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"I Can't Take This Shitty Quarantine Anymore": Sexual Behavior and PrEP Use Among Young Men Who Have Sex with Men and Transgender Women in Brazil During the COVID-19 Pandemic.
- Source :
-
Archives of sexual behavior [Arch Sex Behav] 2023 Feb; Vol. 52 (2), pp. 689-702. Date of Electronic Publication: 2022 Jul 26. - Publication Year :
- 2023
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Abstract
- This study analyzes how the COVID-19 pandemic affected sexual behavior and use of HIV prevention methods among young transgender women (YTGW) and young gay, bisexual and other men who have sex with men (YGBMSM) participating in an HIV pre-exposure prophylaxis (PrEP) demonstration study in Brazil. Online interviews with 39 participants aged 15-22 years old were conducted between September and November 2020 and analyzed based on social constructionism and human rights-based approaches to health. The pandemic disrupted interviewees' routines, negatively affecting their life conditions. Among those who did not have a steady partner, social distance measures led to temporary interruption of sexual encounters and increased sexting and solo sex. Conversely, for those who had a steady relationship such measures contributed to increasing sexual practices and intimacy. Participants who had sexual encounters during the pandemic reported having continued to use PrEP. However, home confinement with family, lack of privacy, loss of daily routines and changes in housing impaired PrEP adherence and attendance at follow-up consultations. These results highlight the importance of maintaining HIV-service delivery for these groups during a public health crisis, as well as to address the structural drivers of the epidemic with comprehensive HIV prevention policies and by ensuring access of YGBMSM and YTGW to social protection policies.<br /> (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
- Subjects :
- Male
Humans
Female
Adolescent
Young Adult
Adult
Homosexuality, Male
Pandemics prevention & control
Brazil epidemiology
Quarantine
Sexual Behavior
HIV Infections epidemiology
HIV Infections prevention & control
Transgender Persons
Sexual and Gender Minorities
COVID-19 prevention & control
COVID-19 epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2800
- Volume :
- 52
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Archives of sexual behavior
- Publication Type :
- Academic Journal
- Accession number :
- 35881251
- Full Text :
- https://doi.org/10.1007/s10508-022-02364-x