda MVG; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil.; University of Texas Medical Branch, Galveston, Texas, United States of America., Baía-da-Silva DC; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil.; Universidade Nilton Lins, Manaus, Brazil., Murta FLG; Universidade do Estado do Amazonas, Manaus, Brazil.; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, Manaus, Brazil.; Instituto Leônidas & Maria Deane, Fiocruz, Manaus, Brazil.
المصدر: PloS one [PLoS One] 2024 Sep 26; Vol. 19 (9), pp. e0296201. Date of Electronic Publication: 2024 Sep 26 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Pre-Exposure Prophylaxis* , Homosexuality, Male*/psychology , HIV Infections*/prevention & control , Health Knowledge, Attitudes, Practice* , Qualitative Research*, Humans ; Male ; Brazil ; Adult ; Middle Aged ; Anti-HIV Agents/therapeutic use ; Anti-HIV Agents/administration & dosage ; Health Services Accessibility ; Young Adult ; Medication Adherence/psychology ; Acquired Immunodeficiency Syndrome/prevention & control ; Sexual Behavior/psychology ; Perception
مستخلص: Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy that consists in the use of antiretroviral drugs by seronegative people at risk of HIV. Negative perceptions, inadequate understanding, and access barriers have been associated with decreased medication adherence. Manaus is the largest city in the Brazilian Amazon, where the incidence of HIV/AIDS is high, and the rates of adherence to the antiretroviral treatment for HIV and PrEP are low. In this qualitative study among PrEP users, mostly MSM, we explored perceptions, knowledge, and access barriers. We conducted 21 in-depth interviews with an intentionally sampled group of participants who had used PrEP at least once in their lifetime, selected through the snowball technique, between April and July 2022. A thematic analysis was conducted with a predominantly inductive approach. We highlight three relevant themes: (i) access to information about PrEP and its influences on users, (ii) access, monitoring, and barriers encountered, and (iii) facilitators for PrEP adherence and sexual behaviors. One of the negative perceptions identified in the study involves a misunderstanding of the association between PrEP users and the HIV/AIDS status. Participants revealed that some non-PrEP users suspect that individuals claiming PrEP usage are concealing an HIV-positive status to engage in unprotected sex. Lack of information by health professionals regarding HIV prevention methods poses significant barriers to PrEP access and adherence. Participants emphasized social media's crucial role in PrEP awareness. The results suggest a need to increase digital outreach regarding PrEP, decentralize PrEP services, and provide comprehensive healthcare training to improve the effectiveness of the preventive measure.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Batista et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
المشرفين على المادة: 0 (Anti-HIV Agents)
تواريخ الأحداث: Date Created: 20240926 Date Completed: 20240926 Latest Revision: 20240926
رمز التحديث: 20240927
DOI: 10.1371/journal.pone.0296201
PMID: 39325811
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0296201