Sexual Practices and Predisposition to PrEP Use Among Men Ages 50 Years and Older Who Have Sex With Men: A Cross-Sectional Study.

IF 1.6 4区医学 Q2 NURSING

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-11-01 Epub Date: 2023-10-06 DOI:10.1097/JNC.0000000000000433

Rômulo Veloso Nunes, Telma Maria Evangelista de Araújo, Layze Braz de Oliveira, Priscilla Dantas Almeida, Shirley Veronica Melo Almeida Lima, Rosilane de Lima Brito Magalhães, Andréia Rodrigues Moura da Costa Valle, Inês Fronteira, Isabel Amélia Costa Mendes, Álvaro Francisco Lopes de Sousa

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Abstract

Abstract: This study aimed to evaluate the sexual practices of men ages 50 years or older who have sex with men (MSM) and factors influencing their predisposition to use preexposure prophylaxis (PrEP). An analytical cross-sectional study was conducted in Brazil and Portugal with 718 MSM. Of these, 278 (38.7%) were categorized as being at high risk for HIV based on the HIV Incidence Risk Index (HIRI), and 418 (58.2%) expressed a predisposition to use PrEP. Overall, sociodemographic factors and specific sexual practices increased the likelihood of being classified as high risk for HIV, particularly sexual position and sexual activity. However, factors that influenced the predisposition to use PrEP included age group, receptive anal sex, knowledge of postexposure prophylaxis, high HIRI score, and a history of syphilis. These findings underscore the urgent need for health services to provide comprehensive and adequate attention to the realities of this population, considering its complexities and specificities.

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50岁及以上与男性发生性关系的男性的性行为和PrEP使用倾向：一项横断面研究。

摘要：本研究旨在评估50岁及以上男男性行为者（MSM）的性行为，以及影响他们使用预存预防（PrEP）倾向的因素。在巴西和葡萄牙对718名男男性行为者进行了横断面分析研究。根据HIV发病风险指数（HIRI），其中278人（38.7%）被归类为HIV高危人群，418人（58.2%）表示有使用PrEP的倾向。总体而言，社会人口因素和特定的性行为增加了被归类为艾滋病毒高危人群的可能性，尤其是性姿势和性活动。然而，影响PrEP使用倾向的因素包括年龄组、接受性肛交、暴露后预防知识、高HIRI评分和梅毒史。这些调查结果强调，考虑到这一人口的复杂性和特殊性，卫生服务迫切需要对其现实给予全面和充分的关注。

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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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.