"I Can't Take This Shitty Quarantine Anymore": Sexual Behavior and PrEP Use Among Young Men Who Have Sex with Men and Transgender Women in Brazil During the COVID-19 Pandemic.

This study analyzes how the COVID-19 pandemic affected sexual behavior and use of HIV prevention methods among young transgender women (YTGW) and young gay, bisexual and other men who have sex with men (YGBMSM) participating in an HIV pre-exposure prophylaxis (PrEP) demonstration study in Brazil. Online interviews with 39 participants aged 15-22 years old were conducted between September and November 2020 and analyzed based on social constructionism and human rights-based approaches to health. The pandemic disrupted interviewees' routines, negatively affecting their life conditions. Among those who did not have a steady partner, social distance measures led to temporary interruption of sexual encounters and increased sexting and solo sex. Conversely, for those who had a steady relationship such measures contributed to increasing sexual practices and intimacy. Participants who had sexual encounters during the pandemic reported having continued to use PrEP. However, home confinement with family, lack of privacy, loss of daily routines and changes in housing impaired PrEP adherence and attendance at follow-up consultations. These results highlight the importance of maintaining HIV-service delivery for these groups during a public health crisis, as well as to address the structural drivers of the epidemic with comprehensive HIV prevention policies and by ensuring access of YGBMSM and YTGW to social protection policies.

Factors associated with work ability among primary health care professionals: an integrative review.

The self-perception of the individual in relation to their health, work, and lifestyle is considered as work ability, a concept of various dimensions, characterizing a multidimensional and versatile construct, because it encompasses physical, mental, and social prerequisites. This study aims to identify the factors associated with work capacity among primary health care professionals. An integrative review was conducted from March to June 2020, following this eligibility criteria: studies in Portuguese, Spanish, and English; from 1996, available on PubMed, SciELO, LILACS, and Cochrane databases; longitudinal studies, clinical trials, and crosssectional studies; among primary health care professionals; which used the Work Ability Index. Three articles were found, two in English and one in Portuguese. It was concluded that further studies should be conducted, with primary health care professionals, in order to propose measures that can reduce inadequate capacity rates and better understand the variables associated with work ability.

A autopercepção do indivíduo em relação à saúde, ao trabalho e ao estilo de vida é considerada como a capacidade para o trabalho, um conceito de várias dimensões, caracterizando um constructo multidimensional e versátil por englobar pré-condições físicas, mentais e sociais. Este trabalho teve como objetivo identificar os fatores associados à capacidade para o trabalho entre profissionais de saúde da atenção primária. Foi realizada uma revisão integrativa no período de março a junho de 2020, seguindo os critérios de elegibilidade: artigos em português, espanhol e inglês; trabalhos disponíveis a partir de 1996 nas bases PubMed, SciELO, LILACS e Cochrane; estudos longitudinais, ensaios clínicos e estudos transversais; artigos com profissionais da saúde da atenção primária; e trabalhos que usaram o índice de capacidade para o trabalho. Foram encontrados três artigos, sendo dois em inglês e um em português. Concluiu-se que novos estudos devem ser realizados, com profissionais da equipe da atenção primária, a fim de propor medidas que possam reduzir taxas de capacidade inadequadas e gerar mais conhecimento sobre as variáveis associadas à capacidade para o trabalho.