{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T06:36:35Z","timestamp":1794033395551,"version":"4.8.0"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: A profilaxia pr\u00e9-exposi\u00e7\u00e3o ao HIV (PrEP) tem sido considerada uma estrat\u00e9gia fundamental para o controle da epidemia de HIV\/aids, e desde 2018 tem sido objeto de estudo de implementa\u00e7\u00e3o (Estudo ImPrEP Stakeholders), realizado no Brasil, no M\u00e9xico e no Peru. Um componente qualitativo desse estudo foi desenvolvido com o objetivo de identificar os contextos sociais e estruturais que envolvem e organizam a oferta de servi\u00e7os de PrEP no Brasil, as subjetividades dos atores envolvidos e as diferentes percep\u00e7\u00f5es que podem impactar a efetiva\u00e7\u00e3o dessa estrat\u00e9gia. O presente artigo teve como foco de an\u00e1lise o acesso das popula\u00e7\u00f5es vulner\u00e1veis aos servi\u00e7os de PrEP, na perspectiva de gestores, profissionais de sa\u00fade, lideran\u00e7as ou ativistas e usu\u00e1rios de PrEP. \u00c9 um estudo qualitativo com o uso de metodologia compreensiva, realizado em seis capitais brasileiras, em que foram entrevistados 71 atores-chave no per\u00edodo de novembro de 2018 a maio de 2019. A an\u00e1lise foi pautada pelos modelos anal\u00edticos sobre acesso propostos por Giovanella &amp; Fleury, McIntyre et al. e Penchansky &amp; Thomas. Os resultados s\u00e3o apresentados com base em tr\u00eas eixos: \u201cpercep\u00e7\u00f5es sobre preven\u00e7\u00e3o combinada e PrEP\u201d; \u201cdisponibilidade e adequa\u00e7\u00e3o: perfil e estrutura dos servi\u00e7os no contexto do ImPrEP\u201d; e \u201caceitabilidade: atitudes e pr\u00e1ticas dos profissionais de sa\u00fade e usu\u00e1rios\u201d.<\/jats:p>","DOI":"10.1590\/0102-311x00290620","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T07:04:02Z","timestamp":1641971042000},"source":"Crossref","is-referenced-by-count":45,"title":["Barreiras e facilitadores do acesso de popula\u00e7\u00f5es vulner\u00e1veis \u00e0 PrEP no Brasil: Estudo ImPrEP Stakeholders"],"prefix":"10.1590","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4205-9786","authenticated-orcid":false,"given":"Maria Cristina","family":"Pimenta","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3771-7684","authenticated-orcid":false,"given":"Ximena Pamela","family":"Berm\u00fadez","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0346-3521","authenticated-orcid":false,"given":"Alcinda Maria Machado","family":"Godoi","sequence":"additional","affiliation":[{"name":"Universidade de Bras\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3465-151X","authenticated-orcid":false,"given":"Ivia","family":"Maksud","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8283-5025","authenticated-orcid":false,"given":"Marcos","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8753-5574","authenticated-orcid":false,"given":"Bruno","family":"Kauss","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2557-601X","authenticated-orcid":false,"given":"Thiago Silva","family":"Torres","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8210-3748","authenticated-orcid":false,"given":"Brenda","family":"Hoagland","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8886-1662","authenticated-orcid":false,"given":"Gerson Fernando Mendes","family":"Pereira","sequence":"additional","affiliation":[{"name":"Minist\u00e9rio da Sa\u00fade,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-5155","authenticated-orcid":false,"given":"Beatriz","family":"Grinsztejn","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6622-3165","authenticated-orcid":false,"given":"Valdilea G.","family":"Veloso","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref1","series-title":"Boletim Epidemiol\u00f3gico de HIV\/Aids 2019"},{"key":"ref2","series-title":"Preven\u00e7\u00e3o combinada do HIV: bases conceituais para profissionais, trabalhadores e gestores de sa\u00fade","year":"2020"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"2237","DOI":"10.1056\/NEJMoa1506273","article-title":"On-demand preexposure prophylaxis in men at high risk for HIV-1 infection","volume":"373","author":"Molina J-M","year":"2015","journal-title":"N Engl J Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e136","DOI":"10.1016\/S2352-3018(18)30008-0","article-title":"Retention, engagement, and adherence to pre-exposure prophylaxis for men who have sex with men and transgender women in PrEP Brasil 48 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