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Pre-exposure prophylaxis use, HIV knowledge, and internalized homonegativity among men who have sex with men in Brazil: A cross-sectional study
- Source :
- The Lancet Regional Health. Americas, Vol 6, Iss, Pp 100152-(2022)
- Publication Year :
- 2022
- Publisher :
- eScholarship, University of California, 2022.
-
Abstract
- Summary: Background: Pre-exposure prophylaxis (PrEP) use in Brazil remains low despite free national access. We explored associations of HIV knowledge and internalized homonegativity with PrEP use among PrEP-eligible men who have sex with men (MSM). Methods: Brazilian Hornet users completed an online, cross-sectional survey in February–March 2020. We included cis-men ≥18 years old who reported recent sex with men and were PrEP-eligible per the following: condomless anal intercourse, partner(s) living with HIV, transactional sex, and/or sexually transmitted infection. Our outcome was current PrEP use, defined by the response, “I am currently taking PrEP.” Key predictors included the HIV/AIDS Knowledge Assessment (HIV-KA) and Reactions to Homosexuality Scale (RHS); higher scores indicate greater knowledge and greater internalized homonegativity, respectively. Scales were standardized for analysis. Associations with current PrEP use were estimated using adjusted odds ratios (aOR) with 95% confidence intervals (95%CI). Findings: Among 2398 PrEP-eligible MSM, n = 370 (15·4%) reported current PrEP use. Increasing HIV-KA scores were associated with greater odds of PrEP use (aOR 1·70 [95%CI 1·41–2·04], p
- Subjects :
- Public health
Prevention
HIV prevention
Pre-exposure prophylaxis
Sexual and Gender Minorities (SGM/LGBT*)
LMIC
Men who have sex with men
Infectious Diseases
Good Health and Well Being
Clinical Research
Behavioral and Social Science
Latin America & Caribbean
HIV/AIDS
Public aspects of medicine
RA1-1270
Infection
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- The Lancet Regional Health. Americas, Vol 6, Iss, Pp 100152-(2022)
- Accession number :
- edsair.doi.dedup.....4ee54945c193fc1e17807dbcadf5cc5b