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Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries

2023-03Artigo científico Acesso aberto
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dc.contributor.authorSousa, Alvaro Francisco Lopes de
dc.contributor.authorLima, Shirley Veronica Melo Almeida
dc.contributor.authorRibeiro, Caíque Jordan Nunes
dc.contributor.authorde Sousa, Anderson Reis
dc.contributor.authorBarreto, Nilo Manoel Pereira Vieira
dc.contributor.authorCamargo, Emerson Lucas Silva
dc.contributor.authorAraújo, Agostinho Antônio Cruz
dc.contributor.authordos Santos, Allan Dantas
dc.contributor.authorBezerra-Santos, Márcio
dc.contributor.authorFortunato, Mariana dos Reis
dc.contributor.authorPossani, Matheus Arantes
dc.contributor.authorSantos, Adriano José dos
dc.contributor.authorLima, João Lucas Tavares de
dc.contributor.authorGir, Elucir
dc.contributor.authorFronteira, Inês
dc.contributor.authorMendes, Isabel Amélia Costa
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2023-07-14T22:18:48Z
dc.date.available2023-07-14T22:18:48Z
dc.date.issued2023-03
dc.descriptionFunding Information: National Research Council–CNPq. Process: 159908/2019-1. Publisher Copyright: © 2023 by the authors.
dc.description.abstractStrengthening strategies to improve adherence to the use of pre-exposure prophylaxis (PrEP) in key populations constitutes a global health priority to be achieved across countries, especially in countries that share a high flow of people such as Brazil and Portugal. This study aimed to analyze the factors associated with adherence to PrEP among MSM from two Portuguese-speaking countries, highlighting the opportunities and preventive strategies for the global health scenario. This was a cross-sectional analytical online survey conducted from January 2020 to May 2021 with MSM in Brazil and Portugal. For analysis of the data, the Poisson regression model was used to estimate the prevalence ratio (PR) for developing a model to evaluate the associated factors in both countries in a comparative and isolated way. Adherence to PrEP use corresponded to 19.5% (n = 1682) of the overall sample: 18.3% (n = 970) for Brazil and 21.5% (n = 712) for Portugal. Having more than two sex partners in the last 30 days (aPR: 30.87) and routinely undergoing HIV tests (aPR: 26.21) increased the use of this medication. Being an immigrant (PR: 1.36) and knowing the partner’s serological status (PR: 1.28) increased adherence to PrEP in Portugal, whereas, in Brazil, it was being an immigrant (PR: 0.83) and not knowing the serological status (PR: 2.24) that promoted the use of this medication. Our findings reinforce the need to invest in programs and strategies to improve access and adherence to PrEP, especially in key populations.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent16
dc.format.extent840797
dc.identifier.doi10.3390/ijerph20064881
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 64220878
dc.identifier.otherPURE UUID: 72d808c3-2841-423a-b40d-5926b9230e48
dc.identifier.otherScopus: 85151332616
dc.identifier.otherPubMed: 36981792
dc.identifier.otherPubMedCentral: PMC10049571
dc.identifier.otherORCID: /0000-0003-1406-4585/work/151390741
dc.identifier.urihttp://hdl.handle.net/10362/155297
dc.identifier.urlhttps://www.scopus.com/pages/publications/85151332616
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBrazil
dc.subjectglobal health
dc.subjectHIV
dc.subjectMSM
dc.subjectPortugal
dc.subjectpre-exposure prophylaxis
dc.subjectsexual behavior
dc.subjectRA0421 Public health. Hygiene. Preventive Medicine
dc.subjectQR355 Virology
dc.subjectRM Therapeutics. Pharmacology
dc.subjectH Social Sciences
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectHealth, Toxicology and Mutagenesis
dc.subjectHealth(social science)
dc.subjectInfectious Diseases
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAdherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countriesen
dc.typejournal article
degois.publication.issue6
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume20
dspace.entity.typePublication
rcaap.rightsopenAccess

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