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Important steps for PrEP uptake among adolescent men who have sex with men and transgender women in Brazil

Soares, Fabiane ; Magno, Laio ; Eustorgio Filho, Marcos ; Duarte, Filipe Mateus ; Grangeiro, Alexandre ; Greco, Dirceu ; Dourado, Inês Blumenthal, Jill

PloS one, 2023-04, Vol.18 (4), p.e0281654-e0281654 [Peer Reviewed Journal]

United States: Public Library of Science

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Title:
Important steps for PrEP uptake among adolescent men who have sex with men and transgender women in Brazil
Author: Soares, Fabiane ; Magno, Laio ; Eustorgio Filho, Marcos ; Duarte, Filipe Mateus ; Grangeiro, Alexandre ; Greco, Dirceu ; Dourado, Inês
Blumenthal, Jill
Subjects: Adolescent ; Adolescents ; Adult ; Age groups ; Aggression ; Anal intercourse ; Analysis ; Anti-HIV Agents - therapeutic use ; Antitank missiles ; Biology and Life Sciences ; Brazil ; Cohort Studies ; Counseling ; Discrimination ; Disease prevention ; Domestic violence ; Emtricitabine ; Enrollments ; Female ; Gays & lesbians ; Gender ; Gender aspects ; Gender Identity ; Health aspects ; Health risks ; Health services ; HIV ; HIV (Viruses) ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Infections ; Informed consent ; Male ; Medicine and Health Sciences ; Men ; Men who have sex with men ; Mens health ; Minority & ethnic groups ; MSM (Men who have sex with men) ; Multidisciplinary teams ; People and Places ; Political power ; Pre-Exposure Prophylaxis ; Prevention ; Prophylaxis ; Regression models ; Sex ; Sexual and Gender Minorities ; Sexual behavior ; Sexual intercourse ; Sexual orientation ; Sexual partners ; Sexuality ; Sexually transmitted diseases ; Social networks ; Social Sciences ; Statistical analysis ; STD ; Surveys ; Teenagers ; Transgender people ; Transgender Persons ; Women ; Young Adult ; Youth
Is Part Of: PloS one, 2023-04, Vol.18 (4), p.e0281654-e0281654
Notes: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Complete list of PrEP1519 Brazil study group can be found in the Acknowledgments.
Competing Interests: The authors have declared that no competing interests exist.
Description: HIV Pre-exposure prophylaxis (PrEP) is an effective prevention tool, but there are still few studies about PrEP uptake among adolescents. We aimed to analyze the PrEP uptake process and factors associated with daily oral PrEP initiation among adolescent men who have sex with men (aMSM) and transgender women (aTGW) in Brazil. Baseline data from the first demonstration PrEP cohort study among aMSM and aTGW 15-19 years old (yo) ongoing in three large Brazilian cities (PrEP1519). After completing informed consent procedures, participants were enrolled in the cohort from February/2019 to February/2021. A socio-behavioral questionnaire was applied. Factors associated with PrEP initiation were assessed using a logistic regression model with adjusted prevalence ratios (aPR) and 95% confidence intervals (95%CI). Among recruited participants, 174 (19,2%) were aged 15-17 yo and 734 (80,8%) 18-19 yo. The rate of PrEP initiation was 78.2% and 77.4% for 15-17 yo and 18-19 yo, respectively. Factors associated with PrEP initiation were: black or mixed race (aPR 2.31; 95%CI: 1.10-4.84) among the younger adolescents 15-17 yo; experienced violence and/or discrimination due to their sexual orientation or gender identity (aPR 1.21; 95%CI: 1.01-1.46); transactional sex (aPR 1.32; 95%CI: 1.04-1.68); and having had between 2 to 5 sexual partners in the previous three months (aPR 1.39; 95%CI: 1.15-1.68) among those 18-19 yo. Unprotected receptive anal intercourse in the previous six months was associated with PrEP initiation in both age groups (aPR 1.98; 95%CI: 1.02-3.85 and aPR 1.45; 95%CI: 1.19-1.76 among 15-17 yo and 18-19 yo, respectively). The biggest challenge to promoting PrEP use for aMSM and aTGW was in the first steps of the PrEP uptake process. Once they were linked to the PrEP clinic, initiation rates were high.
Publisher: United States: Public Library of Science
Language: English

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Important steps for PrEP uptake among adolescent men who have sex with men and transgender women in Brazil

Soares, Fabiane ; Magno, Laio ; Eustorgio Filho, Marcos ; Duarte, Filipe Mateus ; Grangeiro, Alexandre ; Greco, Dirceu ; Dourado, Inês Blumenthal, Jill

United States: Public Library of Science

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