High Rates of Unprotected Receptive Anal Intercourse and Their Correlates Among Young and Older MSM in Brazil

Rocha, Gustavo Machado; Guimarães, Mark Drew Crosland; Brito, Ana Maria de; Dourado, Inês; Veras, Maria Amélia; Magno, Laio; Kendall, Carl; Kerr, Lígia Regina Franco Sansigolo; Hiv, Brazilian

doi:10.1007/s10461-019-02459-y

Cited by 21 publications

(34 citation statements)

References 31 publications

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“…Brazilian MSM reported more male sexual partners than Mexican and Peruvians but lower rates of steady partner and condomless receptive anal sex. In a recent, large sample of MSM in Brazil, having more sex partners was associated with condomless receptive anal sex among MSM aged ≥25 years but not among those aged 18 to 24 years [37]. The higher proportions of STI diagnoses and PEP use in Brazil could be explained by the higher availability and access to exams and PEP free of charge in this country, especially in the Southeast region where most respondents live.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men

Ka²,

Vega-Ramírez³

et al. 2019

JMIR Public Health Surveill

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Background HIV disproportionally affects key populations including men who have sex with men (MSM). HIV prevalence among MSM varies from 17% in Brazil and Mexico to 13% in Peru, whereas it is below 0.5% for the general population in each country. Pre-exposure prophylaxis (PrEP) with emtricitabine/tenofovir is being implemented in the context of combination HIV prevention. Reports on willingness to use PrEP among MSM have started to emerge over the last few years. Previously reported factors associated with willingness to use PrEP include awareness, higher sexual risk behavior, and previous sexually transmitted infection. Objective This study aimed to evaluate the factors associated with willingness to use daily oral PrEP among MSM in 3 Latin American, middle-income countries (Brazil, Mexico, and Peru). Methods This Web-based, cross-sectional survey was advertised in 2 gay social network apps (Grindr and Hornet) used by MSM to find sexual partners and on Facebook during 2 months in 2018. Inclusion criteria were being 18 years or older, cisgender men, and HIV-negative by self-report. Eligible individuals answered questions on demographics, behavior, and PrEP (awareness, willingness to use, barriers, and facilitators). Multivariable logistic regression modeling was performed to assess the factors associated with willingness to use daily oral PrEP in each country. Results From a total sample of 43,687 individuals, 44.54% of MSM (19,457/43,687) were eligible and completed the Web-based survey—Brazil: 58.42% (11,367/19,457), Mexico: 30.50% (5934/19,457), and Peru: 11.08% (2156/19,457); median age was 28 years (interquartile range: 24-34), and almost half lived in large urban cities. Most participants were recruited on Grindr (69%, 13,349/19,457). Almost 20% (3862/19,352) had never tested for HIV, and condomless receptive anal sex was reported by 40% (7755/19,326) in the previous 6 months. Whereas 67.51% (13,110/19,376) would be eligible for PrEP, only 9.80% (1858/18,959) of participants had high HIV risk perception. PrEP awareness was reported by 64.92% (12,592/19,396); this was lower in Peru (46.60%, 1002/2156). Overall, willingness to use PrEP was reported by 64.23% (12,498/19,457); it was highest in Mexico (70%, 4158/5934) and lowest in Peru (58%, 1241/2156). In multivariate regression models adjusted for age, schooling, and income in each country, willingness to use PrEP was positively associated with PrEP awareness and PrEP facilitators (eg, free PrEP and HIV testing) and negatively associated with behavioral (eg, concerned by daily pill regimen) and belief barriers (eg, sexual partners may expect condomless sex). Conclusions In this first cross-country, Web-based survey in Latin America, willingness to use PrEP was found to be high and directly related to PrEP awareness. Interventions to increase awareness and PrEP knowledge about safety and efficacy are crucial to increase PrEP dem...

