The Journal of the Association of Nurses in AIDS Care : JANAC · 2023
Sexual Practices and Predisposition to PrEP Use Among Men Ages 50 Years and Older Who Have Sex With Men: A Cross-Sectional Study.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Nunes Rômulo Veloso, de Araújo Telma Maria Evangelista, de Oliveira Layze Braz, Almeida Priscilla Dantas, Lima Shirley Veronica Melo Almeida, Magalhães Rosilane de Lima Brito, Valle Andréia Rodrigues Moura da Costa, Fronteira Inês, Mendes Isabel Amélia Costa, de Sousa Álvaro Francisco Lopes
Аннотация
This study aimed to evaluate the sexual practices of men ages 50 years or older who have sex with men (MSM) and factors influencing their predisposition to use preexposure prophylaxis (PrEP). An analytical cross-sectional study was conducted in Brazil and Portugal with 718 MSM. Of these, 278 (38.7%) were categorized as being at high risk for HIV based on the HIV Incidence Risk Index (HIRI), and 418 (58.2%) expressed a predisposition to use PrEP. Overall, sociodemographic factors and specific sexual practices increased the likelihood of being classified as high risk for HIV, particularly sexual position and sexual activity. However, factors that influenced the predisposition to use PrEP included age group, receptive anal sex, knowledge of postexposure prophylaxis, high HIRI score, and a history of syphilis. These findings underscore the urgent need for health services to provide comprehensive and adequate attention to the realities of this population, considering its complexities and specificities.