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Pre-Exposure Prophylaxis Use Among Cisgender and Transgender Adult Entertainment Workers in Brazil

Author

Listed:
  • Policardo Gonçalves da Silva

    (Department of General and Specialized Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, Brazil)

  • Lariane Angel Cepas

    (Department of General and Specialized Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, Brazil)

  • Isadora Silva de Carvalho

    (Department of General and Specialized Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, Brazil)

  • Álvaro Francisco Lopes de Sousa

    (Institute of Teaching and Research, Hospital Sírio-Libanês, São Paulo 01308-050, SP, Brazil
    Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA National School of Public Health, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal)

  • Guilherme Reis de Santana Santos

    (Graduate Program in Applied Health Sciences, Federal University of Sergipe, Lagarto 49406-584, SE, Brazil)

  • Caíque Jordan Nunes Ribeiro

    (Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão 49107-230, SE, Brazil)

  • Ana Paula Morais Fernandes

    (Department of General and Specialized Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-903, SP, Brazil
    Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA National School of Public Health, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal)

Abstract

Adult entertainment work may be associated with increased vulnerability to sexually transmitted infections, particularly HIV. In Brazil, pre-exposure prophylaxis (PrEP) for HIV infection has been available through the Brazilian Unified Health System (SUS) since November 2017, representing a significant advancement in public sexual health policy. The objective of this study was to understand the individual and social determinants that promote PrEP use among adult entertainment workers. This was a cross-sectional, analytical, and quantitative study. A multivariate modeling approach was employed to identify factors independently associated with PrEP use. The study included 254 adult entertainment workers using oral PrEP through the SUS, predominantly young adults (141; 55.5%), SUS users (248; 97.6%), single (213; 83.9%), non-white (142; 55.9%), cisgender (148; 58.3%), and heterosexual (152; 59.8%). Factors independently associated with greater PrEP use included having adult entertainment as the main source of income (aPR: 2.69; 95% CI: 1.86–3.95), prior use of PEP (aPR: 2.49; 95% CI: 1.63–3.81), undergoing any type of health treatment (aPR: 1.56; 95% CI: 1.15–2.12), and having a history of STIs (aPR: 1.51; 95% CI: 1.10–2.08). Conclusion: PrEP use in this population was strongly influenced by structural and contextual factors, indicating that the availability of the technology alone does not ensure its effectiveness.

Suggested Citation

  • Policardo Gonçalves da Silva & Lariane Angel Cepas & Isadora Silva de Carvalho & Álvaro Francisco Lopes de Sousa & Guilherme Reis de Santana Santos & Caíque Jordan Nunes Ribeiro & Ana Paula Morais Fer, 2025. "Pre-Exposure Prophylaxis Use Among Cisgender and Transgender Adult Entertainment Workers in Brazil," IJERPH, MDPI, vol. 22(8), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:8:p:1164-:d:1707831
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