Sexual Behaviors and Factors Associated with Condomless Sexual Practice in Colombian Men Who Have Sex with Men at High Risk of HIV Transmission
| Autor: | Wildeman Zapata, Luis Felipe Higuita-Gutérrez, Lizdany Flórez-Álvarez, Cristhian Leonardo Moreno, Ana Claudia Ossa-Giraldo, John Sebastián Correa, Juan C. Hernandez, Katherin Contreras-Ramírez, Yurany Blanquiceth |
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| Rok vydání: | 2021 |
| Předmět: |
Male
050103 clinical psychology medicine.medical_specialty Casual Population HIV Infections Colombia Logistic regression Men who have sex with men Sexual and Gender Minorities 03 medical and health sciences Arts and Humanities (miscellaneous) medicine Humans 0501 psychology and cognitive sciences Homosexuality Male education General Psychology education.field_of_study 030505 public health Transmission (medicine) Public health 05 social sciences virus diseases Cross-Sectional Studies Sexual orientation 0305 other medical science Psychology Serostatus Demography |
| Zdroj: | Archives of Sexual Behavior. 50:3175-3190 |
| ISSN: | 1573-2800 0004-0002 |
| Popis: | Men who have sex with men (MSM) have a disproportionate burden of HIV infection worldwide. In Colombia, the prevalence of HIV in MSM is ~ 43 times higher than in the general population (17% vs. 0.4%). This study determined the sexual behaviors, HIV serostatus, and associated factors with condomless sexual practice with both regular and casual partners in 92 MSM from Medellin, Colombia. The subjects were recruited through a community-based approach, and the data were collected by a structured survey and in-depth interviews. Participants were classified into three groups according to the number of sexual partners in the last three months, to compare the sociodemographic conditions and sexual behaviors. Univariate analysis was described by absolute and relative frequencies; bivariate analysis and multivariate logistic regression were used to compare the groups and to explore the associated factors with condomless sexual practice. The overall HIV estimated prevalence was 4.3%, while the estimated prevalence for MSM with > 10 sexual partners in the last three months was 14.8%. This last group showed higher average age, higher percentage of subjects who have had sex with people living with HIV, and increased frequency of previous sexually transmitted infections. Having condomless sex with casual partners was associated with the number of sexual partners in the last three months. This study demonstrates that Colombian MSM continue to have a high risk of HIV infection/transmission and reinforce the need to implement adequate prevention programs, PrEP and guarantee access to treatment for people living with HIV. |
| Databáze: | OpenAIRE |
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