{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:12:35Z","timestamp":1790932355629,"version":"4.1.0"},"reference-count":65,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior (CAPES)","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>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\u20133.95), prior use of PEP (aPR: 2.49; 95% CI: 1.63\u20133.81), undergoing any type of health treatment (aPR: 1.56; 95% CI: 1.15\u20132.12), and having a history of STIs (aPR: 1.51; 95% CI: 1.10\u20132.08). 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.<\/jats:p>","DOI":"10.3390\/ijerph22081164","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T10:49:17Z","timestamp":1753267757000},"page":"1164","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pre-Exposure Prophylaxis Use Among Cisgender and Transgender Adult Entertainment Workers in Brazil"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9095-6409","authenticated-orcid":false,"given":"Policardo Gon\u00e7alves da","family":"Silva","sequence":"first","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-903, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5374-2293","authenticated-orcid":false,"given":"Lariane Angel","family":"Cepas","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-903, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6800-971X","authenticated-orcid":false,"given":"Isadora Silva de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-903, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2710-2122","authenticated-orcid":false,"given":"\u00c1lvaro Francisco Lopes de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Institute of Teaching and Research, Hospital S\u00edrio-Liban\u00eas, S\u00e3o Paulo 01308-050, SP, Brazil"},{"name":"Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA National School of Public Health, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-0455","authenticated-orcid":false,"given":"Guilherme Reis de Santana","family":"Santos","sequence":"additional","affiliation":[{"name":"Graduate Program in Applied Health Sciences, Federal University of Sergipe, Lagarto 49406-584, SE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9767-3938","authenticated-orcid":false,"given":"Ca\u00edque Jordan Nunes","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Graduate Program in Nursing, Federal University of Sergipe, S\u00e3o Crist\u00f3v\u00e3o 49107-230, SE, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6916-4025","authenticated-orcid":false,"given":"Ana Paula Morais","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of General and Specialized Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-903, SP, Brazil"},{"name":"Public Health Research Centre, Comprehensive Health Research Center (CHRC), NOVA National School of Public Health, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,23]]},"reference":[{"key":"ref_1","unstructured":"Joint United Nations Programme on HIV\/AIDS (UNAIDS) (2024). 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