Socioeconomic, Behavioural, and Protective Factors Influences on the Combined Prevention of HIV Infection Among Brazilian Amazon Men Who Have Sex with Men: A Cross-Sectional Study.

IF 2.6 4区医学 Q2 INFECTIOUS DISEASES

Tropical Medicine and Infectious Disease Pub Date : 2025-08-16 DOI:10.3390/tropicalmed10080231

Thiago Vilhena Silva, Iaron Leal Seabra, Glenda Roberta Oliveira Naiff Ferreira, João Gabriel Alves da Luz, Cecília Conceição Viana, Lucas Barros de Paiva, Glauber Weder Dos Santos Silva, Caio Lacerda Dos Santos, Luiz Fernando Almeida Machado, Eliã Pinheiro Botelho

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Abstract

We analysed the socioeconomic, behavioural, and protection factors (PFs) influences on the HIV combined prevention (CP) strategy among Brazilian Amazonian men who have sex with men (MSMs). PFs are resources that reduce the effect of adversity and help people maintain their well-being.

Methods: Cross-sectional study employing a convenient sample of MSMs living in the metropolitan region of Belém. A questionnaire containing socioeconomic, behavioural, PFs, and behaviour/knowledge concerning CP questions was used. "Behaviour/knowledge concerning CP" was defined as a dependent variable and received a maximum score of 16 points. The Mann-Whitney and Kruskal-Wallis tests and multiple linear regression were employed.

Results: Our sample comprised 384 MSMs scoring an average of 7.83 points (±1.9). Contributing to lower scores were "not talking about sex life with confidants", "not talking with work colleagues about personal life and sexually transmissible infections", and "not participating in non-governmental organisations." On the other hand, "not being happy in the neighbourhood of residency" contributed to higher scores.

Conclusion: Peer support and social inclusion are essential for increasing MSMs' access to CP.

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社会经济、行为和保护因素对巴西亚马逊地区男男性行为者艾滋病毒感染联合预防的影响：一项横断面研究

我们分析了社会经济、行为和保护因素（PFs）对巴西亚马逊男男性行为者（MSMs）艾滋病毒联合预防（CP）策略的影响。PFs是一种资源，可以减少逆境的影响，帮助人们保持幸福。方法：横断面研究，选取居住在白俄罗斯大都市区的男男性接触者作为方便样本。问卷调查包含社会经济、行为、PFs和有关CP问题的行为/知识。“关于CP的行为/知识”被定义为因变量，最高得分为16分。采用Mann-Whitney检验和Kruskal-Wallis检验及多元线性回归。结果：我们的样本包括384条短信，平均得分7.83分（±1.9分）。得分较低的是“不与密友谈论性生活”、“不与同事谈论个人生活和性传播感染”以及“不参加非政府组织”。另一方面，“在居住地附近不快乐”会导致更高的分数。结论：同伴支持和社会包容是提高男同性恋妇女获得CP的必要条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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