High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Digital do Instituto Evandro Chagas (Patuá) |
Texto Completo: | https://patua.iec.gov.br/handle/iec/4088 |
Resumo: | The aim of this study was to estimate the prevalence and factors associated with unprotected receptive anal intercourse (URAI), stratified by age (18-24 or 25 + years old), in a sample of 4,129 MSM recruited by respondent driven sampling in 12 Brazilian cities in 2016. The prevalence of URAI was higher among younger MSM (41.9% vs 29.7%) (p < 0.01). Multivariate analysis indicated that perception of risk, sexual identity, self-rated health status, and having commercial sex were associated with URAI among younger MSM. History of sexual violence, sex with younger partners, having 6 + partners and unprotected sexual debut were associated with URAI among older MSM. Marital status, having stable partner, and reporting sex with men only were associated with URAI in both groups. Despite access to condoms and lubricants, preventive efforts may not be reaching MSM effectively. Age specific intervention approaches, including stigma, discrimination, and perception of risk must be considered. |
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Rocha, Gustavo MachadoGuimarães, Mark Drew CroslandBrito, Ana Maria deDourado, Maria Ines CostaVeras, Maria AméliaMagno, LaioKendall, CarlKerr, Ligia Regina Franco SansigoloPontes, Alexandre KerrCamillo, Ana ClaudiaBrito, Ana Maria deMagalhães, AgeuMotta-Castro, Ana Rita CoimbraKnauth, Daniela RivaLeal, Andrea FachelMerchán-Hamann, EdgarDiaz, Ximena PamelaLima, Luana Nepomuceno Gondim CostaVeras, Maria AméliaDourado, Maria InesKerr, Ligia Regina Franco SansigoloOliveira, Lisangela Cristina deGuimarães, Mark Drew CroslandMacena, Raimunda Hermelinda MaiaMota, Rosa SalaniCavalcante, Maria do SocorroKendall, CarlRutherford, GeorgeMcFarland, WillPimenta, CristinaBenzaken, Adele SchwartzPereira, Gerson2020-04-29T19:55:14Z2020-04-29T19:55:14Z2020ROCHA, Gustavo Machado et al. High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil. AIDS and Behavior, v. 24, n. 3, p. 938-950, Mar. 2020.1090-7165https://patua.iec.gov.br/handle/iec/408810.1007/s10461-019-02459-yThe aim of this study was to estimate the prevalence and factors associated with unprotected receptive anal intercourse (URAI), stratified by age (18-24 or 25 + years old), in a sample of 4,129 MSM recruited by respondent driven sampling in 12 Brazilian cities in 2016. The prevalence of URAI was higher among younger MSM (41.9% vs 29.7%) (p < 0.01). Multivariate analysis indicated that perception of risk, sexual identity, self-rated health status, and having commercial sex were associated with URAI among younger MSM. History of sexual violence, sex with younger partners, having 6 + partners and unprotected sexual debut were associated with URAI among older MSM. Marital status, having stable partner, and reporting sex with men only were associated with URAI in both groups. Despite access to condoms and lubricants, preventive efforts may not be reaching MSM effectively. Age specific intervention approaches, including stigma, discrimination, and perception of risk must be considered.Department of Surveillance, Prevention and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis, of the Secretariat for Health Surveillance of the Brazilian Ministry of HealthUniversidade Federal de São João del-Rei. Divinopolis, MG, Brazil.Universidade Federal de Minas Gerais. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhaes. Recife, PE, Brazil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Faculdade de Ciências Medicas Santa Casa de São Paulo. São Paulo, SP, Brazil.Universidade do Estado Bahia. Departamento de Ciências da Vida. Salvador, BA, Brazil.Tulane University. School of Public Health and Tropical Medicine. New Orleans, LA, USA / Universidade Federal do Ceara. Dept Community Hlth. Fortaleza, CE, Brazil.Universidade Federal do Ceara. Dept Community Hlth. Fortaleza, CE, Brazil.Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.Fundação Alfredo Mata. Manaus, AM, Brazil.Fundação Oswaldo Cruz. Recife, PE, Brazil.Fundação Oswaldo Cruz. Recife, PE, Brazil.Fundação Oswaldo Cruz. Campo Grande, MS, Brazil / Universidade Federal de Mato Grosso do Sul. Campo Grande, MS, Brazil.Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil.Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil.Universidade de Brasilia. Brasilia, DF, Brazil.Universidade de Brasilia. Brasilia, DF, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Faculdade de Ciências Medicas Santa Casa de São Paulo. São Paulo, SP, Brazil.Universidade Federal da Bahia. Salvador, BA, Brasil.Universidade Federal do Ceara. Project PI. Fortaleza, CE, Brazil.Centro Universitário Autônomo do Brasil. Curitiba, PR, Brazil.Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil.Universidade Federal do Ceara. Fortaleza, CE, Brazil.Universidade Federal do Ceara. Fortaleza, CE, Brazil.Secretaria Saúde Ceará. Fortaleza, CE, Brazil.Tulane University. New Orleans, LA, USA / Universidade Federal do Ceara. Fortaleza, CE, Brazil.University of California San Francisco. San Francisco, CA, USA.University of California San Francisco. San Francisco, CA, USA.Ministério da Saúde. Departamento de Vigilância, Prevenção e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil.Ministério da Saúde. Departamento de Vigilância, Prevenção e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil.Ministério da Saúde. Departamento de Vigilância, Prevenção e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil.engSpringerHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleComportamento Sexual / classificaçãoDoenças Virais Sexualmente Transmissíveis / transmissãoSíndrome de Imunodeficiência AdquiridaHIVEstudos TransversaisPrevalênciainfo:eu-repo/semantics/embargoedAccessreponame:Repositório Digital do Instituto Evandro Chagas (Patuá)instname:Instituto Evandro Chagas (IEC)instacron:IECORIGINALHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdfHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdfapplication/pdf551083https://patua.iec.gov.br/bitstreams/6df246f2-5374-4bd0-80ec-86cdc9335a72/downloadc9a9c128e29cac82a5d7fdf3f4e6da73MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-82182https://patua.iec.gov.br/bitstreams/11f780c0-95ca-4a58-a1d6-84568d824518/download11832eea31b16df8613079d742d61793MD52TEXTHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdf.txtHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdf.txtExtracted texttext/plain2https://patua.iec.gov.br/bitstreams/58ac2b21-ec00-49ca-9708-939ba6365a3c/downloade1c06d85ae7b8b032bef47e42e4c08f9MD55THUMBNAILHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdf.jpgHigh rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil.pdf.jpgGenerated Thumbnailimage/jpeg3095https://patua.iec.gov.br/bitstreams/61e74201-c4b3-4f3a-b938-3ea7af034e56/download71859d578212107f7f8c49a4ce09d9eeMD56iec/40882022-10-20 21:53:22.701oai:patua.iec.gov.br:iec/4088https://patua.iec.gov.brRepositório InstitucionalPUBhttps://patua.iec.gov.br/oai/requestclariceneta@iec.gov.br || Biblioteca@iec.gov.bropendoar:2022-10-20T21:53:22Repositório Digital do Instituto Evandro Chagas (Patuá) - 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dc.title.pt_BR.fl_str_mv |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
title |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
spellingShingle |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil Rocha, Gustavo Machado Comportamento Sexual / classificação Doenças Virais Sexualmente Transmissíveis / transmissão Síndrome de Imunodeficiência Adquirida HIV Estudos Transversais Prevalência |
title_short |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
title_full |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
title_fullStr |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
title_full_unstemmed |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
title_sort |
High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil |
author |
Rocha, Gustavo Machado |
author_facet |
