[HIV prevention with PrEP: Challenges and prospects]. / Prévenir le VIH par la PrEP : enjeux et perspectives.

Pre-exposure prophlaxis (PrEP) is the use of antiretroviral drugs by uninfected people to prevent human immunodeficiency virus (HIV) infection. PrEP is used by people who are at substantial risk of being exposed to HIV. Numerous clinical trials have confirmed its effectiveness in reducing HIV acquisition and PrEP has been approved and allowed in several countries including France. However, PrEP uptake remains low as concerns about increase in sexual risk behaviour with PrEP use in the wake of a growing epidemic of sexually transmitted infections, and fear of drug resistance have been expressed. As a result, the difference between the proportion of people on PrEP and the proportion of people who would be very likely to use PrEP if they could access it -otherwise known as the PrEP gap- remains high. Nowadays, studies continue to explore long-term effects of PrEP as well as expand the array of available technologies and regimens.

Narrativas fora do armário: a identidade sexual de homens gays na cidade / Narratives out of the closet: the sexual identity of gay men in the city / Narrativas fuera del armario: la identidad sexual de hombres gays en la ciudad / Récits hors du placard: l'identité sexuelle des hommes homosexuels chez les villes

Este estudo visa a investigar os processos de reconhecimento da identidade gay em uma capital brasileira a partir de entrevistas narrativas com quatro participantes entre 21 e 42 anos. As entrevistas foram analisadas de acordo com a teoria de interpretação e narratividade de Ricoeur. Em comum com outros estudos, as histórias desses participantes colocam processos de identificação de uma orientação sexual "diferente" na infância, sua elaboração como identidade sexual e pessoal na adolescência e, ao final, a "saída do armário" como autorrevelação para outras pessoas. Além das semelhanças, esta pesquisa mostra as singularidades do "sair do armário": cada trajetória implica processos de reconhecimento subjetivo e intersubjetivo em diferentes matizes, que interagem com fatores contextuais para produzir bem-estar ou sofrimento psíquico.

This study aims to investigate the processes of recognition of gay identity in a Brazilian capital through narrative interviews with four participants between 21 and 42 years old. The interviews were analyzed according to Ricoeur's theory of interpretation and narration. In common with other studies, the stories of these participants place processes of identifying a "different" sexual orientation in childhood, their elaboration as sexual and personal identity in adolescence, and ultimately "out of the closet" as self-disclosure to others. In addition to the similarities, this research shows the singularities of "coming out of the closet": each trajectory implies processes of subjective and inter-subjective recognition in different shades, which interact with contextual factors to produce well-being or psychological distress.

Este trabajo tiene el objetivo de investigar los procesos de reconocimiento de la identidad gay en una capital brasileña a partir de entrevistas narrativas con cuatro participantes entre 21 y 42 años. Las entrevistas fueron analizadas de acuerdo con la teoría de interpretación y narrativa de Ricoeur. En común con otros estudios, las historias de estos participantes ponen procesos de identificación de una orientación sexual "diferente" en la infancia, su elaboración como identidad sexual y personal en la adolescencia y, al final, la "salida del armario" como autorrevelación para otras personas. Además de las similitudes, esta investigación muestra las singularidades del "salir del armario": cada trayectoria implica procesos de reconocimiento subjetivo e intersubjetivo en distintos matices, que interactúan con factores contextuales para producir bien-estar o sufrimiento psíquico.

Cette étude a pour objectif d'étudier les processus de reconnaissance de l'identité homosexuelle dans une capitale brésilienne à travers des entretiens narratifs avec quatre participants âgés de 21 à 42 ans. Les entretiens ont été analysés selon la théorie de l'interprétation et de la narrativité de Ricoeur. À l'instar d'autres études, les récits de ces participants décrivent des processus d'identification d'une orientation sexuelle «différente¼ dans l'enfance, leur élaboration en tant qu'identité sexuelle et personnelle à l'adolescence et, finalement, la «sortie du placard¼ comme une révélation personnelle aux autres. Cette recherche montre aussi les singularités de la «sortie du placard¼: chaque trajectoire implique des processus de reconnaissance subjective et inter-subjective dans différentes nuances, qui interagissent avec des facteurs contextuels pour produire du bien-être ou une détresse psychologique.