Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil

Rocha, Gustavo Machado; Kerr, Lígia Regina Franco Sansigolo; Brito, Ana Maria de; Dourado, Inês; Guimarães, Mark Drew Crosland

doi:10.1007/s10461-012-0398-4

Cited by 31 publications

(34 citation statements)

References 10 publications

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“…Resultado similar também foi encontrado no trabalho realizado por Deb et al 15 . Contudo, esse fato se torna preocupante quando analisamos os resultados de Rocha et al 4 , que encontraram um elevado risco de prática do sexo anal receptivo desprotegido entre os HSH que vivem com um parceiro masculino ou têm um parceiro estável, dos quais uma grande proporção destes também relatou relações sexuais com um parceiro casual ou comercial ao mesmo tempo.…”

Section: Fatores De Vulnerabilidade Modelos Intermediáriosunclassified

“…Estudo nacional realizado entre HSH de dez municípios brasileiros, utilizando a metodologia Respondent Driven Sampling (RDS), mostrou uma preocupante situação epidemiológica. A prevalência global do HIV foi de 14,2% 3 com variações de 5,2 a 23,7% entre as cidades, e a proporção de relações anais receptivas desprotegidas foi de 36,5% 4 . Da mesma forma, o nível de conhecimento em HIV/AIDS entre os HSH foi avaliado e encontrou-se 40,7% da amostra com níveis de conhecimento abaixo da média 5 .…”

Section: Introductionunclassified

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Fatores associados ao baixo conhecimento sobre HIV/AIDS entre homens que fazem sexo com homens no Brasil

et al. 2017

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Section: Fatores De Vulnerabilidade Modelos Intermediáriosunclassified

Section: Introductionunclassified

Fatores associados ao baixo conhecimento sobre HIV/AIDS entre homens que fazem sexo com homens no Brasil

et al. 2017

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“…This group has progressively increased its contribution to AIDS cases among men, rising from 36.2% in 2001 to 48.3% in 2011 (3) . In 10 Brazilian cities, almost half (47%) of MSM lacked risk perception concerning HIV infection, 37.5% have never been tested for HIV, and 36.5% participated in unprotected receptive anal intercourse (20) . These results suggest that in the State of Amazonas, the largest proportion of AIDS cases over time has been among people in their twenties and mid-thirties with no sex disparities.…”

Section: Critical Evaluation Of Changes Observed Within the Context Omentioning

confidence: 99%

HIV/AIDS epidemic in the State of Amazonas: characteristics and trends from 2001 to 2012

Oliveira

Benzaken

Saraceni

et al. 2015

Rev. Soc. Bras. Med. Trop.

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70www.scielo.br/rsbmt I www.rsbmt.org.br Revista da Sociedade Brasileira de Medicina Tropical 48(Suppl I):70-78, 2015http://dx.doi. org/10.1590/0037-8682-0121-2013 Review Article ABSTRACT A scoping review was conducted to describe the epidemiological characteristics of the human immunodefi ciency virus/acquired immunodefi ciency syndrome (HIV/AIDS) epidemic in the State of Amazonas, Brazil, from 2001 to 2012, and temporary patterns were estimated from surveillance data. The results suggest that in its third decade, the Amazon HIV/AIDS epidemic is far from being stabilized and displays rising AIDS incidence and mortality rates and late diagnoses. The data suggest that AIDS cases are hitting mostly young adults and have recently shifted toward men, both homosexual and heterosexual. AIDS cases among the indigenous people have remained stable and low. However, the epidemic has disseminated to the interior of the state, which adds diffi culties to its control, given the geographical isolation, logistical barriers, and culturally and ethnically diverse population. Antiretroviral (ARV) therapy has been decentralized, but peripheral ARV services are still insuffi cient and too distant from people who need them. Recently, the expansion of point-of-care (POC) rapid HIV testing has been contributing to overcoming logistical barriers. Other new POC devices, such as the PIMA CD4 analyzer, will bring the laboratory to the patient. AIDS uniquely coexists with other tropical infections, sharing their epidemiological profi les. The increased demand for HIV/AIDS care services can only be satisfi ed through increased decentralization to peripheral health units, which can also naturally integrate care with other tropical infections and can promote a shift from vertical to integrated programming. Future challenges involve building surveillance data on HIV case notifi cation and covering the spectrum of engagement in care, including adherence to treatment and follow-up loss.

