{"id":3498,"date":"2026-06-29T09:08:32","date_gmt":"2026-06-29T08:08:32","guid":{"rendered":"https:\/\/mihealtheurope.org\/?p=3498"},"modified":"2026-07-28T23:05:51","modified_gmt":"2026-07-28T22:05:51","slug":"desigualdades-no-acesso-a-prep-entre-as-mulheres-migrantes-na-europa","status":"publish","type":"post","link":"https:\/\/mihealtheurope.org\/pt\/inequities-in-prep-access-across-europe-for-migrant-women\/","title":{"rendered":"A Derrubar Barreiras: Mi-Health Europe Contribui para Novo Estudo sobre o Acesso \u00e0 PrEP por Mulheres Migrantes"},"content":{"rendered":"

A Mi\u2011Health Europe orgulha-se de ter contribu\u00eddo para um novo estudo publicado em Medica\u00e7\u00e3o para o VIH<\/em>, o jornal oficial da British HIV Association. Esta investiga\u00e7\u00e3o multinacional marca uma conquista importante, destacando os obst\u00e1culos que as mulheres migrantes enfrentam no acesso \u00e0 preven\u00e7\u00e3o do VIH. Para a Mi\u2011Health, representa tanto o reconhecimento da nossa experi\u00eancia como um apelo \u00e0 a\u00e7\u00e3o para pol\u00edticas de sa\u00fade mais inclusivas em toda a Europa.<\/p>\n\n\n\n

Qual \u00e9 o desafio?<\/h2>\n\n\n\n

A profilaxia pr\u00e9-exposi\u00e7\u00e3o (PrEP) \u00e9 uma ferramenta comprovada para a preven\u00e7\u00e3o do VIH. No entanto, as mulheres migrantes, que s\u00e3o consideradas um dos grupos vulner\u00e1veis ao VIH, continuam a enfrentar desigualdades na sensibiliza\u00e7\u00e3o, no acesso e na reten\u00e7\u00e3o. O estudo, realizado em 11 pa\u00edses europeus (ver Figura 1)<\/em>, explorou a forma como o estatuto jur\u00eddico, o exerc\u00edcio do trabalho sexual e as pol\u00edticas nacionais de financiamento da sa\u00fade moldam estas disparidades.<\/p>\n\n\n\n

\"\"
Figura 1: Pa\u00eds de resid\u00eancia das mulheres migrantes participantes VIH-negativas do projeto PrEP para mulheres na Europa, junho de 2025. Para os pa\u00edses em que a dimens\u00e3o da amostra era inferior a 5, n\u00e3o apresent\u00e1mos o n\u00famero real, mas assinal\u00e1mo-lo com \u2018<5\u2019. Verde: Pa\u00edses onde foi realizado o inqu\u00e9rito PrEP para mulheres. Verde claro: Pa\u00edses onde o inqu\u00e9rito PrEP para mulheres n\u00e3o foi realizado, mas com participantes residentes; Azul: Pa\u00edses onde o inqu\u00e9rito PrEP para mulheres n\u00e3o foi realizado. O ficheiro de formas (shapefile) do mapa foi obtido a partir do conjunto de dados do ECDC.<\/em><\/figcaption><\/figure>\n\n\n\n

Os resultados revelam lacunas significativas entre o conhecimento, a inten\u00e7\u00e3o e a ades\u00e3o \u00e0 PrEP, sublinhando a necessidade urgente de modelos de preven\u00e7\u00e3o do VIH liderados pela comunidade e de pol\u00edticas de sa\u00fade inclusivas que desvinculem a elegibilidade para a PrEP do estatuto de documenta\u00e7\u00e3o.<\/p>\n\n\n\n

Eis o que encontr\u00e1mos e porque \u00e9 que isso importa para o futuro da preven\u00e7\u00e3o do VIH na Europa<\/h2>\n\n\n\n
\"\"<\/figure>\n\n\n\n
1. Um fosso entre querer a PrEP e utiliz\u00e1-la<\/h5>\n\n\n\n

Muitas mulheres migrantes conhecem a PrEP e est\u00e3o interessadas em utiliz\u00e1-la, mas muito poucas conseguem aceder-lhe e mant\u00ea-la. Esta lacuna aponta para barreiras estruturais e n\u00e3o para uma falta de procura.<\/p>\n\n\n\n

O estatuto legal molda o percurso, mas n\u00e3o da maneira que se esperaria<\/h5>\n\n\n\n

As mulheres sem documentos e as requerentes de asilo tinham maior probabilidade de conhecer a PrEP, mas o mero conhecimento n\u00e3o garantia o acesso.<\/p>\n\n\n\n

