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

Sousa, Álvaro Francisco Lopes; Lima, Shirley Verônica Melo Almeida; Ribeiro, Caíque Jordan Nunes; de Sousa, Anderson Reis; Camargo, Emerson Lucas Silva; de Oliveira, Layze Braz; Neto, João Cruz; Fronteira, Inês; Mendes, Isabel Amélia Costa

doi:10.3389/fpubh.2023.1198339

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…These dynamics might pose additional risks for HIV and other sexually transmitted infections. 30 , 38 …”

Section: Discussionmentioning

confidence: 99%

“…However, studies 11 , 30 , 38 , 54 , 55 indicate that those who engage in these practices tend to have a greater perception/awareness of the risk of STIs due to increased exposure to bodily fluids and the potential for unprotected sex, which can lead to a greater intention to use PrEP. Additionally, a study by O’Halloran and collaborators 47 found that positive attitudes toward PrEP were associated with regular use among MSM who engage in chemsex, regardless of specific sexual practices involved.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study

Sousa,

Nunes Ribeiro,

Santos

et al. 2023

Therapeutic Advances in Infection

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Background: Pre-exposure prophylaxis (PrEP) is a valuable tool in the response to the HIV epidemic, recommended for groups with a higher risk of HIV infection, such as men who have sex with men (MSM), particularly in the context of high-risk sexual behavior such as chemsex. Purpose: This study aimed to analyze the prevalence and factors associated with the intention to use PrEP among MSM who engage in chemsex in Brazil and Portugal. Methods: This was a cross-sectional study of a secondary dataset from a larger study conducted between January 2020 and May 2021 throughout Brazil and Portugal involving 1852 MSM who engage in chemsex. An initial descriptive analysis was performed to calculate the absolute and relative frequencies of independent variables related to the intention to use PrEP among MSM. A multivariate regression model was developed to identify factors independently associated with the intention to use PrEP. Results: Although a high level of PrEP knowledge (85.75%) was observed among MSM who engage in chemsex, the prevalence of intention to use PrEP was only 59.07%. Five variables were associated with a higher prevalence of intention to use PrEP [engaging in double penetration – adjusted prevalence ratio (aPR): 1.56, 95% CI: 1.44–1.69; being assigned female sex at birth – aPR: 1.34, 95% CI: 1.12–1.61; cruising – aPR: 1.21, 95% CI: 1.06–1.38; not using condoms – aPR: 1.20, 95% CI: 1.05–1.36; and being an immigrant – aPR: 1.16; 95% CI: 1.07–1.25], while having knowledge of postexposure prophylaxis (aPR: 0.91; 95% CI: 0.84–0.98), having a casual sexual partner (aPR: 0.86 and 0.85; 95% CI: 0.74–0.99 and 0.74–0.98), and engaging in group sex (aPR: 0.81; 95% CI: 0.73–0.90) were associated with a lower intention to use PrEP. Conclusion: The intention to use PrEP among MSM who engage in chemsex was high, and several factors were associated with this intention. Understanding the factors associated with the intention to use PrEP among MSM practicing chemsex is crucial for developing targeted interventions to increase PrEP uptake in this population. The results of this study suggest that tailored approaches are necessary to promote PrEP use in this population.

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“…These dynamics might pose additional risks for HIV and other sexually transmitted infections. 30 , 38 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study

Sousa,

Nunes Ribeiro,

Santos

et al. 2023

Therapeutic Advances in Infection

Self Cite

View full text Add to dashboard Cite

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“…Having a presence on these digital channels facilitated access to participants beyond urban areas, considering Brazil's vast territorial expanse (Sousa et al, 2023).…”

