Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort
Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2023-03-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001305005&lng=en&tlng=en |
| _version_ | 1797858607131262976 |
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| author | Laio Magno Danielle Souto de Medeiros Fabiane Soares Alexandre Grangeiro Priscila Caires Thaís Fonseca Mateus Rodrigues Westin Ines Dourado |
| author_facet | Laio Magno Danielle Souto de Medeiros Fabiane Soares Alexandre Grangeiro Priscila Caires Thaís Fonseca Mateus Rodrigues Westin Ines Dourado |
| author_sort | Laio Magno |
| collection | DOAJ |
| description | Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional study which analyzed baseline data from the PrEP1519 cohort in Salvador. Descriptive, bivariate, and multivariate analyses were conducted using the dimensions of vulnerability to HIV as hierarchical levels of analysis. Logistic regression models were used to estimate the odds ratios (OR) of the association between predictor variables and HIV infection. The prevalence of HIV infection among the 288 AMSM recruited to the project was 5.9% (95%CI: 3.7-9.3). Adjusted analysis showed a statistically significant association between self-identifying as a sex worker (OR = 3.74, 95%CI: 1.03-13.60) and HIV infection. Other associations with borderline statistical significance were the use of application programs to find sexual partners (OR = 3.30, 95%CI: 0.98-11.04), low schooling level (OR = 3.59, 95%CI: 0.96-13.41), failing to be hired or being dismissed from a job because of sexual orientation (OR = 2.88, 95%CI: 0.89-9.28), and not using health services as a usual source of care (OR = 3.14, 95%CI: 0.97-10.17). We found a high HIV prevalence among AMSM in Salvador. Furthermore, our study found that individual, social, and programmatic factors were associated with HIV infection among these AMSM. We recommend intensifying HIV combined-prevention activities for AMSM. |
| first_indexed | 2024-04-09T21:17:11Z |
| format | Article |
| id | doaj.art-37ba2a79c1644909908d253e3c6284cc |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-04-09T21:17:11Z |
| publishDate | 2023-03-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-37ba2a79c1644909908d253e3c6284cc2023-03-28T07:33:30ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642023-03-0139suppl 110.1590/0102-311xen154021Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohortLaio Magnohttps://orcid.org/0000-0003-3752-0782Danielle Souto de Medeiroshttps://orcid.org/0000-0002-2480-8990Fabiane Soareshttps://orcid.org/0000-0003-4067-7860Alexandre Grangeirohttps://orcid.org/0000-0001-5157-0597Priscila Caireshttps://orcid.org/0000-0001-7226-816XThaís Fonsecahttps://orcid.org/0000-0002-9166-2418Mateus Rodrigues Westinhttps://orcid.org/0000-0003-2295-0229Ines Douradohttps://orcid.org/0000-0003-1675-2146Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional study which analyzed baseline data from the PrEP1519 cohort in Salvador. Descriptive, bivariate, and multivariate analyses were conducted using the dimensions of vulnerability to HIV as hierarchical levels of analysis. Logistic regression models were used to estimate the odds ratios (OR) of the association between predictor variables and HIV infection. The prevalence of HIV infection among the 288 AMSM recruited to the project was 5.9% (95%CI: 3.7-9.3). Adjusted analysis showed a statistically significant association between self-identifying as a sex worker (OR = 3.74, 95%CI: 1.03-13.60) and HIV infection. Other associations with borderline statistical significance were the use of application programs to find sexual partners (OR = 3.30, 95%CI: 0.98-11.04), low schooling level (OR = 3.59, 95%CI: 0.96-13.41), failing to be hired or being dismissed from a job because of sexual orientation (OR = 2.88, 95%CI: 0.89-9.28), and not using health services as a usual source of care (OR = 3.14, 95%CI: 0.97-10.17). We found a high HIV prevalence among AMSM in Salvador. Furthermore, our study found that individual, social, and programmatic factors were associated with HIV infection among these AMSM. We recommend intensifying HIV combined-prevention activities for AMSM.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001305005&lng=en&tlng=enMen Who Have Sex With MenAdolescentHIVPrevalence |
| spellingShingle | Laio Magno Danielle Souto de Medeiros Fabiane Soares Alexandre Grangeiro Priscila Caires Thaís Fonseca Mateus Rodrigues Westin Ines Dourado Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort Cadernos de Saúde Pública Men Who Have Sex With Men Adolescent HIV Prevalence |
| title | Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort |
| title_full | Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort |
| title_fullStr | Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort |
| title_full_unstemmed | Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort |
| title_short | Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort |
| title_sort | factors associated to hiv prevalence among adolescent men who have sex with men in salvador bahia state brazil baseline data from the prep1519 cohort |
| topic | Men Who Have Sex With Men Adolescent HIV Prevalence |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2023001305005&lng=en&tlng=en |
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