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HIV Testing Among Middle-Aged and Older Men Who Have Sex With Men (MSM):

2019-07-01Artigo científico Acesso aberto
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dc.contributor.authorSousa, Alvaro Francisco Lopes
dc.contributor.authorQueiroz, Artur Acelino Francisco Luz Nunes
dc.contributor.authorFronteira, Inês
dc.contributor.authorLapão, Luís
dc.contributor.authorMendes, Isabel Amélia Costa
dc.contributor.authorBrignol, Sandra
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.pblSAGE Publications
dc.date.accessioned2021-05-02T22:44:29Z
dc.date.available2021-05-02T22:44:29Z
dc.date.issued2019-07-01
dc.description.abstractMiddle-aged and older men who have sex with men (MSM) are one of the most underestimated populations with regard to HIV/AIDS infection, despite the worldwide trend of increasing prevalence in recent years. This population also has low rates of testing, although rare studies are done exclusively with middle-aged and older MSM assessing the factors associated with this prevalence. Thus, based on data from an exclusive online survey with middle-aged and older MSM who use geolocation-based dating applications, the purpose of the study was to analyze factors associated with not taking the HIV test among middle-aged (50 years old) and older MSM in Brazil. Using a modification of time-location sampling adapted to virtual reality, 412 volunteers were approached in Grindr®, Hornet®, SCRUFF®, and Daddyhunt®. The multivariate logistic regression model was adopted to produce adjusted odds ratios (ORa), considering a significance level at.05. There were factors associated with not taking the test: being in a relationship (ORa: 0.24; 95% CI [0.10, 0.53]); knowing partner through the applications (ORa: 1.84; 95% CI [1.07, 3.15]); not knowing the serological status (ORa: 5.07; 95% CI [1.88, 13.67]); ejaculating outside of anal cavity (ORa: 1.79; 95% CI [1.04, 3.05]); practicing sex without penetration (ORa: 2.30; 95% CI [1.17, 4.50]); not taking the test as a form of prevention (ORa: 2.83; 95% CI [1.05, 7.68]); and rarely using Viagra in sexual intercourse (ORa: 1.91; 95% CI [1.20, 3.65]). There is a blind spot in the prevalence of HIV testing in older MSM because this population is not being covered by services, which compromises the overall response to HIV, the goals set for universal health coverage.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent10
dc.format.extent392051
dc.identifier.doi10.1177/1557988319863542
dc.identifier.issn1557-9883
dc.identifier.otherPURE: 14405252
dc.identifier.otherPURE UUID: a9789071-f1f1-4faf-8b5d-0d70c72b209b
dc.identifier.otherScopus: 85068915487
dc.identifier.otherPubMed: 31288596
dc.identifier.otherPubMedCentral: PMC6620727
dc.identifier.otherORCID: /0000-0003-1406-4585/work/63723797
dc.identifier.urihttp://hdl.handle.net/10362/116713
dc.identifier.urlhttps://www.scopus.com/pages/publications/85068915487
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBarriers to HIV testing
dc.subjectGeolocation-based dating applications
dc.subjectHIV testing
dc.subjectMen who have sex with men
dc.subjectSexual behavior
dc.subjectSocial networks
dc.subjectHealth(social science)
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectEpidemiology
dc.subjectInfectious Diseases
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHIV Testing Among Middle-Aged and Older Men Who Have Sex With Men (MSM):en
dc.title.subtitleA Blind Spot?en
dc.typejournal article
degois.publication.issue4
degois.publication.titleAmerican Journal of Men's Health
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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