Rocha, Gustavo Machado Guimarães, Mark Drew Crosland Brito, Ana Maria de Dourado, Maria Ines Costa Veras, Maria Amélia Magno, Laio Kendall, Carl Kerr, Ligia Regina Franco Sansigolo Pontes, Alexandre Kerr Camillo, Ana Claudia Magalhães, Ageu Motta-Castro, Ana Rita Coimbra Knauth, Daniela Riva Leal, Andrea Fachel Merchán-Hamann, Edgar Diaz, Ximena Pamela Lima, Luana Nepomuceno Gondim Costa Dourado, Maria Ines Oliveira, Lisangela Cristina de Macena, Raimunda Hermelinda Maia Mota, Rosa Salani Cavalcante, Maria do Socorro Rutherford, George McFarland, Will Pimenta, Cristina Benzaken, Adele Schwartz Pereira, Gerson |
author_role |
author |
author2 |
Guimarães, Mark Drew Crosland Brito, Ana Maria de Dourado, Maria Ines Costa Veras, Maria Amélia Magno, Laio Kendall, Carl Kerr, Ligia Regina Franco Sansigolo Pontes, Alexandre Kerr Camillo, Ana Claudia Magalhães, Ageu Motta-Castro, Ana Rita Coimbra Knauth, Daniela Riva Leal, Andrea Fachel Merchán-Hamann, Edgar Diaz, Ximena Pamela Lima, Luana Nepomuceno Gondim Costa Dourado, Maria Ines Oliveira, Lisangela Cristina de Macena, Raimunda Hermelinda Maia Mota, Rosa Salani Cavalcante, Maria do Socorro Rutherford, George McFarland, Will Pimenta, Cristina Benzaken, Adele Schwartz Pereira, Gerson |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rocha, Gustavo Machado Guimarães, Mark Drew Crosland Brito, Ana Maria de Dourado, Maria Ines Costa Veras, Maria Amélia Magno, Laio Kendall, Carl Kerr, Ligia Regina Franco Sansigolo Pontes, Alexandre Kerr Camillo, Ana Claudia Brito, Ana Maria de Magalhães, Ageu Motta-Castro, Ana Rita Coimbra Knauth, Daniela Riva Leal, Andrea Fachel Merchán-Hamann, Edgar Diaz, Ximena Pamela Lima, Luana Nepomuceno Gondim Costa Veras, Maria Amélia Dourado, Maria Ines Kerr, Ligia Regina Franco Sansigolo Oliveira, Lisangela Cristina de Guimarães, Mark Drew Crosland Macena, Raimunda Hermelinda Maia Mota, Rosa Salani Cavalcante, Maria do Socorro Kendall, Carl Rutherford, George McFarland, Will Pimenta, Cristina Benzaken, Adele Schwartz Pereira, Gerson |
dc.subject.decsPrimary.pt_BR.fl_str_mv |
Comportamento Sexual / classificação Doenças Virais Sexualmente Transmissíveis / transmissão Síndrome de Imunodeficiência Adquirida HIV Estudos Transversais Prevalência |
topic |
Comportamento Sexual / classificação Doenças Virais Sexualmente Transmissíveis / transmissão Síndrome de Imunodeficiência Adquirida HIV Estudos Transversais Prevalência |
description |
The aim of this study was to estimate the prevalence and factors associated with unprotected receptive anal intercourse (URAI), stratified by age (18-24 or 25 + years old), in a sample of 4,129 MSM recruited by respondent driven sampling in 12 Brazilian cities in 2016. The prevalence of URAI was higher among younger MSM (41.9% vs 29.7%) (p < 0.01). Multivariate analysis indicated that perception of risk, sexual identity, self-rated health status, and having commercial sex were associated with URAI among younger MSM. History of sexual violence, sex with younger partners, having 6 + partners and unprotected sexual debut were associated with URAI among older MSM. Marital status, having stable partner, and reporting sex with men only were associated with URAI in both groups. Despite access to condoms and lubricants, preventive efforts may not be reaching MSM effectively. Age specific intervention approaches, including stigma, discrimination, and perception of risk must be considered. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-04-29T19:55:14Z |
dc.date.available.fl_str_mv |
2020-04-29T19:55:14Z |
dc.date.issued.fl_str_mv |
2020 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
ROCHA, Gustavo Machado et al. High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil. AIDS and Behavior, v. 24, n. 3, p. 938-950, Mar. 2020. |
dc.identifier.uri.fl_str_mv |
https://patua.iec.gov.br/handle/iec/4088 |
dc.identifier.issn.-.fl_str_mv |
1090-7165 |
dc.identifier.doi.-.fl_str_mv |
10.1007/s10461-019-02459-y |
identifier_str_mv |
ROCHA, Gustavo Machado et al. High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil. AIDS and Behavior, v. 24, n. 3, p. 938-950, Mar. 2020. 1090-7165 10.1007/s10461-019-02459-y |
url |
https://patua.iec.gov.br/handle/iec/4088 |
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eng |
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Springer |
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Springer |
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