High rates of unprotected receptive anal intercourse and their correlates among young and older MSM in Brazil

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Fecha
2020
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URI
http://patua.iec.gov.br//handle/iec/4088
Autor
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
Resumen
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.
Referencia
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.
DeCs
Comportamento Sexual / classificação
Doenças Virais Sexualmente Transmissíveis / transmissão
Síndrome de Imunodeficiência Adquirida
HIV
Estudos Transversais
Prevalência
Derecho de autor
Acesso Embargado
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