Risky sexual practices among men who have sex with men in Northeast Brazil: results from four sequential surveys

被引:7
作者
Gondim, Rogerio Costa [2 ]
Franco Sansigolo Kerr, Ligia Regina [1 ]
Werneck, Guilherme L. [3 ]
Maia Macena, Raimunda Hermelinda [2 ]
Pontes, Marta Kerr [4 ]
Kendall, Carl [5 ]
机构
[1] Univ Fed Ceara, Dept Saude Comunitaria, BR-60190080 Fortaleza, Ceara, Brazil
[2] Grp Apoio Prevencao AIDS Ceara, Fortaleza, Ceara, Brazil
[3] Univ Estado Rio de Janeiro, Inst Social Med, BR-20550011 Rio De Janeiro, Brazil
[4] Univ Fed Ceara, Dept Psicol, Fortaleza, Ceara, Brazil
[5] Tulane Univ, Dept Int Hlth & Dev, New Orleans, LA 70118 USA
来源
CADERNOS DE SAUDE PUBLICA | 2009年 / 25卷 / 06期
关键词
Sexual Behavior; Unsafe Sex; Male Homosexuality; HIV-POSITIVE GAY; HARD-TO-REACH; BEHAVIORAL SURVEILLANCE; ANTIRETROVIRAL THERAPY; HIDDEN POPULATIONS; SAN-FRANCISCO; BISEXUAL MEN; TRANSMITTED INFECTIONS; TRANSMISSION DYNAMICS; CONDOM USE;
D O I
10.1590/S0102-311X2009000600021
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This paper focuses on recent trends in risky sexual practices for HIV/AIDS among men who have sex with men (MSM) in Fortaleza, Ceara State, Brazil. Four cross-sectional surveys were conducted (1995, 1998, 2002, and 2005) among MSM 14 years or older who reported oral or anal sex in the previous 12 months. Sexual practices were considered risky whenever the respondent reported unprotected receptive or insertive anal intercourse in the six months preceding the interview. Different selection techniques were used to recruit the study population: snowball (1995, 1998, 2002-32%); time-space sampling (2002-68%); and respondent-driven sampling (2005). Analyses were based on the comparison between proportions. High rates of risky sexual practices were reported in 1995 (49.9%), decreasing in 1998 (32.6%), increasing again in 2002 (51.3%), and showing the lowest level in 2005 (31.4%). Participants with more schooling increased their risky practices from 1998 to 2002, decreasing in 2005. Among individuals with medium or low schooling, risky behavior declined from 2002 to 2005. The article highlights the need for behavioral surveillance to properly address STD/HIV prevention.
引用
收藏
页码:1390 / 1398
页数:9
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