Trans/Travesti/+: PrEP em serviços especializados antes e durante a pandemia de covid-19

OBJECTIVE: To understand the perceptions and experiences of transsexual and travesti women and non-binary or gender-fluid people (TGWT+) in health services where they took pre-exposure prophylaxis (PrEP) in the periods before and during the pandemic, focusing on the resignification in the relationsh...

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Detalles Bibliográficos
Autores: Unsain, Ramiro Andres Fernandez, Zucchi, Eliana Miura, Santos, Lorruan Alves dos, Ferraz, Dulce, Massa, Paula, Pontes, Júlia Clara de, Grangeiro, Alexandre, Couto, Marcia Thereza
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Revista de Saúde Pública
Idioma:portugués
inglés
OAI Identifier:oai:revistas.usp.br:article/232143
Acceso en línea:https://www.revistas.usp.br/rsp/article/view/232143
Access Level:acceso abierto
Palabra clave:Sexual and Gender Minorities
Pre-Exposure Prophylaxis
HIV
Qualitative Research
COVID-19
Minorias sexuais e de gênero
Profilaxia pré-exposição
Pesquisa qualitativa
Covid-19
Descripción
Sumario:OBJECTIVE: To understand the perceptions and experiences of transsexual and travesti women and non-binary or gender-fluid people (TGWT+) in health services where they took pre-exposure prophylaxis (PrEP) in the periods before and during the pandemic, focusing on the resignification in the relationship with services and the continuity of HIV prevention via PrEP. METHODS: Qualitative research and analysis of empirical material generated in the contexto of broader studies were conducted. A total of 45 semi-structured interviews were conducted with TGWT+ PrEP users in the city of São Paulo and analyzed using iterative thematic content analysis. RESULTS: The TGWT+ interviewees gave new meanings to their struggles, daily lives and ways of caring for their health and played a central role within them. With its particularities, the COVID-19 pandemic became one more event among all the others that TGWT+ face daily. Alongside the COVID-19 pandemic, the TGWT+ were faced with the HIV epidemic, but with the possibility of prevention via PrEP. CONCLUSION: Based on a situated and conscious perspective, more explicit in the context of the health crisis, the TGWT+ intertwined conscious actions and care practices in dialog with health services. Further research on these groups from a spatiotemporal dynamic situated in specific contexts of meaning production would make it possible to advance prevention and care strategies, especially in times of health crisis.