| Author | Torres, Thiago Silva | |
| Author | Peixoto, Eduardo | |
| Author | Fernandez, Nilo M. | |
| Author | Jalil, Emília Moreira | |
| Author | Netto, Eduardo Carvalheira | |
| Author | Coutinho, Carolina | |
| Author | Bezerra, Daniel R. B. | |
| Author | Alves, A. S. | |
| Author | Veloso, Valdiléa G. | |
| Author | Grinsztejn, Beatriz | |
| Author | McFarland, W. | |
| Author | Wilson, E. C. | |
| Access date | 2023-10-25T15:17:56Z | |
| Available date | 2023-10-25T15:17:56Z | |
| Document date | 2023 | |
| Citation | TORRES, Thiago Silva et al. Qualitative findings support the use of digital interventions to promote HIV care/prevention among young Brazilian MSM: the Conectad@s Project. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p. | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/60910 | |
| Language | eng | en_US |
| Publisher | International AIDS Society | |
| Rights | open access | en_US |
| Subject in Portuguese | Assistência ao HIV | en_US |
| Subject in Portuguese | Prevenção ao HIV | en_US |
| Subject in Portuguese | HSH | en_US |
| Title | Qualitative findings support the use of digital interventions to promote HIV care/prevention among young Brazilian MSM: the Conectad@s Project | en_US |
| Alternative title | As descobertas qualitativas apóiam o uso de intervenções digitais para promover o atendimento/prevenção do HIV entre jovens HSH brasileiros: o Projeto Coctad@S | en_US |
| Type | Papers presented at events | en_US |
| Abstract | Background: Reported HIV cases in Brazil are increasing among young gay and other men who have sex with men (YMSM). YMSM have worse HIV prevention/care outcomes compared to older peers. There is a lack of interventions for YMSM in resource-constrained settings. We aimed to obtain formative data for a digital intervention to promote rapid linkage to HIV care/prevention among YMSM aged 18-24 years living in Rio de Janeiro, Brazil. Methods: As part of the Conectad@s study, we conducted in-depth interviews (N=20) and focus groups (N=18) using semi-structured guides from January-February/2021 with purposive sampling for diversity in age and race. Audio recordings were transcribed verbatim in Portuguese and translated to English. Descending hierarchical categorical analysis was conducted using IRAMUTEQ. Excerpt selection and coding were performed using Dedoose. Results: Among 38 participants, 76% were aged 20-24 years, 76% self-identified as gay, 47% as black, and 76% completed secondary education. Three main thematic axes emerged: LGBTQIAP+ social networks and outness, HIV prevention and access to health care, and challenges for implementing studies targeting YMSM. Most participants reported that discrimination by race, class, and body weight affects social networks and outness. Social distancing impacted socialization, especially during the first months of the COVID-19 pandemic. Most participants were screened for HIV at least once in their lifetime, mostly at public health clinics. YMSM who never tested reported confidentiality concerns, fear of test result, HIV stigma, and not knowing where to get tested as barriers. Pre- and post-exposure prophylaxis awareness were low. Potential side effects were the main barriers to PrEP. Peer delivery of interventions, regardless of age, and internet access available at research sites were important intervention components. Recruitment barriers included confidentiality concerns, especially among religious YMSM and those who had not disclosed their sexual identity, and business hours of research sites. Acceptability of text messages to support adherence was high, especially through WhatsApp, which is commonly used in Brazil. Conclusion: Digital interventions using text messages may increase HIV care/prevention engagement among YMSM. Discrimination, HIV stigma, and low HIV knowledge must be overcome to decrease new HIV cases among the youngest MSM. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Department of Public Health. San Francisco, USA. | en_US |
| Affilliation | Department of Public Health. San Francisco, USA. | en_US |
| Subject | HIV care | en_US |
| Subject | HIV prevention | en_US |
| Subject | MSM | en_US |
