Perceived Risk of HIV Infection and Acceptability of PrEP among Men Who Have Sex with Men in Brazil.
The HIV epidemic affects men who have sex with men (MSM) disproportionally in Brazil, and pre-exposure prophylaxis (PrEP) is effective for preventing HIV in this population. However, low perceived risk of HIV may influence the acceptability and decision to use PrEP. This study estimated the associat...
| Publicado en: | Archives of Sexual Behavior Vol. 52; no. 2; pp. 773 - 783 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Feb2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=161580554&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 161580554 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: Feb2023 vid: 52 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 161580554 10.1007/s10508-022-02342-3 ppf: 773 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 718KB tig: atl: Perceived Risk of HIV Infection and Acceptability of PrEP among Men Who Have Sex with Men in Brazil. aug: au: Soares, Fabiane Magno, Laio da Silva, Luís Augusto V. Guimarães, Mark Drew Crosland Leal, Andrea Fachel Knauth, Daniela Veras, Maria Amélia de Brito, Ana Maria Kendall, Carl Kerr, Ligia Regina Franco Sansigolo Dourado, Inês affil: Institute of Collective Health, Federal University of Bahia, Basílio da Gama, s/n, Campos Universitário Do Canela, CEP: 4.0110-040, Salvador, Bahia, Brazil Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil IHAC, Federal University of Bahia, Salvador, Bahia, Brazil Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil Sociology Department, Institute of Philosophy and Human Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande do Sul, Brazil Department of Social Medicine, Faculty of Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Rio Grande do Sul, Brazil School of Medical Sciences, Santa Casa de São Paulo, São Paulo, São Paulo, Brazil Aggeu Magalhães Institute, Fiocruz, Recife, Pernambuco, Brazil Department of Community Health, Federal University of Ceará, Fortaleza, Ceará, Brazil Department of Social, Behavioral, and Population Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA su: Brazil Men who have sex with men Sexual orientation HIV infections Pre-exposure prophylaxis sug: subj: Men who have sex with men Sexual orientation Brazil HIV infections Pre-exposure prophylaxis keyword: Acceptability HIV infection PrEP Acceptability HIV infection PrEP ab: The HIV epidemic affects men who have sex with men (MSM) disproportionally in Brazil, and pre-exposure prophylaxis (PrEP) is effective for preventing HIV in this population. However, low perceived risk of HIV may influence the acceptability and decision to use PrEP. This study estimated the association between self-perception of HIV risk and acceptability of daily oral PrEP among Brazilian MSM. Respondent-driven sampling (RDS) was used for behavioral and biological surveillance to recruit 4,176 MSM 18 years or over in 12 Brazilian cities in 2016. Results were weighted using Gile's estimator in RDS Analyst software. Adjusted odds rations (OR) with 95% confidence intervals were calculated using multivariate logistic regression. Acceptability of daily oral PrEP was high (69.7%) among the 3,544 MSM available for analysis. Most participants self-reported low or moderate risk of HIV infection (67.2%) and a small proportion (9.3%) reported high risk. A dose–response relationship was observed between acceptability of PrEP and self-reported risk: PrEP acceptability was 1.88 times higher (OR 1.8; 95% CI: 1.24–2.85) among MSM whose perceived risk of HIV infection was low or moderate, and 5 times higher (OR 5.68; 95% CI: 2.54–12.73) among those who self-reported high risk compared to MSM reporting no HIV risk. MSM with the highest risk perception of HIV reported higher rates of PrEP acceptability. Given the availability of daily oral PrEP in the public health care system in Brazil, we suggest emphasizing counseling about self-perception of HIV risk as part of routine HIV prevention services. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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