Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study
Geosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in th...
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| creator | Torres, Thiago Silva De Boni, Raquel Brandini de Vasconcellos, Mauricio Tl Luz, Paula Mendes Hoagland, Brenda Moreira, Ronaldo Ismerio Veloso, Valdilea Gonçalves Grinsztejn, Beatriz |
| description | Geosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in the context of combined HIV prevention.
This study aimed to describe the characteristics of MSM using GSN apps for sexual encounters, their awareness of prevention strategies, and willingness to use PrEP.
This study was an online cross-sectional study conducted in 10 Brazilian state capitals from July 1 to July 31, 2016. The questionnaire was programmed on SurveyGizmo and advertised in two GSN apps used by MSM to find sexual partners (Hornet and Grindr). Inclusion criteria were >18 years of age, cisgender men, with an HIV-negative status. Eligible individuals answered questions on: demographics; behavior; and knowledge, preferences, and willingness to use PrEP, nonoccupational postexposure prophylaxis (nPEP), HIV self-testing (HIVST), and condoms. Logistic regression modeling was performed to assess the factors associated with daily oral PrEP willingness.
During the study period, 8885 individuals provided consent and started the questionnaire. Of these, 23.05% (2048/8885) were ineligible, 6837 (6837/8885, 76.94%) initiated, and 5065 (5065/8885, 57.00%) completed the entire questionnaire and were included in the present analysis. Median age was 30 years (interquartile range: 25-36), most self-declared as MSM (4991/5065, 98.54%), white (3194/5065, 63.06%), middle income (2148/5065, 42.41%), and had 12 or more years of schooling (3106/5062, 61.36%). The majority of MSM (3363/5064, 66.41%) scored >10 points (high risk) on The HIV Incidence Risk for MSM Scale, but only 21.39% (1083/5064) had a low perceived likelihood of getting HIV in the next year. Daily use of apps for sex was reported by 35.58% (1798/5054). Most MSM (4327/5065, 85.43%) reported testing for HIV at least once in their lifetime and 9.16% (464/5065) used nPEP in the previous year. PrEP, nPEP, and HIVST awareness was reported by 57.89% (2932/5065), 57.39% (2907/5065), and 26.57% (1346/5065) of participants, respectively. Half of all respondents (2653/5065, 52.38%) were willing to use daily oral PrEP, and this finding was associated with higher numbers of male sexual partners (adjusted odds ratio [AOR] 1.26, 95% CI 1.09-1.47), condomless receptive anal intercourse (AOR 1.27, 95% CI 1.12-1.44), sex with H |
| doi_str_mv | 10.2196/publichealth.8997 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5799718</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1990490230</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-f8df272a2effd7060bfb563591dcd13324eb720e6e65b5ac66f171ac2a496b3e3</originalsourceid><addsrcrecordid>eNpdkstu1DAUhiMEolXpA7BBltiwSfFl4sQskKaj0iIVFWkYdWk5ycnElccOtjPM8GK8Xp22VAMrH_l8_n0uf5a9JfiMEsE_DmNtdNODMrE_q4QoX2THlHGRU8Hxy4P4KDsN4Q5jTHjFWCVeZ0dUsKIiHB9nf-a_lAcLISDXoe8etmCjdhYto1cR1hoCUrZFt9oYbdcPYHRoFWCCYTe4MPopdkO_N2qnA9IWnXv1WxutLPoGFt32Dl2pLaAl7JJQ7B9uVyHpofkwBNQ5P-VGZdCFbdxoI_jwCd3Y9CWghXch5EtoproSsoxju3-TveqUCXD6dJ5kqy8XPxZX-fXN5dfF_DpvZrSMeVe1HS2potB1bYk5rru64KwQpG1awhidQV1SDBx4UReq4bwjJVENVTPBawbsJPv8qJvGvYG2SdPxysjB643ye-mUlv9mrO7l2m1lUaaVkCoJfHgS8O7nCCHKjQ4NGKMsuDFIIgSeCUwZTuj7_9A7N_rUcpC0wGmTvKQsUeSRaqa5eOieiyFYTs6Qh86QkzPSm3eHXTy_-OsDdg-zULyh</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2509606723</pqid></control><display><type>article</type><title>Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Torres, Thiago Silva ; De Boni, Raquel Brandini ; de Vasconcellos, Mauricio Tl ; Luz, Paula Mendes ; Hoagland, Brenda ; Moreira, Ronaldo Ismerio ; Veloso, Valdilea Gonçalves ; Grinsztejn, Beatriz</creator><creatorcontrib>Torres, Thiago Silva ; De Boni, Raquel Brandini ; de Vasconcellos, Mauricio Tl ; Luz, Paula Mendes ; Hoagland, Brenda ; Moreira, Ronaldo Ismerio ; Veloso, Valdilea Gonçalves ; Grinsztejn, Beatriz</creatorcontrib><description>Geosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in the context of combined HIV prevention.
