Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/32777 |
Resumo: | The Brazilian Ministry of Health through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis. |
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Guimarães, Mark Drew CroslandKendall, CarlMagno, LaioRocha, Gustavo MachadoKnauth, Daniela RivaLeal, Andrea FachelDourado, InesVeras, Maria AméliaBrito, Ana Maria deKerr, Ligia Regina Franco Sansigolo2019-04-26T13:40:57Z2019-04-26T13:40:57Z2018GUIMARÃES, Mark Drew Crosland et al. Comparing HIV Risk-Related Behaviors between 2 RDS National Samples of MSM in Brazil, 2009 and 2016. Medicine, v. 97, n. 1, Suppl 1, p. S62–S68, maio 2018.1536-5964https://www.arca.fiocruz.br/handle/icict/3277710.1097/MD.0000000000009079The Brazilian Ministry of Health through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis.Federal University of Minas Gerais. Department of Preventive and Social Medicine. Belo Horizonte, Brazil.Tulane School of Public Health and Tropical Medicine. Center for Global Health Equity. New Orleans, LA, USA.State University of Bahia. Department of Life Sciences. Salvador, Bahia, Brazil.Federal University of São João DelRei. Divinópolis.Federal University of Rio Grande do Sul. Porto Alegre, Brazil.Federal University of Rio Grande do Sul. Porto Alegre, Brazil.Collective Health Institute, Federal University of Bahia. Salvador, Bahia, Brazil.Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Federal University of Ceará. Department of Community Health. Fortaleza, Ceará, Brazil.Introduction: Periodic monitoring of sociobehavior characteristics at a national level is an essential component of understanding the dynamics the human immunodeficiency virus (HIV) epidemic worldwide, including Brazil. Methods: This paper compares descriptive sociobehavior characteristics in 2 national cross-sectional HIV biological behavioral surveillance surveys (BBSS) conducted in 2009 and 2016 among men who have sex with men (MSM) in Brazil. Respondent driven sampling (RDS) was used for recruitment in both years. Overall proportions were weighted according to Gile’s estimator using RDS Analyst Software and 95% confidence intervals were calculated for comparisons between the 2 periods. Further comparisons were stratified by age groups (<25 and 25+ years old). Results: Overall, 3749 and 4176 MSM were recruited in 2009 and 2016, respectively. In 2016, participants were younger than 25 years old (58.3%), with 12 or more years of education (70.4%), with higher socioeconomic status (40.7%), and had a higher proportion of whites (31.8%), as compared to 2009. Also, participants in 2016 reported less alcohol use and binge drinking, but used illicit drugs more frequently. There was an increase among MSM who self-reported their HIV risk as low and had low HIV knowledge while the proportion of those who were never tested for HIV dropped from 49.8% in 2009 to 33.8% in 2016. Although more than three-quarters received free condoms in both years, STD counseling remained low (32% and 38% for 2009 and 2016, respectively). Sexual risk behavior remained at high levels, especially unprotected anal receptive sex and sex with multiple partners. Younger MSM (<25 years old) showed riskier sexual practices than those 25+ years old, when comparing 2016 to 2009. Conclusions: Our results indicate a worrisome risk behavior trend among Brazilian MSM, especially among younger ones. These results can contribute for a better understanding of the HIV epidemics in Brazil, with timely shift in strategies so improved effectiveness in public health prevention efforts can be achieved. Abbreviations: AIDS = acquired immune deficiency syndrome, BBSS = biological behavioral surveillance survey, CDC = Centers for Disease Control, CI = confidence interval, DIAHV/MoH = Department of STI, HIV/AIDS and Viral Hepatitis, Ministry of Health, HIV = human immunodeficiency virus, IRT = item response theory, MSM = men who have sex with men, NGO = nongovernmental organization, RDS = respondent driven sampling, STI = sexually transmitted infections, UIAI = unprotected insertive anal intercourse, UNAIDS = United Nations Program on HIV/AIDS, URAI = Unprotected Receptive Ana Intercourse, WHO = World Health Organization.engComparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleBehavior surveillanceBrazilHIV/AIDSMSMAdolescenteAdultoBrasil / epidemiologiaPreservativos / estatísticas e dados numéricosPreservativos / fornecimento e distribuiçãoEstudos TransversaisHIV / isolamento e purificaçãoHIV / patogenicidadeInfecções por HIV / epidemiologiaInfecções por HIV / mortalidadeHomossexualidade Masculina / psicologiaHomossexualidade Masculina / estatística & dados numéricosHumanosMasculinoPrevalênciaAssunção de riscosEstudos de AmostragemAuto relatórioComportamento Sexual / psicologiaComportamento Sexual / estatística & dados numéricosClasse socialDrogas de rua / efeitos adversosSexo inseguro / estatística & dados numéricosAdulto joveminfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83094https://www.arca.fiocruz.br/bitstream/icict/32777/1/license.txtee3692f7b0b97d5638099ab94397d05fMD51ORIGINALComparing HIV risk-related behaviors between 2.pdfComparing HIV risk-related behaviors between 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dc.title.pt_BR.fl_str_mv |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