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Section: Discussionmentioning

confidence: 99%

Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men

Ka²,

Vega-Ramírez³

et al. 2019

JMIR Public Health Surveill

View full text Add to dashboard Cite

show abstract

“…The high (24)(25) number of partners, especially those who manifested signs and symptoms, caused amazement. Engaging in sex with a casual partner in times of coronavirus implies having contact with someone with an unknown history of exposure and outside their "place of isolation" (26) .…”

Section: Discussionmentioning

confidence: 99%

“…Engaging in sex with a casual partner in times of coronavirus implies having contact with someone with an unknown history of exposure and outside their "place of isolation" (26) . If this meeting was held with more than one partner and involved drug use, the adoption of SARS-CoV-2 prevention measures may have been even more hindered (24,26) . This finding is corroborated by the statistical association between the presence of signs and symptoms and quantitative partners…”

Section: Discussionmentioning

confidence: 99%

“…It is relevant to mention that this is a study carried out in a Latin American country that has been facing several obstacles in the advancement of public policies directed at the LGBTQIA+ population (24,26,(30)(31) . This scenario, which is permeated by LGBTQIA+ institutionalized phobia, may compromise health protection, since, in the absence of proper and safe apparatuses, MSM may be resorting to resources and practices that expose them to SARS-CoV-2.…”

Section: Discussionmentioning

confidence: 99%

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Suspected COVID-19 flu-like syndrome in men who have sex with men and have been involved in casual sex

Carvalho

Schneider

Sousa³

et al. 2020

Rev. Bras. Enferm.

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Objective: To evaluate the presence of flu-like syndrome suggestive of COVID-19 in men who have sex with men (MSM) and engaged in casual sex during a period of social isolation. Method: National epidemiological survey, applied in April and May 2020, by adaptation of Respondent Drive Sampling. Results: 1,337 MSM participated in the survey, of which 514 (38.4%) had fever associated with another sign or symptom of flu-like syndrome. Social, demographic characteristics, sexual practices and activities during the period of social isolation were statistically associated with the presence of flu-like syndrome. There was a statistical difference (p < 0.001) in the average of partners between those who had signs and symptoms of flu-like syndrome (3.5) and those who did not (1.7). Conclusion: Evidence of signs and symptoms indicative of flu-like syndrome suggestive of COVID 19 in Brazilian MSM who were involved in casual sex during the period of social isolation.

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“…12 Brazilian MSM with the highest scores of high risk behavior included age below 25, becoming sexually active prior to 15 years of age, finding partners on the internet, and frequent alcohol and illicit drug use. 13 In China, on the other hand, the most likely group to engage in unprotected sexual activity was a population of MSM older than age 36 who would most commonly meet their sexual partners in public parks. 14 We investigated unprotected AI among internet users in the MSM population in Poland.…”

Section: Discussionmentioning

confidence: 99%

Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

et al. 2020

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The number of new human immunodeficiency virus (HIV) diagnoses is rising in many parts of Europe. We sought to evaluate the rising prevalence of new HIV diagnoses in Poland, where the majority of newly-diagnosed HIV cases are men having sex with men (MSM). This study aims to measure the prevalence of condom use and drug use and to identify risk factors for contracting sexually transmitted infections (STIs) among MSM in Poland by distributing an anonymous online survey aimed toward MSM. Among the 1438 participants who completed valid surveys, those with low education level and greater than 100 prior sexual partners showed the highest odds for inconsistent condom use (adjusted odds ratio [aOR] 3.027, 2.044, respectively). Participants who identified themselves as heterosexuals, with multiple sexual partners and living in big cities showed the highest odds for drug use (aOR 4.869, 3.305, 1.720, respectively). This study identifies groups at the highest risk of HIV/STIs and provides valuable information for public health experts to develop targeted STI prevention campaigns.

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High Rates of Unprotected Receptive Anal Intercourse and Their Correlates Among Young and Older MSM in Brazil

Cited by 21 publications

References 31 publications

Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men

Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men

Suspected COVID-19 flu-like syndrome in men who have sex with men and have been involved in casual sex

Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

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