Logo do repositório
 
Publicação

Health literacy on Mpox among Brazilian men who have sex with men

2025-11-01Artigo científico Acesso aberto
Ver registo simples
dc.contributor.authorSantos, Guilherme Reis de Santana
dc.contributor.authorRibeiro, Caíque Jordan Nunes
dc.contributor.authorCepas, Lariane Angel
dc.contributor.authorBulcão, Carolina da Silva
dc.contributor.authorNascimento, Rita de Cassia Dias
dc.contributor.authorSousa, Anderson Reis de
dc.contributor.authorFronteira, Inês
dc.contributor.authorMendes, Isabel Amélia Costa
dc.contributor.authorFernandes, Ana Paula Morais
dc.contributor.authorSousa, Álvaro Francisco Lopes de
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBelitung Raya Publisher - Belitung Raya Foundation
dc.date.accessioned2026-01-16T18:24:01Z
dc.date.available2026-01-16T18:24:01Z
dc.date.issued2025-11-01
dc.descriptionPublisher Copyright: © The Author(s) 2025.
dc.description.abstractBackground: In 2022, Mpox presented significant challenges globally, particularly in Brazil, where cases surged among men who have sex with men (MSM). Health literacy (HL) is essential for promoting health within this group. Objective: To analyze the HL of MSM in the context of Mpox transmission in Brazil. Methods: This was a national cross-sectional study conducted in a virtual setting. An electronic survey was carried out from September to December 2022. A translated and adapted version of the Health Literacy Scale (HLS-14) and a questionnaire containing sociodemographic information, sexual behaviors, and knowledge and beliefs about Mpox were administered. The distribution of predictor variables across health literacy (HL) levels was explored descriptively. Associations between predictors and HL were analyzed using Pearson’s Chi-square test (p < 0.20 for inclusion in multivariate analysis). A generalized linear Poisson model with robust variance was used to estimate adjusted prevalence ratios (aPR) and 95% confidence intervals. Model fit was assessed with the omnibus test and information criteria (AIC, deviance, log-likelihood). Significance was set at p <0.05. Results: The final sample included 1,449 MSM, with an overall prevalence of 53.83% (n = 780) for satisfactory HL. In the bivariate analysis, 15 of the 27 variables met the statistical criterion (p <0.20) for inclusion in the multivariate model, with six retained in the final model. Reporting non-adherence to treatment if diagnosed with Mpox (aPR: 1.73; 95% CI: 1.44–2.07), a prior Mpox diagnosis (aPR: 1.17; 95% CI: 1.04–1.32), having a basic education level (aPR: 1.15; 95% CI: 1.02–1.31), using apps to seek sex (aPR: 1.15; 95% CI: 1.04–1.27), and seeking sex at parties and clubs (aPR: 1.14; 95% CI: 1.04–1.26) were independently associated with a higher prevalence of satisfactory HL. Conclusion: HL levels among MSM during the Mpox public health emergency in Brazil were low, shaped by individual, economic, and social factors. The findings can guide nursing practice regarding how MSM deal with information and make decisions in contexts of episodic health events, as well as the HL strategies to be implemented in nursing therapy.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent9
dc.format.extent442294
dc.identifier.doi10.33546/bnj.3974
dc.identifier.issn2477-4073
dc.identifier.otherPURE: 150030927
dc.identifier.otherPURE UUID: 431168b6-4461-456b-9514-b0e985303417
dc.identifier.otherScopus: 105024487291
dc.identifier.otherPubMed: 41312030
dc.identifier.otherPubMedCentral: PMC12648224
dc.identifier.otherWOS: 001628220000001
dc.identifier.otherORCID: /0000-0003-1406-4585/work/202607676
dc.identifier.urihttp://hdl.handle.net/10362/199494
dc.identifier.urlhttps://www.scopus.com/pages/publications/105024487291
dc.language.isoeng
dc.peerreviewedyes
dc.subjecthealth literacy
dc.subjectmen who have sex with men
dc.subjectmen’s health
dc.subjectMpox
dc.subjectsexual and gender minorities
dc.subjectGeneral Nursing
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHealth literacy on Mpox among Brazilian men who have sex with menen
dc.title.subtitlefindings from a national cross-sectional studyen
dc.typejournal article
degois.publication.firstPage761
degois.publication.issue6
degois.publication.lastPage769
degois.publication.titleBelitung Nursing Journal
degois.publication.volume11
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
Santos_2025_Belitung_Nurs_J_11_6_761.pdf
Tamanho:
431.93 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

Home collection (ENSP)