PrEP Implementation with Sexual and Gender Minority Youth: a Review on Barriers and Facilitators
Current Pediatrics Reports,
Journal Year:
2025,
Volume and Issue:
13(1)
Published: April 7, 2025
Language: Английский
Profiles of Willingness to Use Pre-Exposure Prophylaxis Modalities among Brazilian, Mexican and Peruvian Sexual and Gender Minorities: A Cross-Sectional Online Survey (Preprint)
Published: April 12, 2025
BACKGROUND
Despite
recent
advances,
pre-exposure
prophylaxis
(PrEP)
scale-up
remains
slow
in
Latin
America.
Understanding
PrEP
modality
preferences
can
help
design
effective
implementation.
OBJECTIVE
The
aim
of
this
study
was
to
describe
willingness
use
different
modalities
among
sexual
and
gender
minorities
(SGM)
aged
18+
years
from
Brazil,
Mexico
Peru,
factors
associated
with
four
modalities.
METHODS
We
conducted
a
cross-sectional
online
survey
2021.
used
multivariate
Poisson
regression
estimate
prevalence
ratios,
identifying
differences
daily
oral,
event-driven
monthly
oral
bimonthly
injectable
PrEP.
Models
for
each
were
adjusted
age,
country,
race,
education,
income,
HIV
risk
score,
testing,
perception.
RESULTS
Among
27,589
individuals
who
initiated
the
survey,
16,951
included
(Brazil:
61.3%;
Mexico:
29.5%;
Peru:
9.3%).
Mean
age
32
years,
67.8%
had
more
than
secondary
education.
Most
respondents
willing
(74.4%),
(65.8%),
(60.2%),
while
only
38.0%
Across
modalities,
higher
those
increased
perception
high
exposure.
Willingness
lower
Peruvian
all
except
Participants
education
CONCLUSIONS
Our
results
suggest
preference
long-acting
formulations
SGM
Further
research
is
needed
address
gaps
understanding
prevention
guide
potential
users
selecting
most
suitable
available.
Language: Английский