Trans/Travesti/+: PrEP in specialized services before and during the COVID-19 pandemic.

Autor:	Unsain RAF; Universidade Católica de Santos. Programa de Pós-Graduação em Saúde Coletiva. Santos, SP, Brasil.; Universidade de São Paulo. Faculdade de Medicina. Grupo de Estudo e Pesquisa em Saúde, Interseccionalidade e Marcadores Sociais da Diferença. São Paulo, SP, Brasil.; Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil., Zucchi EM; Universidade Católica de Santos. Programa de Pós-Graduação em Saúde Coletiva. Santos, SP, Brasil., Santos LAD; Universidade de São Paulo. Faculdade de Medicina. Grupo de Estudo e Pesquisa em Saúde, Interseccionalidade e Marcadores Sociais da Diferença. São Paulo, SP, Brasil., Ferraz D; Fundação Oswaldo Cruz. Escola de Governo Fiocruz. Brasília, DF, Brasil.; Université Lumière Lyon 2. Pôle de Psychologie Sociale. Lyon, France., Massa P; Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil., Pontes JC; Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil., Grangeiro A; Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil., Couto MT; Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.
Jazyk:	Portuguese; English
Zdroj:	Revista de saude publica [Rev Saude Publica] 2024 Oct 11; Vol. 58 (suppl 1), pp. 12s. Date of Electronic Publication: 2024 Oct 11 (Print Publication: 2024).
DOI:	10.11606/s1518-8787.2024058005719
Abstrakt:	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 context 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.
Databáze:	MEDLINE
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