High Rates of Unprotected Receptive Anal Intercourse and Their Correlates Among Young and Older MSM in Brazil

被引：20

作者：

Rocha, Gustavo Machado ^{[1
]}

Guimaraes, Mark Drew Crosland ^{[2
]}

de Brito, Ana Maria ^{[3
,11
]}

Dourado, Ines ^{[4
]}

Veras, Maria Amelia ^{[5
,17
]}

Magno, Laio ^{[6
]}

Kendall, Carl ^{[7
,8
,25
,26
]}

Kerr, Ligia Regina Franco Sansigolo ^{[8
]}

Pontes, Alexandre Kerr ^{[9
]}

Camillo, Ana Claudia ^{[10
]}

de Brito, Ana Maria ^{[3
,11
]}

Magalhaes, Ageu ^{[11
]}

Motta-Castro, Ana Rita Coimbra ^{[12
,13
]}

Knauth, Daniela Riva ^{[14
]}

Leal, Andrea Fachel ^{[14
]}

Merchan-Hermann, Edgar ^{[15
]}

Diaz, Ximena Pamela ^{[15
]}

Lima, Luana N. C. ^{[16
]}

Veras, Maria Amelia ^{[5
,17
]}

Dourado, Maria Ines ^{[18
]}

Franco Sansigolo Kerr, Ligia Regina ^{[19
]}

de Oliveira, Lisangela Cristina ^{[20
]}

Crosland Guimaraes, Mark Drew ^{[21
]}

Maia Macena, Raimunda Hermelinda ^{[22
]}

Mota, Rosa Salani ^{[23
]}

Cavalcante, Maria do Socorro ^{[24
]}

Kendall, Carl ^{[7
,8
,25
,26
]}

Rutherford, George ^{[27
]}

McFarland, Willi ^{[28
]}

Pimenta, Cristina ^{[29
]}

Benzaken, Adele Schwartz ^{[29
]}

Pereira, Gerson ^{[29
]}

机构：

[1] Univ Fed Sao Joao del Rei, Rua Sebastiao Goncalves Coelho 400, BR-35502296 Divinopolis, MG, Brazil

[2] Univ Fed Minas Gerais, Dept Prevent & Social Med, Belo Horizonte, MG, Brazil

[3] Fiocruz MS, Aggeu Magalhaes Inst, Recife, PE, Brazil

[4] Univ Fed Bahia, Collect Hlth Inst, Salvador, BA, Brazil

[5] Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, Brazil

[6] Univ Estado Bahia, Dept Life Sci, Salvador, BA, Brazil

[7] Tulane Sch Publ Hlth & Trop Med, Ctr Global Hlth Equ, New Orleans, LA USA

[8] Univ Fed Ceara, Dept Community Hlth, Fortaleza, Ceara, Brazil

[9] Univ Fed Rio de Janeiro, Rio De Janeiro, Brazil

[10] Fundacao Alfredo Mata, Manaus, Amazonas, Brazil

[11] Fundacao Oswaldo Cruz, Recife, PE, Brazil

[12] Fiocruz MS, Campo Grande, MS, Brazil

[13] Univ Fed Mato Grosso do Sul, Campo Grande, MS, Brazil

[14] Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil

[15] Univ Brasilia, Brasilia, DF, Brazil

[16] Inst Evandro Chagas, Belem, Para, Brazil

[17] Fac Ciencias Med Santa Casa Sao Paulo, Sao Paulo, Brazil

[18] Univ Fed Bahia, Salvador, BA, Brazil

[19] Univ Fed Ceara, Project PI, Fortaleza, Ceara, Brazil

[20] Ctr Univ Autonomo Brasil UNIBRASIL, Curitiba, Parana, Brazil

[21] Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil

[22] Univ Fed Ceara, Fortaleza, Ceara, Brazil

[23] Univ Fed Ceara, Fortaleza, Ceara, Brazil

[24] Secretaria Saude Ceara, Fortaleza, Ceara, Brazil

[25] Tulane Univ, New Orleans, LA 70118 USA

[26] Univ Fed Ceara, Fortaleza, Ceara, Brazil

[27] Univ Calif San Francisco, San Francisco, CA 94143 USA

[28] Univ Calif San Francisco, San Francisco, CA 94143 USA

[29] DIAHV MoH, Brasilia, DF, Brazil

来源：

AIDS AND BEHAVIOR | 2020年 / 24卷 / 03期

关键词：

HIV; AIDS; Risk behavior; Behavior surveillance; MSM; Brazil; SEXUAL RISK-TAKING; HIV PREVENTION; MEN; TRANSMISSION; BEHAVIORS; EPIDEMIOLOGY; PREVALENCE; INFECTION; WORKERS; RDS;

D O I：

10.1007/s10461-019-02459-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：938 / 950

页数：13

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