{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T07:43:25Z","timestamp":1769586205622,"version":"3.49.0"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"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>Based on the incorporation of pre-exposure prophylaxis (PrEP) as an HIV prevention strategy and considering the need to comprehend the use of medication among young people, this article analyzes narratives of gay men and transgender women from Belo Horizonte, Minas Gerais State, Brazil, participating in the PrEP1519 study. This is a qualitative research, based on the interpretative anthropology, developed by 10 in-depth interviews with PrEP users followed-up for at least three months between October and November 2019. The results showed that the drug was seen as the main motivation for participating in the study and as a strategy combined with the use of condoms, whether as additional prevention, or assuming the leading role. The medication revealed signs built by the gender performances and their relation to other medications, especially the experience of trans girls in hormonal therapy. Regarding the socialization of the use of PrEP, the narratives showed that there was no secret between the couples, which did not meant that stigmas on the association with HIV did not exist, mainly in the virtual context. In the family environment, they reported questions about the preventive function of the medication and the voluntary nature of the participation in the study. The youth\u2019s narratives revealed plural meanings of the medication and its social use, composing both the boys\u2019 and girls\u2019 performances. The signs attributed to the medication indicated that in addition to maintenance of health, the medication improves life and sexual freedom.<\/jats:p>","DOI":"10.1590\/0102-311xen097921","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T12:26:33Z","timestamp":1679919993000},"source":"Crossref","is-referenced-by-count":3,"title":["When prevention is the best remedy: HIV pre-exposure prophylaxis (PrEP) among adolescents gays and transgender women in Belo Horizonte, Minas Gerais State, Brazil"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1220-6041","authenticated-orcid":false,"given":"\u00c9rica Dumont","family":"Pena","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2295-0229","authenticated-orcid":false,"given":"Mateus Rodrigues","family":"Westin","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3989-9119","authenticated-orcid":false,"given":"Maria Jos\u00e9","family":"Duarte","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3872-8155","authenticated-orcid":false,"given":"Mar\u00edlia","family":"Greco","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1839-272X","authenticated-orcid":false,"given":"Ana Paula","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9170-2213","authenticated-orcid":false,"given":"Yuppiel Franmil","family":"Martinez","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3681-4124","authenticated-orcid":false,"given":"Una\u00ed","family":"Tupinamb\u00e1s","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4419-5634","authenticated-orcid":false,"given":"Dirceu Bartolomeu","family":"Greco","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5433\/2176-6665.2006v11n2p113","article-title":"O medicamento, um objeto de futuro na antropologia da sa\u00fade.","volume":"11","author":"Desclaux A","year":"2006","journal-title":"Media\u00e7\u00f5es - Revista de Ci\u00eancias Sociais"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1353\/anq.2006.0020","article-title":"Anthropology and the pharmaceutical nexus.","volume":"79","author":"van der Geest S","year":"2006","journal-title":"Anthropol Q"},{"key":"ref3","series-title":"O medicamento como mercadoria simb\u00f3lica.","author":"Lef\u00e8vre F","year":"1991"},{"key":"ref4","series-title":"Petite bibliothe\u0300que d\u2019anthropologie me\u0301dicale. Une anthologie.","author":"Benoist J","year":"2002"},{"key":"ref5","series-title":"Preexposure prophylaxis for the prevention of HIV infection in the United States - 2021 update."},{"key":"ref6","series-title":"Guidance on pre-exposure oral prophylaxis (PrEP) for serodiscordant couples, men who have sex with men and transgender women at high risk of HIV in implementation research.","year":"2012"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"2214","DOI":"10.1001\/jama.2019.2591","article-title":"Preexposure prophylaxis for the prevention of HIV infection: evidence report and systematic review for the US preventive services task force.","volume":"321","author":"Chou R","year":"2019","journal-title":"JAMA"},{"key":"ref8","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":"ref9","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0249293","article-title":"Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: a qualitative study.","volume":"16","author":"Zucchi EM","year":"2021","journal-title":"PLoS