Fatores associados ao baixo conhecimento sobre HIV/AIDS entre homens que fazem sexo com homens no Brasil

Gomes, Raquel Regina de Freitas Magalhães; Ceccato, Maria das Graças Braga; Kerr, Lígia Regina Franco Sansigolo; Guimarães, Mark Drew Crosland

doi:10.1590/0102-311x00125515

Cited by 46 publications

(58 citation statements)

References 30 publications

(37 reference statements)

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“…Although we are currently facing the third decade of the HIV/AIDS epidemic, the proportion of respondents who presented a high level of knowledge was low (23.7%) and lower than that observed in a previous study (36.6%) performed in 10 Brazilian cities 19 . The heterogeneity among the cities is highlighted.…”

Section: Discussioncontrasting

confidence: 70%

“…Within this context, HIV/AIDS knowledge can be considered a necessary but not sufficient element for developing an individual's awareness of the risk of infection and a corresponding adoption of preventive strategies. Thus, knowledge consists in a paramount element due to its capacity to increase uptake and follow-up in healthcare services of people at higher risk of infection 19 .…”

Section: Introductionmentioning

confidence: 99%

“…There are several ways to obtain and analyze data on HIV/AIDS knowledge. In Brazil, an HIV surveillance study among MSM conducted in 2009 was based on 10 questions recommended by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Brazilian Ministry of Health 19 . In this study, recruitment was performed by the Respondent-Driven Sampling (RDS) method, and the data were analyzed by the item response theory (IRT).…”

Section: Introductionmentioning

confidence: 99%

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HIV/AIDS knowledge among MSM in Brazil: a challenge for public policies

Guimarães

Magno

Ceccato

et al. 2019

Rev. bras. epidemiol.

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Introduction: High level of HIV/AIDS knowledge is required for an effective adoption of preventive strategies. Objective: To assess HIV/AIDS knowledge among men who have sex with men (MSM) in 12 Brazilian cities. Methods: Respondent-Driven Sampling method was used for recruitment. HIV/AIDS knowledge was assessed by Item Response Theory. Difficulty and discrimination parameters were estimated, and the knowledge score was categorized in three levels: high, medium, and low. Logistic regression was used for analysis. Results: Among 4,176 MSM, the proportion of high level of knowledge was 23.7%. The following variables were positively associated with high knowledge (p < 0.05): age 25+ years old, 12+ years of schooling, white skin color, having health insurance, having suffered discrimination due to sexual orientation, having had a syphilis test, and having received educational material in the previous 12 months. Exchanging sex for money was negatively associated. Conclusions: The proportion of only 23.7% of high HIV/AIDS knowledge was low. We should note that the only potential source of knowledge acquisition associated with high level of knowledge was receiving educational materials. Our study indicates the need for expansion of public prevention policies focused on MSM and with more effective communication strategies, including the development of knowledge that involves motivation and abilities for a safer behavior.

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Section: Discussioncontrasting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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HIV/AIDS knowledge among MSM in Brazil: a challenge for public policies

Guimarães

Magno

Ceccato

et al. 2019

Rev. bras. epidemiol.

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“…This finding may be closely related to greater access to information among individuals with higher levels of education 21 . Furthermore, lower levels of education are related to less knowledge about the forms of HIV/AIDS transmission 22,23 which may be closely related to greater access to information among more educated individuals 21,24 . Lower levels of education, meanwhile, result in less knowledge about the forms of HIV/AIDS transmission 23 .…”

Section: Discussionmentioning

confidence: 99%

Notification of cases of HIV/AIDS among the elderly in the state of Ceará: the historical sequence between 2005 and 2014

Maia

Zanin

Silva

et al. 2018

Rev. bras. geriatr. gerontol.

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Objective: to describe the historical sequence and characteristics of reported cases of HIV/AIDS among the elderly in the state of Ceará from 2005 to 2014. Method: a descriptive study was carried out, based on the Ministry of Health database, available in SINAN (Disease Cases Notification Information System) from January 2005 to December 2014. The variables studied were: gender, race, schooling, marital status and exposure category. Result: a total of 10,299 new cases were reported in the state, 1.5% (151) of which related to the elderly. The majority of those affected lived in Fortaleza (85.6%), were aged between 60 and 69 years (86.8%), were male (60.9%), brown (61.6%), had a level of schooling below unfinished elementary (42%), were heterosexual (85.4%) and had a marital status of married (29.3%). The proportion of male/female cases peaked in 2005 (5.5: 1) and declined thereafter reaching an average value of 0.8: 1 in the period between 2008 and 2011, then increased again, reaching 3.3: 1 in 2014. The highest coefficients were observed in the groups with lower schooling. Conclusion: according to the notifications during the period evaluated, AIDS among the elderly showed a tendency of growth among men, aged between 60 and 69 years old, who were heterosexual, less educated and married. This justifies the strengthening of specific strategies aimed at this population with the objective of tackling the disease.

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“…Nessa perspectiva, nota-se que os homens só procuram os serviços de saúde quando possuem alguma forma de agravo que comprometa sua integridade biopsicossocial, precisando de ações voltadas para prevenção nesse grupo vulnerável enfatizando o uso de medidas preventivas e salientando a importância de exames periódicos, bem como o tratamento correto e completo de alguma enfermidade, já ressaltado em estudo de 2014 mostrando que essa situação, provavelmente, seja um reflexo da baixa atenção das políticas de saúde voltadas à clientela masculina (15) . Medidas de controle e prevenção focadas na vulnerabilidade poderão contribuir para a minimização dos fatores individual e social (16) . Além da dificuldade em integrar esse público ao serviço de saúde, observa-se nos achados do presente estudo que o motivo prevalente para o não uso de preservativos durante as relações sexuais é o de "não gostar", excetuando-se a exclusividade do público masculino, visto que, tanto homens quanto mulheres, independentemente do estado civil, confirmaram não usar o preservativo durante relações sexuais com parceiro eventual.…”

Section: Discussionunclassified