How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis

Detalhes bibliográficos
Autor(a) principal: Torres, Thiago Silva
Data de Publicação: 2019
Outros Autores: Marins, Luana M S, Santos, Valdiléa Gonçalves Veloso dos, Grinsztejn, Beatriz, Luz, Paula Mendes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/38800
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
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spelling Torres, Thiago SilvaMarins, Luana M SSantos, Valdiléa Gonçalves Veloso dosGrinsztejn, BeatrizLuz, Paula Mendes2019-12-23T14:44:02Z2019-12-23T14:44:02Z2019TORRES, Thiago S. et al. How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis. BMC Infectious Diseases, v. 19, n. 1, p. 1067, 2019.1471-2334https://www.arca.fiocruz.br/handle/icict/3880010.1186/s12879-019-4704-xengBMCHow heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Background: Brazil has the largest population of individuals living with HIV/AIDS in Latin America, with a disproportional prevalence of infection among gays, bisexuals and other men who have sex with men (MSM). Of relevance to prevention and treatment efforts, Brazilian MSM from different regions may differ in behaviors and risk perception related to HIV. Methods: We report on MSM living in 29 different cities: 26 Brazilian state capitals, the Federal District and two large cities in São Paulo state assessed in three web-based surveys (2016-2018) advertised on Grindr, Hornet and Facebook. Using logistic regression models, we assessed the association of risk behavior with HIV perceived risk as well as factors associated with high-risk behavior. Results: A total of 16,667 MSM completed the survey. Overall, MSM from the North and Northeast were younger, more black/mixed-black, of lower income and lower education compared to MSM from the South, Southeast and Central-west. Though 17% had never tested for HIV (with higher percentages in the North and Northeast), condomless receptive anal sex (previous 6 months) and high-risk behavior as per HIV Incidence Risk scale for MSM were observed for 41 and 64%, respectively. Sexual behavior and HIV perceived risk had low variability by city and high-risk behavior was strongly associated with high HIV perceived risk. Younger age, being gay/homosexual, having a steady partner, binge drinking, report of sexually transmitted infection (STI) and ever testing for HIV were associated with increased odds of high-risk behavior. Awareness and willingness to use PrEP increased from 2016 to 2018 in most cities. Conclusions: Overall, MSM socio-demographic characteristics were heterogeneous among Brazilian cities, but similarities were noted among the cities from the same administrative region with a marked exception of the Federal District not following the patterns for the Central-West. Combination HIV prevention is most needed among young men who self-identify as gay/homosexual, report binge drinking or prior STI.BrazilHIV perceived riskHIV risk behaviorLatin AmericaMSMPrEPWeb-based surveyinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/38800/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALHow heterogeneous_Thiago_Torres_INI_LapClin-AIDS_2019.pdfHow heterogeneous_Thiago_Torres_INI_LapClin-AIDS_2019.pdfapplication/pdf964548https://www.arca.fiocruz.br/bitstream/icict/38800/2/How%20heterogeneous_Thiago_Torres_INI_LapClin-AIDS_2019.pdf0698d377d2377b15fbde28b3bf017795MD52TEXTHow heterogeneous_Thiago_Torres_INI_LapClin-AIDS_2019.pdf.txtHow heterogeneous_Thiago_Torres_INI_LapClin-AIDS_2019.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
title How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
spellingShingle How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
Torres, Thiago Silva
Brazil
HIV perceived risk
HIV risk behavior
Latin America
MSM
PrEP
Web-based survey
title_short How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
title_full How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
title_fullStr How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
title_full_unstemmed How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
title_sort How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis
author Torres, Thiago Silva
author_facet Torres, Thiago Silva
Marins, Luana M S
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
Luz, Paula Mendes
author_role author
author2 Marins, Luana M S
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
Luz, Paula Mendes
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Torres, Thiago Silva
Marins, Luana M S
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
Luz, Paula Mendes
dc.subject.en.pt_BR.fl_str_mv Brazil
HIV perceived risk
HIV risk behavior
Latin America
MSM
PrEP
Web-based survey
topic Brazil
HIV perceived risk
HIV risk behavior
Latin America
MSM
PrEP
Web-based survey
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-12-23T14:44:02Z
dc.date.available.fl_str_mv 2019-12-23T14:44:02Z
dc.date.issued.fl_str_mv 2019
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 TORRES, Thiago S. et al. How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis. BMC Infectious Diseases, v. 19, n. 1, p. 1067, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/38800
dc.identifier.issn.pt_BR.fl_str_mv 1471-2334
dc.identifier.doi.none.fl_str_mv 10.1186/s12879-019-4704-x
identifier_str_mv TORRES, Thiago S. et al. How heterogeneous are MSM from Brazilian cities? An analysis of sexual behavior and perceived risk and a description of trends in awareness and willingness to use pre-exposure prophylaxis. BMC Infectious Diseases, v. 19, n. 1, p. 1067, 2019.
1471-2334
10.1186/s12879-019-4704-x
url https://www.arca.fiocruz.br/handle/icict/38800
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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