Pre-exposure prophylaxis use and discontinuation among Brazilian gay, bisexual, and other men who have sex with men: examining the role of internalized homonegativity and discrimination
Our findings support the hypothesis that psychological distress from self-stigmatization and discrimination undermines PrEP use and persistence. Public health strategies need to integrate stigma-reduction and culturally competent, LGBTQIAPN+-affirming services to support PrEP as an effective prevention strategy.
Authors
- Lucilene Araújo de Freitas (ORCID: https://orcid.org/0000-0002-7475-031X)
- Beatriz Gilda Jegerhorn Grinsztejn (ORCID: https://orcid.org/0000-0003-3692-5155)
- Paula M. Luz (ORCID: https://orcid.org/0000-0001-9746-719X)
- Brenda Hoagland (ORCID: https://orcid.org/0000-0001-8210-3748)
- Emília Moreira Jalil (ORCID: https://orcid.org/0000-0001-6017-5660)
- Thiago S. Torres (ORCID: https://orcid.org/0000-0002-2557-601X)
- Valdilea Gonçalves Veloso (ORCID: https://orcid.org/0000-0002-6622-3165)
- Karine M Barreto
Institutions
- Escola Nacional de Saúde Pública (BR)
- Fundação Oswaldo Cruz (BR)
Publication Details
- Journal
- BMC Infectious Diseases
- Published
- 2025-10-21
- DOI
- https://doi.org/10.1186/s12879-025-11742-4
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 0.00