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“…In general, “stable” or primary partnerships are associated with a greater perception of commitment between the partners involved, while “non-stable” partnerships, including casual, anonymous or transactional sexual relations, typically do not carry comparable levels of emotional intimacy [14]–[17]. Accordingly, UAI has been more commonly reported in primary partnerships when compared to casual partnerships among both HIV-infected and HIV-uninfected MSM [10], [11], [18], suggesting an association between partnership type and willingness to engage in UAI. The greater intimacy presumed in “stable” partnerships can be seen as both protective (supporting open communication about HIV and STI, and encouraging mutually protective behavior within the partnership), and potentially harmful (inhibiting condom use within a partnership which is incorrectly believed to be monogamous and free of infection) [14]–[17].…”

Section: Introductionmentioning

confidence: 99%

“…While previous research has documented an association between partnership type and UAI in diverse populations worldwide [7], [10], [12], [19], [20], few studies have investigated the relationship between partnership type and UAI among MSM and TGW in Latin America [11], [21]. Modeling estimates from the Prevention Umbrella for MSM in the Americas (PUMA) project have suggested that UAI drives the HIV epidemic in Peru, with approximately one-third of new HIV cases believed to occur in primary partnerships [1].…”

Section: Introductionmentioning

confidence: 99%

The Risk of Stable Partnerships: Associations between Partnership Characteristics and Unprotected Anal Intercourse among Men Who Have Sex with Men and Transgender Women Recently Diagnosed with HIV and/or STI in Lima, Peru

Cambou¹,

Perez-Brumer

Segura³

et al. 2014

PLoS ONE

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BackgroundPartnership type is an important factor associated with unprotected anal intercourse (UAI) and subsequent risk for HIV and sexually transmitted infections (STI). We examined the association of partnership type with UAI among men who have sex with men (MSM) and male-to-female transgender women (TGW) in Lima, Peru, recently diagnosed with HIV and/or STI.MethodsWe report data from a cross-sectional analysis of MSM and TGW recently diagnosed with HIV and/or STI in Lima, Peru between 2011 and 2012. We surveyed participants regarding UAI with up to their three most recent sexual partners according to partner type. Multivariable Generalized Estimate Equating (GEE) models with Poisson distribution were used to estimate prevalence ratios (PR) for UAI according to partner type.ResultsAmong 339 MSM and TGW recently diagnosed with HIV and/or STI (mean age: 30.6 years, SD 9.0), 65.5% self-identified as homosexual/gay, 16.0% as bisexual, 15.2% as male-to-female transgender, and 3.3% as heterosexual. Participants provided information on 893 recent male or TGW partners with whom they had engaged in insertive or receptive anal intercourse: 28.9% stable partners, 56.4% non-stable/non-transactional partners (i.e. casual or anonymous), and 14.7% transactional partners (i.e. transactional sex client or sex worker). Unprotected anal intercourse was reported with 41.3% of all partners. In multivariable analysis, factors associated with UAI included partnership type (non-stable/non-transactional partner APR 0.73, [95% CI 0.59–0.91], transactional partner APR 0.53 [0.36–0.78], p<0.05) and the number of previous sexual encounters with the partner (>10 encounters APR 1.43 [1.06–1.92], p<0.05).ConclusionUAI was more commonly reported for stable partners and in partnerships with >10 sexual encounters, suggesting UAI is more prevalent in partnerships with a greater degree of interpersonal commitment. Further research assessing partner-level factors and behavior is critical for improving HIV and/or STI prevention efforts among Peruvian MSM and TGW.

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Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil

Cited by 31 publications

References 10 publications

Fatores associados ao baixo conhecimento sobre HIV/AIDS entre homens que fazem sexo com homens no Brasil

Fatores associados ao baixo conhecimento sobre HIV/AIDS entre homens que fazem sexo com homens no Brasil

HIV/AIDS epidemic in the State of Amazonas: characteristics and trends from 2001 to 2012

The Risk of Stable Partnerships: Associations between Partnership Characteristics and Unprotected Anal Intercourse among Men Who Have Sex with Men and Transgender Women Recently Diagnosed with HIV and/or STI in Lima, Peru

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