Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
Sexual risk behaviors among adolescent men who have sex with men in two Brazilian cities: findings from an RDS-based study.
СтатьяНазвание и аннотация: Перевод в очереди
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Leal Marto, Kendall Carl, Almeida Rosa Livia Freitas de, Araujo Junior Antonio José Lima de, Sanzana Carlos Erasmo Sanhueza, Frota Cristiane Cunha, Glick Jennifer, Meireles Paula, Barros Henrique, Fiuza Tatiana Monteiro, Martins Telma Alves, Grangeiro Alexandre, Magno Laio, Dourado Ines, Rutherford George, Kalichman Artur Olhovetchi, Barreto Ivana Cristina de Holanda Cunha, Gianna Maria Clara, Escuder Maria Mercedes, Figueiredo Mirleide de Brito, McFarland William, Paiva Marcos Cavalcante, Feitoza Aline Rodrigues, Kerr Lígia
Аннотация
OBJECTIVE: To estimate the prevalence of sexual risk behaviors among adolescent men who have sex with men and to identify factors associated with these behaviors.
METHODS: Data were collected between December 2020 and July 2022 in Fortaleza and São Paulo, Brazil, using respondent-driven sampling. Study outcomes included inconsistent condom use, multiple sexual partners, and sexualized drug use.
RESULTS: The final sample was composed of 287 adolescents. Among participants, 38.0% reported inconsistent condom use, 36.1% reported multiple sexual partners, and 23.8% reported sexualized drug use. Factors associated with inconsistent condom use were not having a steady partner (adjusted prevalence ratio (APR): 0.5), having come out to everyone or almost everyone (APR: 6.3), consuming alcohol weekly (APR: 2.9), looking for family/friends/pharmacy (APR: 0.7), or looking for the public healthcare service when sick (APR: 0.7), and having sexual intercourse with partners of unknown HIV status (APR: 1.6). Factors associated with multiple sexual partners were receiving money in exchange for sex (APR: 1.6), and having sexual intercourse with partners of unknown HIV status (APR: 2.0). Factors associated with sexualized drug use included Catholic religion (APR: 0.2), having a steady partner < 20 years old (APR: 2.0), participating in non-governmental organization activities (APR: 2.5), experiences of violence (APR: 2.7), receiving money in exchange for sex (APR: 1.7), and having sexual intercourse with partners of unknown HIV status (APR: 2.1).
CONCLUSION: These findings highlight the high prevalence of sexual risk behaviors among adolescent men who have sex with men, underscoring the need for targeted prevention strategies and youth-friendly services in diverse urban contexts.
METHODS: Data were collected between December 2020 and July 2022 in Fortaleza and São Paulo, Brazil, using respondent-driven sampling. Study outcomes included inconsistent condom use, multiple sexual partners, and sexualized drug use.
RESULTS: The final sample was composed of 287 adolescents. Among participants, 38.0% reported inconsistent condom use, 36.1% reported multiple sexual partners, and 23.8% reported sexualized drug use. Factors associated with inconsistent condom use were not having a steady partner (adjusted prevalence ratio (APR): 0.5), having come out to everyone or almost everyone (APR: 6.3), consuming alcohol weekly (APR: 2.9), looking for family/friends/pharmacy (APR: 0.7), or looking for the public healthcare service when sick (APR: 0.7), and having sexual intercourse with partners of unknown HIV status (APR: 1.6). Factors associated with multiple sexual partners were receiving money in exchange for sex (APR: 1.6), and having sexual intercourse with partners of unknown HIV status (APR: 2.0). Factors associated with sexualized drug use included Catholic religion (APR: 0.2), having a steady partner < 20 years old (APR: 2.0), participating in non-governmental organization activities (APR: 2.5), experiences of violence (APR: 2.7), receiving money in exchange for sex (APR: 1.7), and having sexual intercourse with partners of unknown HIV status (APR: 2.1).
CONCLUSION: These findings highlight the high prevalence of sexual risk behaviors among adolescent men who have sex with men, underscoring the need for targeted prevention strategies and youth-friendly services in diverse urban contexts.