Objective: To describe the sociodemographic and clinical follow-up profile of the use of pre-exposure prophylaxis (PrEP) of HIV among transgender people receiving care at a reference health service for sexually transmitted infections and HIV/AIDS in São Paulo, the capital city of São Paulo state, between 2018 and 2021.
Method: This was a descriptive study with an analysis of sociodemographic data, reasons for seeking PrEP , discontinuation of use and experiences of clinical follow-up. Descriptive statistics were used.
Results: Among the 53 individuals, the majority were mixed-race (n= 25), transgender women (n= 48), heterosexual (n= 38) and had more than 11 years of study (n= 22). There was a decrease in follow-up visits (n= 14 to n= 3) after the second medical consultation.
Conclusion: It is necessary to develop strategies to increase PrEP dispensing and continuation among transgender people, especially among Black people and those with lower level of education.
Main results: The majority of pre-exposure prophylaxis (PrEP) users were young, mixed-race, educated transgender women, reflecting a portion of the transgender population with access to healthcare. The discontinuation of clinical follow-up, especially after the second medical consultation, requires attention.
Implications for services: Individualized strategies should be prioritized to improve the dispensing of PrEP and clinical follow-up for both transgender men and transgender women.
Perspectives: Further research should focus on investigation of strategies to increase PrEP dispensing and clinical follow-up for transgender people, with an emphasis on transgender men, Black people and those with lower level of education.
Objetivo: Describir el perfil sociodemográfico y el seguimiento del uso de la profilaxis preexposición (PrEP) para el VIH entre las personas transexuales atendidas en un servicio de salud de referencia para infecciones de transmisión sexual y VIH/sida en la ciudad de São Paulo entre 2018 y 2021.
Método: Estudio descriptivo que analizó datos sociodemográficos, motivos de búsqueda de PrEP, interrupción del uso y experiencias de seguimiento clínico. Se utilizó estadística descriptiva.
Resultados: Entre las 53 personas, la mayoría eran morenas (n=25), mujeres trans (n=48), heterosexuales (n=38) y con más de 11 años de escolaridad (n=22). Hubo una disminución de las visitas de seguimiento (de n=14 a n=3) a partir de la segunda consulta.
Conclusión: Es necesario desarrollar estrategias para aumentar la dispensación y la continuidad del uso de la PPrE entre las personas trans, especialmente entre las personas de raza negra y con menor nivel de escolarización.