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Insights into barriers and facilitators in PrEP uptake and use among migrant men and transwomen who have sex with men in Belgium.
Van Landeghem, Ella; Dielen, Stef; Semaan, Aline; Rotsaert, Anke; Vanhamel, Jef; Masquillier, Caroline; Wouters, Edwin; Wouters, Kristien; Vuylsteke, Bea; Reyniers, Thijs; Nöstlinger, Christiana.
Afiliación
  • Van Landeghem E; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium. evanlandeghem@itg.be.
  • Dielen S; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Semaan A; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Rotsaert A; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Vanhamel J; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Masquillier C; Department of Sociology, University of Antwerp, Antwerp, Belgium.
  • Wouters E; Department of Sociology, University of Antwerp, Antwerp, Belgium.
  • Wouters K; Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium.
  • Vuylsteke B; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Reyniers T; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
  • Nöstlinger C; Department of Public Health, Institute of Tropical Medicine Nationalestraat 155, 2000, Antwerp, Belgium.
BMC Public Health ; 23(1): 712, 2023 04 19.
Article en En | MEDLINE | ID: mdl-37076823
BACKGROUND: PrEP uptake is low among non-Belgian men and transwomen who have sex with men, although the HIV epidemic among men who have sex with men in Belgium is diversifying in terms of nationalities and ethnicity. We lack an in-depth understanding of this gap. METHODS: We conducted a qualitative study using a grounded theory approach. The data consists of key informants interviews and in-depth interviews with migrant men or transwomen who have sex with men. RESULTS: We identified four underlying determinants which shape our participants' experiences and contextualize the barriers to PrEP use. These include (1) the intersectional identities of being migrant and men and transwomen who have sex with men, (2) migration related stressors, (3) mental health and (4) socio-economic vulnerability. Identified barriers include: the accessibility of services; availability of information, social resources and providers' attitudes. These barriers influence PrEP acceptance and mediated by individual agency this influences their PrEP uptake. CONCLUSION: An interplay of several underlying determinants and barriers impacts on PrEP uptake among migrant men and transwomen who have sex with men, illustrating a social gradient in access to PrEP. We need equitable access to the full spectrum of HIV prevention and care for all priority populations, including undocumented migrants. We recommend social and structural conditions that foster exercising these rights, including adapting PrEP service delivery, mental health and social support.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Migrantes / Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición / Minorías Sexuales y de Género Tipo de estudio: Qualitative_research Límite: Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Migrantes / Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición / Minorías Sexuales y de Género Tipo de estudio: Qualitative_research Límite: Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMC Public Health Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido