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AutorGuimarães, Mark Drew Crosland
AutorKendall, Carl
AutorMagno, Laio
AutorRocha, Gustavo Machado
AutorKnauth, Daniela Riva
AutorLeal, Andrea Fachel
AutorDourado, Ines
AutorVeras, Maria Amélia
AutorBrito, Ana Maria de
AutorKerr, Ligia Regina Franco Sansigolo
Data de acesso2019-04-26T13:40:57Z
Data de disponibilização2019-04-26T13:40:57Z
Data do publicação2018
CitaçãoGUIMARÃES, Mark Drew Crosland et al. Comparing HIV Risk-Related Behaviors between 2 RDS National Samples of MSM in Brazil, 2009 and 2016. Medicine, v. 97, n. 1, Suppl 1, p. S62–S68, maio 2018.pt_BR
ISSN1536-5964pt_BR
URIhttps://www.arca.fiocruz.br/handle/icict/32777
FomentoThe Brazilian Ministry of Health through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis.pt_BR
Idiomaengpt_BR
Direito Autoralopen accesspt_BR
TítuloComparing HIV risk-related behaviors between 2 RDS national samples of MSM in Brazil, 2009 and 2016pt_BR
Tipo do documentoArticlept_BR
DOI10.1097/MD.0000000000009079
Resumo em InglêsIntroduction: Periodic monitoring of sociobehavior characteristics at a national level is an essential component of understanding the dynamics the human immunodeficiency virus (HIV) epidemic worldwide, including Brazil. Methods: This paper compares descriptive sociobehavior characteristics in 2 national cross-sectional HIV biological behavioral surveillance surveys (BBSS) conducted in 2009 and 2016 among men who have sex with men (MSM) in Brazil. Respondent driven sampling (RDS) was used for recruitment in both years. Overall proportions were weighted according to Gile’s estimator using RDS Analyst Software and 95% confidence intervals were calculated for comparisons between the 2 periods. Further comparisons were stratified by age groups (<25 and 25+ years old). Results: Overall, 3749 and 4176 MSM were recruited in 2009 and 2016, respectively. In 2016, participants were younger than 25 years old (58.3%), with 12 or more years of education (70.4%), with higher socioeconomic status (40.7%), and had a higher proportion of whites (31.8%), as compared to 2009. Also, participants in 2016 reported less alcohol use and binge drinking, but used illicit drugs more frequently. There was an increase among MSM who self-reported their HIV risk as low and had low HIV knowledge while the proportion of those who were never tested for HIV dropped from 49.8% in 2009 to 33.8% in 2016. Although more than three-quarters received free condoms in both years, STD counseling remained low (32% and 38% for 2009 and 2016, respectively). Sexual risk behavior remained at high levels, especially unprotected anal receptive sex and sex with multiple partners. Younger MSM (<25 years old) showed riskier sexual practices than those 25+ years old, when comparing 2016 to 2009. Conclusions: Our results indicate a worrisome risk behavior trend among Brazilian MSM, especially among younger ones. These results can contribute for a better understanding of the HIV epidemics in Brazil, with timely shift in strategies so improved effectiveness in public health prevention efforts can be achieved. Abbreviations: AIDS = acquired immune deficiency syndrome, BBSS = biological behavioral surveillance survey, CDC = Centers for Disease Control, CI = confidence interval, DIAHV/MoH = Department of STI, HIV/AIDS and Viral Hepatitis, Ministry of Health, HIV = human immunodeficiency virus, IRT = item response theory, MSM = men who have sex with men, NGO = nongovernmental organization, RDS = respondent driven sampling, STI = sexually transmitted infections, UIAI = unprotected insertive anal intercourse, UNAIDS = United Nations Program on HIV/AIDS, URAI = Unprotected Receptive Ana Intercourse, WHO = World Health Organization.pt_BR
AfiliaçãoFederal University of Minas Gerais. Department of Preventive and Social Medicine. Belo Horizonte, Brazil.pt_BR
AfiliaçãoTulane School of Public Health and Tropical Medicine. Center for Global Health Equity. New Orleans, LA, USA.pt_BR
AfiliaçãoState University of Bahia. Department of Life Sciences. Salvador, Bahia, Brazil.pt_BR
AfiliaçãoFederal University of São João DelRei. Divinópolis.pt_BR
AfiliaçãoFederal University of Rio Grande do Sul. Porto Alegre, Brazil.pt_BR
AfiliaçãoFederal University of Rio Grande do Sul. Porto Alegre, Brazil.pt_BR
AfiliaçãoCollective Health Institute, Federal University of Bahia. Salvador, Bahia, Brazil.pt_BR
AfiliaçãoFaculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo.pt_BR
AfiliaçãoFundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.pt_BR
AfiliaçãoFederal University of Ceará. Department of Community Health. Fortaleza, Ceará, Brazil.pt_BR
Palavras-chave em inglêsBehavior surveillancept_BR
Palavras-chave em inglêsBrazilpt_BR
Palavras-chave em inglêsHIV/AIDSpt_BR
Palavras-chave em inglêsMSMpt_BR
DeCSAdolescentept_BR
DeCSAdultopt_BR
DeCSBrasil / epidemiologiapt_BR
DeCSPreservativos / estatísticas e dados numéricospt_BR
DeCSPreservativos / fornecimento e distribuiçãopt_BR
DeCSEstudos Transversaispt_BR
DeCSHIV / isolamento e purificaçãopt_BR
DeCSHIV / patogenicidadept_BR
DeCSInfecções por HIV / epidemiologiapt_BR
DeCSInfecções por HIV / mortalidadept_BR
DeCSHomossexualidade Masculina / psicologiapt_BR
DeCSHomossexualidade Masculina / estatística & dados numéricospt_BR
DeCSHumanospt_BR
DeCSMasculinopt_BR
DeCSPrevalênciapt_BR
DeCSAssunção de riscospt_BR
DeCSEstudos de Amostragempt_BR
DeCSAuto relatóriopt_BR
DeCSComportamento Sexual / psicologiapt_BR
DeCSComportamento Sexual / estatística & dados numéricospt_BR
DeCSClasse socialpt_BR
DeCSDrogas de rua / efeitos adversospt_BR
DeCSSexo inseguro / estatística & dados numéricospt_BR
DeCSAdulto jovempt_BR


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