| Author | Luz, Paula M. | |
| Author | Torres, Thiago S. | |
| Author | Almeida-Brasil, Celline C. | |
| Author | Marins, Luana M. S. | |
| Author | Veloso, Valdiléa G. | |
| Author | Grinsztejn, Beatriz | |
| Author | Cox, Joseph | |
| Author | Moodie, Erica E. M. | |
| Access date | 2021-07-29T21:56:19Z | |
| Available date | 2021-07-29T21:56:19Z | |
| Document date | 2021 | |
| Citation | LUZ, Paula M. et al. High-Risk Sexual Behavior, Binge Drinking and Use of Stimulants are Key Experiences on the Pathway to High Perceived HIV Risk Among Men Who Have Sex with Men in Brazil. AIDS and behavior, v. 25, n. 3, p. 748-757, 2021 | pt_BR |
| ISSN | 1090-7165 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/48414 | |
| Language | eng | pt_BR |
| Publisher | Springer | pt_BR |
| Rights | restricted access | pt_BR |
| Title | High-Risk Sexual Behavior, Binge Drinking and Use of Stimulants are Key Experiences on the Pathway to High Perceived HIV Risk Among Men Who Have Sex with Men in Brazil | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1007/s10461-020-03035-5 | |
| Abstract | In Brazil, pre-exposure prophylaxis (PrEP) is currently available for gay, bisexual, and other men who have sex with men. As PrEP use depends on an individual's perceived risk, we explored pathways by which potentially modifiable behaviors lead to high perceived HIV risk. Using online surveys (N = 16,667), we conducted a path analysis on the basis of ordered sequences of multivariate logistic regressions. High perceived HIV risk was low (26.3%) compared to condomless receptive anal sex (41.4%). While younger age increased the odds of binge drinking and of condomless receptive anal sex, it was associated with decreased odds of high perceived HIV risk. In contrast, use of stimulants increased the odds of condomless receptive anal sex and of high perceived HIV risk. Our results suggest that binge drinking and use of stimulants are key points in different pathways to high-risk sexual behavior and may lead to different perceptions of HIV risk. | pt_BR |
| xmlui.metadata.dc.description.abstractes | En Brasil, la profilaxis previa a la exposición (PrEP) está disponible actualmente para hombres homosexuales, bisexuales y otros hombres que tienen sexo con hombres. Como el uso de PrEP depende del riesgo percibido de una persona, exploramos vías por las cuales los comportamientos potencialmente modificables conducen a un alto riesgo percibido de VIH. Utilizando datos de encuestas en línea (N = 16.667), realizamos un análisis de ruta sobre la base de secuencias ordenadas de regresiones logísticas multivariadas. El alto riesgo percibido de VIH fue bajo (26,3%) en comparación con el sexo anal receptivo sin condón (41,4%). La edad más joven aumentó las probabilidades de consumo de alcohol en exceso y del sexo anal receptivo sin condón, todavía se asoció con una menor probabilidad de alta percepción de riesgo sobre VIH. Sin embargo, el uso de estimulantes aumentó las probabilidades de tener sexo anal receptivo sin condón y de un alto riesgo percibido de VIH. Nuestros resultados sugieren que el consumo excesivo de alcohol y el uso de estimulantes son puntos clave en diferentes vías de conductas sexuales de alto riesgo y pueden llevar a diferentes percepciones del riesgo de VIH. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Research Institute of the McGill University Health Centre. Montreal, Canada. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Research Institute of the McGill University Health Centre. Montreal, Canada / McGill University. Faculty of Medicine. Department of Epidemiology, Biostatistics and Occupational Health. Montreal, Canada. | pt_BR |
| Affilliation | McGill University. Faculty of Medicine. Department of Epidemiology, Biostatistics and Occupational Health. Montreal, Canada. | pt_BR |
| Subject | Binge drinking | pt_BR |
| Subject | Bisexual and other men who have sex with men (GBM) | pt_BR |
| Subject | Gay | pt_BR |
| Subject | HIV | pt_BR |
| Subject | Perceived HIV risk | pt_BR |
| Subject | Sexual behavior | pt_BR |
| Subject | Stimulant use | pt_BR |
| Subject in Spanish | Consumo excesivo de alcohol | pt_BR |
| Subject in Spanish | Hombres bisexuales y otros que tienen sexo con hombres (GBM) | pt_BR |
| Subject in Spanish | Gay | pt_BR |
| Subject in Spanish | VIH | pt_BR |
| Subject in Spanish | Riesgo percibido de VIH | pt_BR |
| Subject in Spanish | Comportamiento sexual | pt_BR |
| Subject in Spanish | Uso de estimulantes | pt_BR |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
