Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/43766

Type
Article
Copyright
Restricted access
Sustainable Development Goals
05 Igualdade de gênero
Collections
Share

Statistics
Metadata
Show full item record

DEVELOPMENT OF A SOCIAL NETWORK–BASED INTERVENTION TO OVERCOME MULTILEVEL BARRIERS TO ART ADHERENCE AMONG ADOLESCENTS IN BRAZIL
Luz, Paula M. et al. | Date Issued: 2020
Author
Luz, Paula M.
Torres, Thiago S.
Almeida-Brasil, Celline C.
Marins, Luana M. S.
Veloso, Valdiléa G.
Beatriz, Grinsztejn
Cox, Joseph
Moodie, Erica E. M.
Affilliation
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Research Institute of the McGill University Health Centre. Montreal, Canada.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Research Institute of the McGill University Health Centre. Montreal, Canada / McGill University. Faculty of Medicine. Biostatistics and Occupational Health. Department of Epidemiology. Montreal, Canada.
McGill University. Faculty of Medicine. Biostatistics and Occupational Health. Department of Epidemiology. Montreal, Canada.
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.
Keywords
Binge drinking
Bisexual and other men who have sex with men (GBM)
Gay
HIV
Perceived HIV risk
Sexual behavior
Stimulant use
 
Publisher
Springer
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, p. 1-10, 2020.
DOI
10.1007/s10461-020-03035-5
ISSN
1090-7165