title |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
spellingShingle |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 Guimarães, Mark Drew Crosland Behavior surveillance Brazil HIV/AIDS MSM Adolescente Adulto Brasil / epidemiologia Preservativos / estatísticas e dados numéricos Preservativos / fornecimento e distribuição Estudos Transversais HIV / isolamento e purificação HIV / patogenicidade Infecções por HIV / epidemiologia Infecções por HIV / mortalidade Homossexualidade Masculina / psicologia Homossexualidade Masculina / estatística & dados numéricos Humanos Masculino Prevalência Assunção de riscos Estudos de Amostragem Auto relatório Comportamento Sexual / psicologia Comportamento Sexual / estatística & dados numéricos Classe social Drogas de rua / efeitos adversos Sexo inseguro / estatística & dados numéricos Adulto jovem |
title_short |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
title_full |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
title_fullStr |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
title_full_unstemmed |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
title_sort |
Comparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016 |
author |
Guimarães, Mark Drew Crosland |
author_facet |
Guimarães, Mark Drew Crosland Kendall, Carl Magno, Laio Rocha, Gustavo Machado Knauth, Daniela Riva Leal, Andrea Fachel Dourado, Ines Veras, Maria Amélia Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo |
author_role |
author |
author2 |
Kendall, Carl Magno, Laio Rocha, Gustavo Machado Knauth, Daniela Riva Leal, Andrea Fachel Dourado, Ines Veras, Maria Amélia Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Guimarães, Mark Drew Crosland Kendall, Carl Magno, Laio Rocha, Gustavo Machado Knauth, Daniela Riva Leal, Andrea Fachel Dourado, Ines Veras, Maria Amélia Brito, Ana Maria de Kerr, Ligia Regina Franco Sansigolo |
dc.subject.en.pt_BR.fl_str_mv |
Behavior surveillance Brazil HIV/AIDS MSM |
topic |
Behavior surveillance Brazil HIV/AIDS MSM Adolescente Adulto Brasil / epidemiologia Preservativos / estatísticas e dados numéricos Preservativos / fornecimento e distribuição Estudos Transversais HIV / isolamento e purificação HIV / patogenicidade Infecções por HIV / epidemiologia Infecções por HIV / mortalidade Homossexualidade Masculina / psicologia Homossexualidade Masculina / estatística & dados numéricos Humanos Masculino Prevalência Assunção de riscos Estudos de Amostragem Auto relatório Comportamento Sexual / psicologia Comportamento Sexual / estatística & dados numéricos Classe social Drogas de rua / efeitos adversos Sexo inseguro / estatística & dados numéricos Adulto jovem |
dc.subject.decs.pt_BR.fl_str_mv |
Adolescente Adulto Brasil / epidemiologia Preservativos / estatísticas e dados numéricos Preservativos / fornecimento e distribuição Estudos Transversais HIV / isolamento e purificação HIV / patogenicidade Infecções por HIV / epidemiologia Infecções por HIV / mortalidade Homossexualidade Masculina / psicologia Homossexualidade Masculina / estatística & dados numéricos Humanos Masculino Prevalência Assunção de riscos Estudos de Amostragem Auto relatório Comportamento Sexual / psicologia Comportamento Sexual / estatística & dados numéricos Classe social Drogas de rua / efeitos adversos Sexo inseguro / estatística & dados numéricos Adulto jovem |
description |
The Brazilian Ministry of Health through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2019-04-26T13:40:57Z |
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2019-04-26T13:40:57Z |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
GUIMARÃES, Mark Drew Crosland et al. Comparing HIV Risk-Related Behaviors between 2 RDS National Samples of MSM in Brazil, 2009 and 2016. Medicine, v. 97, n. 1, Suppl 1, p. S62–S68, maio 2018. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/32777 |
dc.identifier.issn.pt_BR.fl_str_mv |
1536-5964 |
dc.identifier.doi.none.fl_str_mv |
10.1097/MD.0000000000009079 |
identifier_str_mv |
GUIMARÃES, Mark Drew Crosland et al. Comparing HIV Risk-Related Behaviors between 2 RDS National Samples of MSM in Brazil, 2009 and 2016. Medicine, v. 97, n. 1, Suppl 1, p. S62–S68, maio 2018. 1536-5964 10.1097/MD.0000000000009079 |
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https://www.arca.fiocruz.br/handle/icict/32777 |
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