Section: Data Collectionmentioning

confidence: 99%

Exploring self‐care practices and health beliefs among men in the context of emerging infectious diseases: Lessons from the Mpox pandemic in Brazil

da Silva Bulcão,

Prates,

Pedrosa

et al. 2024

Nursing Inquiry

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Our goal was to explore self‐care practices among men who have sex with men in the context of Mpox in Brazil. This study used qualitative research methods, including interviews and thematic analysis, to collect and analyze data from male participants across the Brazilian territory. The narratives unveil men's perspectives on self‐care, risk reduction, and health beliefs during the Mpox pandemic. Our findings highlight a multifaceted approach to self‐care among men, encompassing hygiene, physical contact management, mask usage, skin lesion vigilance, and adherence to official guidelines. Men's attitudes toward sexual behaviors emphasize the importance of reducing sexual partners, practicing safe sex, and combating misinformation through accurate information dissemination. The development of these behaviors and self‐care practices can be facilitated by nurses guided by Dorothea Orem's Self‐Care Theory, supported by patient‐centered care, with strategies to address and confront the stigma associated with the disease and provide emotional support. Thus, the study underscores the pivotal role of self‐care in mitigating infection risks, especially in the context of emerging infectious diseases. It acknowledges the impact of socio‐cultural factors and healthcare policies on men's preventive measures. However, it also recognizes limitations, such as potential bias due to stigma concerns and a nonrepresentative sample. Ultimately, the research advocates for tailored education, promotion of gender equity, and healthcare empowerment to effectively manage health risks in such contexts.

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Generational Differences in Pre-Exposure Prophylaxis (PrEP) Intentions among Men Who Have Sex with Men: A National Study on Sexual Behaviors and Preventive Practices (Preprint)

Sousa,

Ribeiro,

Santana

et al. 2024

Preprint

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BACKGROUND Background: In Brazil, Men Who Have Sex with Men (MSM) are disproportionately affected by the HIV epidemic, mirroring global trends. Despite advancements in HIV prevention, such as Pre-Exposure Prophylaxis (PrEP), uptake among different MSM age groups remains uneven, influenced by diverse sexual behaviors, risk perceptions, and social stigmas. OBJECTIVE Objectives: To investigate factors associated with PrEP intentions among Brazilian MSM of different age groups. METHODS Method: A cross-sectional electronic survey involving Brazilian MSM aged 18 years and above. RESULTS Results: PrEP intentions were expressed by over half of the participants, 55.1%. Regarding protective knowledge and PrEP intentions, among those under 25 years, frequent barebacking was associated with a 25.4 times higher prevalence of PrEP intentions. Conversely, having one or more casual sexual partners in the last 30 days was associated with a 22% lower frequency of PrEP intentions. The practice of chemsex was also associated with a lower prevalence of PrEP intentions. In the age group of 25-49 years, it was observed that the practice of double penetration was associated with a higher prevalence of PrEP intentions, as well as being a receptive or versatile partner. Still within this age range, the prevalence of PrEP intentions was over 10% among those who exhibited some unique characteristics, such as a previous diagnosis of syphilis and non-use of condoms due to the intensity of sex or when sexual partners are known. However, being single, the partner's PrEP use, and gouinage, as an HIV/AIDS prevention practice, were exclusively associated with lower prevalences of PrEP intentions. Regarding MSMs aged ≥50 years, a higher prevalence of PrEP intentions was associated with the practice of double penetration, as well as being a receptive or versatile partner. On the other hand, chemsex practice was associated with a lower prevalence of PrEP intentions. Group sex practice was independently associated with a lower prevalence of PrEP intentions exclusively among MSMs aged ≥50 years. CONCLUSIONS Conclusion: The study highlights significant generational differences in the factors influencing PrEP intentions among Brazilian MSM. It underscores the need for tailored HIV prevention strategies that consider the unique behaviors and perceptions of different age groups. By addressing these nuances, public health initiatives can better promote PrEP use, catering to the diverse needs of the MSM community and contributing effectively to the reduction of HIV infection rates.

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

Cited by 3 publications

References 36 publications

Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study

Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study

Exploring self‐care practices and health beliefs among men in the context of emerging infectious diseases: Lessons from the Mpox pandemic in Brazil

Generational Differences in Pre-Exposure Prophylaxis (PrEP) Intentions among Men Who Have Sex with Men: A National Study on Sexual Behaviors and Preventive Practices (Preprint)

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