Discrimination based on sexual orientation against MSM in Brazil: a latent class analysis.

Autor:	Magno L; Department of Life Sciences, State University of Bahia - Salvador (BA), Brazil.; Institute of Collective Health, Federal University of Bahia - Salvador (BA), Brazil., Silva LAVD; Institute of Collective Health, Federal University of Bahia - Salvador (BA), Brazil.; Institute of Humanities, Arts & Sciences Professor Milton Santos, Federal University of Bahia - Salvador (BA), Brazil., Guimarães MDC; Faculty of Medicine, Department of Preventive and Social Medicine, Federal University of Minas Gerais - Belo Horizonte (MG), Brazil., Veras MASM; Faculty of Medical Sciences, Santa Casa de São Paulo - São Paulo (SP), Brazil., Deus LFA; Graduate Program in Social and Institutional Psychology, Federal University of Rio Grande do Sul - Porto Alegre (RS), Brazil., Leal AF; Department of Sociology. Institute of Philosophy and Human Sciences. Federal University of Rio Grande do Sul - Porto Alegre (RS), Brazil., Knauth DR; Department of Social Medicine, Faculty of Medicine, Federal University of Rio Grande do Sul - Porto Alegre (RS), Brazil., Brito AM; Instituto Aggeu Magalhães, Oswaldo Cruz Foundation - Recife (PE), Brazil., Rocha GM; Federal University of São João Del-Rei - Divinópolis (MG), Brazil., Lima LNGC; Department of Bacteriology and Mycology, Instituto Evandro Chagas - Ananindeua (PA), Brazil., Kendall C; Center for Global Health Equity, Tulane School of Public Health and Tropical Medicine - New Orleans (LA), United States., Motta-Castro ARC; Laboratory of Clinical Immunology, Faculty of Pharmaceutical Sciences, Food and Nutrition, Federal University of Mato Grosso do Sul - Campo Grande (MS), Brazil., Kerr LRFS; Department of Bacteriology and Mycology, Instituto Evandro Chagas - Ananindeua (PA), Brazil., Mota RMS; Department of Community Health, Federal University of Ceará - Fortaleza (CE), Brazil., Merchan-Hamann E; Department of Collective Health, University of Brasília - Brasília (DF), Brazil., Dourado IC; Institute of Collective Health, Federal University of Bahia - Salvador (BA), Brazil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2019 Sep 26; Vol. 22Suppl 1 (Suppl 1), pp. e190003. Date of Electronic Publication: 2019 Sep 26 (Print Publication: 2019).
DOI:	10.1590/1980-549720190003.supl.1
Abstrakt:	Introduction: Discrimination based on sexual orientation can influence vulnerability to HIV, increasing exposure to risky sexual behavior among men who have sex with men (MSM). Objectives: To analyze data using latent class analysis (LCA) to identify groups of individuals with specific patterns of discrimination based on sexual orientation (DSO). Methods: Cross-sectional study using respondent-driven sampling in 12 Brazilian cities in 2016. LCA was used to characterize discrimination among MSM based on 13 variables in the survey questionnaire. The proportions of men reporting DSO and other variables of interest were estimated using Gile's Successive Sampling estimator. Results: Most MSM were young, single, had a religion, had a high school or college degree, black or brown skin color, and socioeconomic status classified as average. More than half of the participants reported that they had been discriminated against during the last 12 months due to their sexual orientation (65%), more than a third said they had felt afraid of walking in public places during the past 12 months, and about one-fifth of participants reported having been victims of physical or sexual assault due to DSO. DSO was classified into four latent classes: "very high", "high", "moderate" and "low", with estimates of 2.2%, 16.4%, 35.1%, and 46.19%, respectively. Conclusion: We observed a high proportion of discrimination against MSM in this study. The use of LCA differentiated parsimoniously classes of discrimination.
Databáze:	MEDLINE
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