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Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil
Authors:Gustavo Machado Rocha  Lígia Regina Franco Sansigolo Kerr  Ana Maria de Brito  Ines Dourado  Mark Drew Crosland Guimarães
Affiliation:1. Campus Centro-Oeste Dona Lindu, Federal University of S?o Jo?o Del-Rei, Sebasti?o Gon?alves Coelho, 400-Chanadour, Divinópolis, Minas Gerais, 35501-296, Brazil
2. Department of Community Health, Federal University of Ceará, Fortaleza, Brazil
3. Aggeu Magalh?es Research Center, Oswaldo Cruz Foundation, Recife, Brazil
4. Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
5. Department of Preventive and Social Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
Abstract:
The aim of this study was to assess factors associated with unprotected receptive anal intercourse (URAI) in a sample of MSM recruited by respondent driven sampling in Brazil. Among 3,449 participants, 36.5 % reported URAI. Final logistic model indicated that living with a male partner, illicit drug use, having stable partnership, having sex with men only, having few friends encouraging condom use, and high self-perceived risk for HIV infection were characteristics independently associated with URAI. Intervention strategies should focus on the role of anal sex practices on HIV transmission, address illicit drug use, stigma and expansion of HIV testing and care.
Keywords:
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