High HIV Prevalence among Men who have Sex with Men in a Time-Location Sampling Survey, São Paulo, Brazil.

We conducted a time-location sampling sero-behavioral surveillance survey of men who have sex with men (MSM) in São Paulo, Brazil, the largest city in Latin America and the Southern Hemisphere (N = 1,217 interviewed with serological results for 771). HIV prevalence was 15.4 % (95 % CI 11.6-20.1), wi...

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Publicado en:AIDS & Behavior Vol. 19; no. 9; pp. 1589 - 1599
Autores principales: Sousa Mascena Veras, Maria, Calazans, Gabriela, Almeida Ribeiro, Manoel, Freitas Oliveira, Carmem, Giovanetti, Marcia, Facchini, Regina, França, Isadora, McFarland, Willi
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2015
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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          Sousa Mascena Veras, Maria
          Calazans, Gabriela
          Almeida Ribeiro, Manoel
          Freitas Oliveira, Carmem
          Giovanetti, Marcia
          Facchini, Regina
          França, Isadora
          McFarland, Willi
        affil: Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo Brazil
      sug:
        subj:
          HIV Infections Epidemiology
          Sexuality
          Gay Men
          Brazil
          Human
          Male
          Adolescence
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Odds Ratio
          P-Value
          Seroprevalence Studies
          Behavioral Research
          Structured Questionnaires
          HIV Infections Diagnosis
          Random Assignment
          Socioeconomic Factors
          Funding Source
          Prevalence
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
      ab:
        We conducted a time-location sampling sero-behavioral surveillance survey of men who have sex with men (MSM) in São Paulo, Brazil, the largest city in Latin America and the Southern Hemisphere (N = 1,217 interviewed with serological results for 771). HIV prevalence was 15.4 % (95 % CI 11.6-20.1), with only 45.8 % previously aware of their infection. HIV prevalence achieved 6.4 % among youth 18-24 years and was higher among MSM with lower socio-economic status. In multivariate analysis, correlates of HIV were older age, gay identity, lower socio-economic status, social networks with HIV-positive MSM, receptive anal sex, and internet sex partners. Policy change towards increasing avenues for HIV testing coupled with antiretroviral treatment regardless of CD4 count or stage of disease stand to benefit the MSM community if scaled up fast enough
        Hemos conducido una encuesta de comportamiento con vinculacion serologico, de muestreo por tiempo-lugar, con hombres que tienen sexo con hombres (HSH) en São Paulo, Brasil, la ciudad más grande de América Latina y del Hemisferio sur (N = 1,217 entrevistados y resultados serológicos para 771). La prevalencia de VIH fue 15.4 % (IC 95 % 11.6-20.1), 45.8 % previamente conocian su infección. La prevalencia de VIH alcanzó 6.4 % entre jóvenes de 18 a 24 años y fue mayor entre los HSH de nivel socioeconómico más bajo. En el análisis multivariado, se encontró correlación entre VIH y mayor edad, identidad sexual gay, bajo estado socio-económico, redes sociales con un HSH con infección por VIH, sexo anal receptivo, y parejas sexuales conocidas por internet. Cambios en políticas hacia el aumento de pruebas de VIH junto con tratamientos antirretrovirales independientemente del recuento de CD4 o etapa de la enfermedad serán benéficos a la comunidad HSH si ampliadas con la suficiente rapidez.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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