One"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.7448\/IAS.20.1.21472","article-title":"High pre-exposure prophylaxis uptake and early adherence among men who have sex with men and transgender women at risk for HIV infection: the PrEP Brasil demonstration project.","volume":"20","author":"Hoagland B","year":"2017","journal-title":"J Int AIDS Soc"},{"key":"ref11","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 week results of a demonstration study.","volume":"5","author":"Grinsztejn B","year":"2018","journal-title":"Lancet HIV"},{"issue":"132","key":"ref12","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1590\/0101-6628.145","article-title":"Diversidade e liberdade sexual: Defensoria P\u00fablica, movimentos sociais e a PrEP no SUS.","author":"Silva RATML","year":"2018","journal-title":"Serv Soc Soc"},{"key":"ref13","article-title":"O reaparecimento da homossexualidade masculina nas estrat\u00e9gias de preven\u00e7\u00e3o da infec\u00e7\u00e3o por HIV: reflex\u00f5es sobre a implementa\u00e7\u00e3o da PrEP no Brasil.","volume":"30","author":"Barp LFG","year":"2020","journal-title":"Physis (Rio J.)"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"127","DOI":"10.21680\/2446-5674.2017v4n7ID14969","article-title":"Biomedicaliza\u00e7\u00e3o da resposta ao HIV\/Aids e o caso da emerg\u00eancia da PrEP: um ensaio acerca de temporalidades entrecruzadas.","volume":"4","author":"Ferrari FC","year":"2018","journal-title":"Equatorial"},{"key":"ref15","series-title":"Anthropologie m\u00e9dicale: ancrages locaux, d\u00e9fis glocaux.","first-page":"113","volume-title":"De l\u2019anthropologie m\u00e9dicale, et bien plus... 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In: Corr\u00eaa S, editor. Mito vs. realidade: sobre a resposta brasileira \u00e0 epidemia de HIV e AIDS em 2016.","first-page":"22","author":"Seffner F","year":"2016"},{"key":"ref26","series-title":"Camisinha, homoerotismo e os discursos de preven\u00e7\u00e3o HIV-Aids","author":"Pinheiro TF","year":"2015"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1590\/s0104-71832017000100002","article-title":"Vida saud\u00e1vel versus vida aprimorada: tecnologias biom\u00e9dicas, processos de subjetiva\u00e7\u00e3o e aprimoramento.","volume":"23","author":"Rohden F","year":"2017","journal-title":"Horizontes Antropol\u00f3gicos"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1590\/S0104-59702008000500007","article-title":"O imp\u00e9rio dos horm\u00f4nios e a constru\u00e7\u00e3o da diferen\u00e7a entre os sexos.","volume":"15","author":"Rohden F","year":"2008","journal-title":"Hist Ci\u00eanc Sa\u00fade-Manguinhos"},{"key":"ref29","series-title":"\u00c9tica, sexualidade, pol\u00edtica; ditos e escritos.","author":"Foucalt M","year":"2010"},{"key":"ref30","series-title":"O (des)aprendizado de si: transsexualidades, intera\u00e7\u00e3o e cuidado em sa\u00fade.","author":"Borba R","year":"2016"},{"key":"ref31","series-title":"Cuidado e cuidadoras: as v\u00e1rias do trabalho do care.","first-page":"29","volume-title":"\u00c9tica e trabalho do care.","author":"Molinier P","year":"2012"},{"key":"ref32","series-title":"Antropologia da doen\u00e7a.","author":"Laplantine F","year":"2010","edition":"4th Ed"},{"key":"ref33","series-title":"Perfil da morbimortalidade masculina no brasil.","year":"2018"},{"key":"ref34","series-title":"L\u2019observance aux me\u0301dicaments contre te VIH\/sida","author":"Wallach I","year":"2006"},{"key":"ref35","series-title":"M\u00e9dicaments et soci\u00e9t\u00e9s. Le patient, le m\u00e9decin et l\u2019ordonnance.","author":"Fainzang S","year":"2001"},{"key":"ref36","article-title":"Rob\u00f4 trans \u00e9 criada para conversar com jovens sobre g\u00eanero, sexualidade e ISTs.","author":"Fi\u00faza P","year":"2019","journal-title":"G1 Minas"},{"key":"ref37","article-title":"Rob\u00f4-trans Amanda Selfie esclarece duvidas sobre sexualidade e IST\u2019s.","author":"Prates M","year":"2019","journal-title":"UFMG Not\u00edcias"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1590\/S0103-65642004000200002","article-title":"A fam\u00edlia como ordem simb\u00f3lica.","volume":"15","author":"Sarti CA","year":"2004","journal-title":"Psicol USP"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Quando a preven\u00e7\u00e3o \u00e9 o melhor rem\u00e9dio: profilaxia pr\u00e9-exposi\u00e7\u00e3o do HIV (PrEP) entre adolescentes gays e mulheres transg\u00eanero em Belo Horizonte, Minas Gerais, Brasil"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2023001305001&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T14:07:30Z","timestamp":1680358050000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2023001305001&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":38,"journal-issue":{"issue":"suppl 1","published-online":{"date-parts":[[2023]]}},"alternative-id":["S0102-311X2023001305001"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xen097921","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e00097921"}}