Avaliação de risco para infecção HIV em homens que fazem sexo com homens e a contribuição das redes de parceiros sexuais

Torres, Raquel Maria Cardoso; Bastos, Leonardo Soares; Gomes, Marcelo Ferreira da Costa; Moreira, Ronaldo I.; Périssé, André Reynaldo Santos; Cruz, Marly Marques da

doi:10.1590/1413-81232021269.2.36912019

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…Sociodemographic characteristics are associated with increased risk behavior for HIV, especially in developing countries. In Brazil, low income and lower education in MSM were associated with higher odds of self-reported HIV positive status in another study 23 . Pascom et al 24 found a strong association between younger age, race/color and low education level with not being on treatment or not being virologically suppressed when evaluating the continuum of care for HIV in Brazil.…”

Section: Discussionmentioning

confidence: 83%

Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study

Hentges

Knauth

Vigo

et al. 2023

Rev. bras. epidemiol.

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Objective: This study aimed to evaluate factors associated with inconsistent condom use with casual partners in a population of men who have sex with men (MSM) in Brazil. Methods: In 2016, 4,176 MSM >18 years were enrolled in 12 capitals of Brazil using a Respondent Driven Sampling (RDS) method. For the construction of the outcome, we evaluated questions about condom use in all anal intercourse (receptive and insertive) in the previous six months and the last sexual intercourse. Estimates were calculated using a weighted complex sample design. We performed a logistic regression analysis to determine the associations between sociodemographic and behavioral factors and inconsistent condom use in sexual relationships with casual male partners. Results: More than half of our sample (50.8%) had not used condoms consistently with casual partners in the previous six months. Inconsistent condom use was significantly associated with: low education (weighted odds ratio — wOR: 1.55; 95% confidence interval — CI 0.99–2.40), lack of counseling on sexually transmitted infections STI (wOR: 1.51; 95%CI 1.05–2.17), non-use of condoms at sexual debut (wOR: 3.05; 95%CI 2.12–4.40) and moderate and high perceived risk for HIV (wOR: 1.51; 95%CI 1.07–2.14). Higher age was negatively associated with inconsistent condom use (wOR=0.97, 95%CI 0.89–0.99). Conclusion: Despite being an individual behavior, condom use is related to factors beyond the individual scope. HIV/Aids prevention policies should focus on younger MSM, providing qualified information about condom use, preferably before the beginning of their sexual life.

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Section: Discussionmentioning

confidence: 83%

Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study

Hentges

Knauth

Vigo

et al. 2023

Rev. bras. epidemiol.

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Uso inconsistente del preservativo masculino en hombres VIH negativos que tienen sexo con hombres

Sousa

Elias

Caliari

et al. 2023

Rev. Latino-Am. Enfermagem

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Objetivo: analizar los factores asociados con el uso inconsistente del preservativo masculino en hombres VIH negativos que tienen sexo con hombres. Método: estudio transversal, analítico, nacional realizado de forma online en todas las regiones de Brasil, en 2020, a través de redes sociales y sitios de citas. El uso inconsistente del preservativo se definió como el uso ocasional o no usarlo nunca. Se realizaron análisis estadísticos descriptivos, pruebas de asociación y regresión logística binaria. Resultados: 1222 (85%) de los 1438 participantes informaron uso inconsistente del preservativo. Las variables “homosexuales” (ORA: 2,03; IC 95%: 1,14-3,59; p = 0,016), “tener pareja estable” (ORA: 2,19; IC 95%: 1,55-3,09; p<0,001), “sexo oral” (ORA: 2,41; IC 95%: 1,31-4,43; p = 0,005), “anal insertivo” (ORA: 1,98; IC 95%: 1,10-3,58; p = 0,023) y “diagnóstico de ITS” (ORA: 1,59; IC 95%: 1,13-2,24; p = 0,007) se asociaron de forma independiente con el uso inconsistente del preservativo masculino. Las variables “recibió consejo de un amigo sobre la prueba del VIH” (ORA: 0,71; IC 95%: 0,52-0,96; p = 0,028) y “trabajador sexual” (ORA: 0,26; IC 95%: 0,11-0,60; p = 0,002) fueron factores protectores. Conclusión: las variables estudiadas indicaron que hay una fuerte relación entre las parejas estables y el aumento de la confianza y la baja adherencia al uso del preservativo, lo que coincide con otros estudios.

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Pre-exposure prophylaxis among Brazilian men who have sex with men: a comparative study between migrants and non-migrants

Sousa,

Lima,

Ribeiro

et al. 2023

Front. Public Health

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IntroductionInvestigating the use and adherence to pre-exposure prophylaxis (PrEP) in MSM is a global health priority in the fight against HIV. Strategies must be capable of increasing usage and reaching not only the population living in the country but also those who immigrate, who face additional vulnerabilities. Based on this, in this observational, cross-sectional, and analytical study, our aim is to analyze the use of PrEP among Brazilian men who have sex with men, whether they are migrants or not. We aim to highlight preventive opportunities and strategies for the global health scenario.MethodsWe utilized a sample of Brazilians living in the country and Brazilian immigrants residing in Portugal, one of the main destinations for Brazilians in recent years. To estimate the prevalence ratio (PR) of PrEP use, we employed the Poisson regression model with robust variance estimation using a covariance matrix.ResultsA total of 1,117 Brazilian MSM PrEP users participated in this study, with 788 residing in Brazil and 328 in Portugal. Multivariate analysis was conducted in three stages: overall, and for subgroups of residents in Brazil and immigrants in Portugal. We identified four convergent factors that increased the prevalence of PrEP use in Brazilians regardless of migration status: having two or more casual sexual partners per month, engaging in challenging sexual practices as the receptive partner, disclosing serological status on apps, and being single. Among native Brazilians, four unique factors stood out: being in a polyamorous relationship, having sexual relations with unknown casual partners, and having higher levels of education.DiscussionThis study highlights the need to implement strategies to strengthen PrEP adherence in Brazil and create international programs that facilitate its usage among populations migrating between these two countries.

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Avaliação de risco para infecção HIV em homens que fazem sexo com homens e a contribuição das redes de parceiros sexuais

Cited by 3 publications

References 41 publications

Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study

Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study

Uso inconsistente del preservativo masculino en hombres VIH negativos que tienen sexo con hombres

Pre-exposure prophylaxis among Brazilian men who have sex with men: a comparative study between migrants and non-migrants

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