<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-7770</journal-id>
<journal-title><![CDATA[New Trends in Qualitative Research]]></journal-title>
<abbrev-journal-title><![CDATA[NTQR]]></abbrev-journal-title>
<issn>2184-7770</issn>
<publisher>
<publisher-name><![CDATA[Ludomedia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-77702023000300022</article-id>
<article-id pub-id-type="doi">10.36367/ntqr.18.2023.e896</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La Adopción de PREP como Estrategia de Prevención del VIH en Colombia: Análisis Secundario de Datos Cualitativos]]></article-title>
<article-title xml:lang="en"><![CDATA[Secondary Analysis of Qualitative Data a Valuable Method for Exploring the Adoption of PREP as HIV Preventive Strategy in Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camargo-Plazas]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta-Ardila]]></surname>
<given-names><![CDATA[María del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mueses]]></surname>
<given-names><![CDATA[He&#769;ctor Fabio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarado-Llano]]></surname>
<given-names><![CDATA[Beatriz Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñaloza]]></surname>
<given-names><![CDATA[Sheila Andrea Gómez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Cajas]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,School of Nursing, Queen&#8217;s University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Canada</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Rachel Carson Center for Environment and Society, LMU  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Germany</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Corporación de Lucha Contra el SIDA-Cali  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Public Health Science, Queen&#8217;s University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Canada</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Pontificia Universidad Javeriana, Cali  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Division of Infectious Diseases, Department of Medicine, Queen&#8217;s University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Canada</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>10</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>10</month>
<year>2023</year>
</pub-date>
<volume>18</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-77702023000300022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-77702023000300022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-77702023000300022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resúmen El VIH es uno de los principales desafíos de la salud pública global. En Latinoamérica la prevalencia de contraer VIH para los hombres que tienen sexo con hombres (HSH) y las mujeres transgénero (MTG) es 30 veces más alta que la población en general. Colombia tiene la segunda tasa más alta de personas con VIH en la región. La PrEP es una terapia que ha dado resultados positivos en otros contextos latinoamericanos. Sin embargo, para que una intervención como la PrEP sea efectiva y factible en el contexto colombiano, es fundamental explorar como los determinantes sociales de la salud (DSS) podrían afectar la implementación de la PrEP en el país. No sabemos de otros estudios en el país que hallan explorado este tema. A través de un análisis secundario de datos cualitativos subsanamos esta brecha de la literatura y generamos conocimiento de primera línea sobre las desigualdades de salud que limita a los profesionales de la salud en la implementación de PrEP en poblaciones HSH y MTG en el país. Objetivos: El propósito de este estudio fue explorar como los DSS afectan la intención de los proveedores de salud de implementar PrEP como estrategia de prevención contra el VIH en Colombia. Métodos: Análisis de datos secundarios con un enfoque critico hermenéutico a las entrevistas realizadas a proveedores de salud. El análisis temático siguió un marco conceptual de los DSS. Resultados: Los hallazgos mostraron que el estigma, los comportamientos culturales, el conflicto armado, la falta de acceso a los servicios de salud y la alfabetización en salud afectan la adopción de la PrEP en el país. Conclusiones: Para el éxito en la implementación de PrEP en el país es necesario tener en cuenta el contexto social y político colombiano especialmente en áreas afectadas por la violencia y desigualdades históricas concentradas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Globally, HIV is one of the major public health challenges of our time. In Latin America, the prevalence of HIV for men who have sex with men (MSM) and transgender women (TGW) is 30 times higher than for the general population. Colombia has the second highest rate of people with HIV in the region. PrEP therapy has been successfully implemented in other Latin American contexts. However, for an intervention such as PrEP to be effective and feasible in the Colombian context, it is necessary to explore how the social determinants of health (SDH) could potentially affect its implementation and uptake. To our knowledge, no other study in the country has explored this issue. Through a secondary analysis of qualitative data, we fill this gap of knowledge and generate evidence about the health inequities that could potentially limit the adoption of PrEP to prevent HIV in MSM and MTG populations. Objectives: To explore how the SDH affect the intention of health providers to implement PrEP as an HIV prevention strategy in Colombia. Methods: The study analyzed secondary data from interviews conducted with health providers in Colombia. A critical hermeneutic approach was used, and an SDH conceptual framework was followed for the thematic analysis. Results: The findings showed that stigma, cultural behaviours, armed conflict, lack of access to health services, and health literacy affect the adoption of PrEP in the country. Conclusions: For the successful implementation of PrEP in the country, it is necessary to consider the Colombian social and political context, especially in areas affected by violence and concentrated historical inequities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Análisis secundario de datos]]></kwd>
<kwd lng="es"><![CDATA[Prevención del VIH]]></kwd>
<kwd lng="es"><![CDATA[Terapia de PrEP]]></kwd>
<kwd lng="es"><![CDATA[Determinantes sociales de la salud]]></kwd>
<kwd lng="es"><![CDATA[Personas que viven en condiciones de vulnerabilidad]]></kwd>
<kwd lng="en"><![CDATA[Secondary data analysis]]></kwd>
<kwd lng="en"><![CDATA[HIV prevention, PrEP therapy, Social determinants of health]]></kwd>
<kwd lng="en"><![CDATA[People living in vulnerable circumstances]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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