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Exportar Referência (APA)
Pinheiro, G. G., Moleiro, C. & Rodrigues, D. L. (2026).  “They should lay it all on the table”: Oral PrEP perceptions among men who have sex with men in Portugal. Sexuality & Culture.
Exportar Referência (IEEE)
G. G. Pinheiro et al.,  " “They should lay it all on the table”: Oral PrEP perceptions among men who have sex with men in Portugal", in Sexuality & Culture, 2026
Exportar BibTeX
@null{pinheiro2026_1781125982002,
	year = "2026"
}
Exportar RIS
TY  - GEN
TI  -  “They should lay it all on the table”: Oral PrEP perceptions among men who have sex with men in Portugal
T2  - Sexuality & Culture
AU  - Pinheiro, G. G.
AU  - Moleiro, C.
AU  - Rodrigues, D. L.
PY  - 2026
AB  - Portugal is among the Western European countries with the highest rates of new HIV
diagnoses. Despite pre-exposure prophylaxis (PrEP) efficacy in reducing HIV
transmission, adherence rates remain below UNAIDS targets, even among key
populations. A qualitative study was conducted with 17 semi-structured interviews with
men who have sex with men (MSM) living in Portugal, both PrEP users and non-users.
Data were analyzed using content analysis combined with elements of consensual
qualitative research, informed by the PrEP care continuum as an organizing
framework. Findings showed that interconnected structural, psychosocial, and
individual factors across the care continuum shape PrEP engagement. Specifically,
community-based services and peer networks are central in facilitating awareness and
uptake, although their limited availability outside urban areas creates barriers for
individuals living in rural areas. Stigma related to PrEP use emerged as a cross-cutting
barrier, particularly among individuals with intersecting marginalized identities, and was
associated with concerns about sexual identity and disclosure. Perceived HIV risk
influences engagement with PrEP, with higher perceived risk facilitating awareness,
uptake, and adherence, whereas lower perceived risk was associated with reduced
interest and PrEP discontinuation. The study contributes to understanding PrEP
implementation among MSM in Portugal and supports ongoing efforts to integrate
PrEP into primary healthcare following models already established for other
prophylactic interventions.
ER  -