HIV Pre-Exposure Prophylaxis and Sexual Health in the Light of the Health Belief Model: Meanings Attributed by Users

Authors

  • Daila Alena Raenck da Silva Specialist in Cardiology, Specialist in Health Preceptorship for the SUS, Master in Public Health from RGS, Doctoral student in Nursing at UFRGS, Coordination of Attention to Sexually Transmitted Infections of the Municipal Health Department, Porto Alegre City Hall, Brazil Author
  • Sophie Nouveau Fonseca Guerreiro Trans Activist, Researcher, Member of the Rio Grande do Sul State LGBT Health Technical Committee, Graduation in progress in Nursing, Federal University of Rio Grande do Sul, UFRGS, Brazil Author
  • Jose Carlos de Carvalho Leite He holds a degree in psychology from the University of Vale do Rio dos Sinos, a master’s degree in developmental psychology from the Federal University of Rio Grande do Sul and a doctorate in health psychology, Professor at La Salle University, UNILASALLE, Brazil Author
  • Cristianne Maria Famer Rocha Doctor and Master in Education from the Federal University of Rio Grande do Sul (PPGEDU/UFRGS), She completed a Post-Doctoral internship at the Pan American Health Organization (PAHO/WHO) in 2005 and at the Universidad Nacional de Educación a Distancia (UNED) in 2013. She is currently Associate Professor II at the School of Nursing from the Federal University of Rio Grande do Sul (UFRGS), Brazil Author
  • Deise Lisbon Rich Adjunct Professor at the Federal University of Rio Grande do Sul (UFRGS) - School of Public Health and Nursing, PhD in Public Health from ENSP/FIOCRUZ, Master from the Federal University of Rio Grande do Sul. Residency in Public Health at the School of Public Health of Rio Grande do Sul and graduation in Nursing from the University of Vale do Rio dos Sinos (2003), Brazil Author

DOI:

https://doi.org/10.47363/JSMR/2022(1)105

Keywords:

Pre-Exposure Prophylaxis, HIV, Sexual Health, Sexual Behavior

Abstract

With the improvement of HIV prevention tools, pre-exposure prophylaxis stands out, a care strategy that deserves to be better studied and understood. In this qualitative study, we seek to understand the meanings attributed by PrEP users about HIV prevention and their care for sexual health. Conducted with 19 PrEP users from Porto Alegre, represented by: gay men, other men who have sex with men, Trans people, sex workers, serodiscordant partnerships. The interviews took place between December 2021 and March 2022, using a semi-structured instrument, based on the health beliefs model. It allowed the analysis of prevention behavior, starting from four axes: susceptibility, severity, benefits and barriers to prevention. The NVivo program was used for organization and coding. The mean age was 33.1 and there was a predominance of whites, with more than 12 years of schooling, CIS men, homosexuals, MSM. The participants with frequent events without condoms recognized the susceptibility to HIV and there was a consensus that it is a severe condition when left untreated. The benefits of prevention were associated with the perception of a clear conscience, quality of life and the possibility of collectively reducing transmission. However, there is exposure during oral sex, anal sex, and inconsistent condom use. Users know their risks, they are appropriate 
for prevention, but the search for pleasure is paramount. In conclusion, regardless of the offer of care for HIV control, there is a need to include, in the prevention processes, a dialogue about sexuality and sexual health.

Author Biography

  • Daila Alena Raenck da Silva, Specialist in Cardiology, Specialist in Health Preceptorship for the SUS, Master in Public Health from RGS, Doctoral student in Nursing at UFRGS, Coordination of Attention to Sexually Transmitted Infections of the Municipal Health Department, Porto Alegre City Hall, Brazil

    Daila Alena Raenck da Silva, Specialist in Cardiology, Specialist in Health Preceptorship for the SUS, Master in Public Health from RGS, Doctoral 
    student in Nursing at UFRGS, Coordination of Attention to Sexually Transmitted Infections of the Municipal Health Department, Porto Alegre City 
    Hall, Brazil. 

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Published

2022-09-08