Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey.

Autor: Santos GRS; Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil., Ribeiro CJN; Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.; Departament of Nursing, Federal University of Sergipe, Lagarto, Sergipe, Brazil., Lima SVMA; Graduate Program in Nursing, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.; Departament of Nursing, Federal University of Sergipe, Lagarto, Sergipe, Brazil., Neto JC; University for International Integration of the Afro-Brazilian Lusophony, Redenção, Ceará, Brazil., de Sousa AR; School of Nursing, Federal University of Bahia, Salvador, Bahia, Brazil., Bulcao CDS; School of Nursing, Federal University of Bahia, Salvador, Bahia, Brazil., Dellagostini PG; Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Batista OMA; Federal University of Piaui, Teresina, Brazil., de Oliveira LB; Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., Mendes IAC; Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil., de Sousa ÁFL; NOVA National School of Public Health, Public Health Research Center, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal.; Institute of Teaching and Research, Sírio-Libanese Hospital, São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Public health nursing (Boston, Mass.) [Public Health Nurs] 2024 May-Jun; Vol. 41 (3), pp. 589-601. Date of Electronic Publication: 2024 Mar 25.
DOI: 10.1111/phn.13308
Abstrakt: Objective: To understand the factors associated with the practice of chemsex among MSM in Brazil, especially during the Mpox health crisis, and to design effective prevention and intervention strategies specifically for this population.
Design: A cross-sectional and analytical study using an electronic survey, conducted from September to December 2022, during the peak of the Mpox outbreak in Brazil.
Sample: A total of 1452 MSM aged 18 and older.
Measurements: Data were collected via the REDCap platform through a survey with 46 questions. These addressed demographic data, sexual affiliations, practices, experiences with Mpox, healthcare service usage, and stigma or fear related to Mpox.
Results: The prevalence of chemsex was 19.42% (n = 282). Multivariate Poisson modeling indicated a high incidence of chemsex among those diagnosed with Mpox and those involved in high-risk behaviors. The practice of chemsex was six times higher among those diagnosed with Mpox (95% CI: 4.73-9.10). MSM who engage in bugchasing had a prevalence twice that of the main outcome (95% CI: 1.31-3.16).
Conclusion: There is a significant need for targeted interventions for MSM in Brazil, especially given the Mpox outbreak. This study highlights the strong relationships between chemsex, experiences with Mpox, and various sexual behaviors, underscoring the importance of effective public health initiatives.
(© 2024 The Authors. Public Health Nursing published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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