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
Autor(a) principal: | |
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Data de Publicação: | 2019 |
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/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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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 |
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https://www.arca.fiocruz.br/handle/icict/38800 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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BMC |
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BMC |
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