3. Trabalhadoras do Sexo Mostram Maior Ades\u00e3o \u00e0 PrEP<\/h5>\n\n\n\n

As mulheres migrantes que exerciam trabalho sexual apresentavam probabilidades mais de 5 vezes superiores de utiliza\u00e7\u00e3o atual de PrEP em compara\u00e7\u00e3o com as mulheres que n\u00e3o exerciam trabalho sexual. Isto reflete provavelmente a divulga\u00e7\u00e3o direcionada e os programas de preven\u00e7\u00e3o de base comunit\u00e1ria que chegam a este grupo de forma mais eficaz do que a outros.<\/p>\n\n\n\n

4. A Pol\u00edtica de Reembolso Faz uma Diferen\u00e7a Mensur\u00e1vel<\/h5>\n\n\n\n

As mulheres migrantes em pa\u00edses que oferecem reembolso total da PrEP tinham quase 5 vezes mais probabilidade de estar a utilizar atualmente a PrEP do que aquelas em pa\u00edses sem cobertura total. Esta \u00e9 uma das conclus\u00f5es mais claras e acion\u00e1veis a n\u00edvel pol\u00edtico para os decisores pol\u00edticos.<\/p>\n\n\n\n

5. Interrup\u00e7\u00e3o Elevada<\/h5>\n\n\n\n

Entre as mulheres que j\u00e1 tinham utilizado a PrEP, as taxas de descontinua\u00e7\u00e3o foram elevadas, o que evidencia que iniciar as mulheres na PrEP \u00e9 apenas metade do desafio. A reten\u00e7\u00e3o e o apoio a longo prazo s\u00e3o igualmente cruciais.<\/p>\n\n\n\n

6. Os preservativos continuam a ser o m\u00e9todo preferido, mas o interesse na PrEP \u00e9 real<\/h5>\n\n\n\n

Os preservativos continuavam a ser o m\u00e9todo de preven\u00e7\u00e3o mais preferido em geral, seguidos pelos preservativos femininos e pela PrEP oral di\u00e1ria. <\/p>\n\n\n\n

\n
\n

Em conjunto, estas perspetivas revelam que as mulheres migrantes est\u00e3o interessadas na preven\u00e7\u00e3o biom\u00e9dica do VIH, mas os obst\u00e1culos sist\u00e9micos est\u00e3o no caminho.<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n

O que \u00e9 que isto significa para a pol\u00edtica e para a pr\u00e1tica?<\/h2>\n\n\n\n

As conclus\u00f5es sublinham que colmatar a lacuna da PrEP exige mais do que campanhas de sensibiliza\u00e7\u00e3o. Simplificar os percursos de cuidados de sa\u00fade, independentemente do estatuto de resid\u00eancia, alargar o reembolso e investir no apoio \u00e0 reten\u00e7\u00e3o s\u00e3o passos fundamentais. Sem isto, as mulheres que pretendem tomar a PrEP continuar\u00e3o a ser deixadas para tr\u00e1s.<\/p>\n\n\n\n

O nosso compromisso na Mi-Health<\/h2>\n\n\n\n

Ao contribuir para esta investiga\u00e7\u00e3o, a Mi-Health Europe refor\u00e7a o seu compromisso com o avan\u00e7o de estrat\u00e9gias equitativas de preven\u00e7\u00e3o do VIH, o apoio \u00e0s mulheres migrantes e a promo\u00e7\u00e3o de altera\u00e7\u00f5es pol\u00edticas baseadas em evid\u00eancias em toda a Europa. <\/p>\n\n\n\n

Conclus\u00e3o<\/h2>\n\n\n\n

Esta publica\u00e7\u00e3o \u00e9 mais do que dados, \u00e9 um apelo \u00e0 a\u00e7\u00e3o. Para a Mi\u2011Health Europe, refor\u00e7a o nosso papel na defini\u00e7\u00e3o de pol\u00edticas de preven\u00e7\u00e3o do VIH inclusivas. Para as mulheres migrantes, destaca tanto os desafios como as oportunidades para garantir que ningu\u00e9m fica para tr\u00e1s na luta contra o VIH.<\/p>\n\n\n\n

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Leia o artigo completo hoje!<\/p>\n\n\n\n

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https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/hiv.70259<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n
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<\/p>","protected":false},"excerpt":{"rendered":"

Mi\u2011Health Europe is proud to have contributed to a new study published in HIV Medicine, the official journal of the British HIV Association. This multi\u2011country research marks an important achievement, shining a spotlight on the barriers migrant women face in accessing HIV prevention. 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