This study aimed to describe the characteristics of MSM using GSN apps for sexual encounters, their awareness of prevention strategies, and willingness to use PrEP.
This study was an online cross-sectional study conducted in 10 Brazilian state capitals from July 1 to July 31, 2016. The questionnaire was programmed on SurveyGizmo and advertised in two GSN apps used by MSM to find sexual partners (Hornet and Grindr). Inclusion criteria were >18 years of age, cisgender men, with an HIV-negative status. Eligible individuals answered questions on: demographics; behavior; and knowledge, preferences, and willingness to use PrEP, nonoccupational postexposure prophylaxis (nPEP), HIV self-testing (HIVST), and condoms. Logistic regression modeling was performed to assess the factors associated with daily oral PrEP willingness.
During the study period, 8885 individuals provided consent and started the questionnaire. Of these, 23.05% (2048/8885) were ineligible, 6837 (6837/8885, 76.94%) initiated, and 5065 (5065/8885, 57.00%) completed the entire questionnaire and were included in the present analysis. Median age was 30 years (interquartile range: 25-36), most self-declared as MSM (4991/5065, 98.54%), white (3194/5065, 63.06%), middle income (2148/5065, 42.41%), and had 12 or more years of schooling (3106/5062, 61.36%). The majority of MSM (3363/5064, 66.41%) scored >10 points (high risk) on The HIV Incidence Risk for MSM Scale, but only 21.39% (1083/5064) had a low perceived likelihood of getting HIV in the next year. Daily use of apps for sex was reported by 35.58% (1798/5054). Most MSM (4327/5065, 85.43%) reported testing for HIV at least once in their lifetime and 9.16% (464/5065) used nPEP in the previous year. PrEP, nPEP, and HIVST awareness was reported by 57.89% (2932/5065), 57.39% (2907/5065), and 26.57% (1346/5065) of participants, respectively. Half of all respondents (2653/5065, 52.38%) were willing to use daily oral PrEP, and this finding was associated with higher numbers of male sexual partners (adjusted odds ratio [AOR] 1.26, 95% CI 1.09-1.47), condomless receptive anal intercourse (AOR 1.27, 95% CI 1.12-1.44), sex with HIV-positive partner versus no HIV-positive partner (one HIV-positive partner: AOR 1.36, 95% CI 1.11-1.67), daily use of apps for sexual encounters (AOR 1.48, 95% CI 1.17-1.87), high and unknown perceived likelihood of getting HIV in the next year (AOR 1.72, 95% CI 1.47-2.02 and AOR 1.39, 95% CI 1.13-1.70), sexually transmitted infection diagnosis (AOR 1.25, 95% CI 1.03-1.51), stimulant use (AOR 1.24, 95% CI 1.07-1.43), PrEP awareness (AOR 1.48, 95% CI 1.30-1.70), and unwillingness to use condoms (AOR 1.16, 95% CI 1.00-1.33).
Our results evidenced high-risk scores in the studied population, suggesting the importance of PrEP use. Those individuals presenting risky sexual behaviors were more willing to use PrEP. Nonetheless, only 58% (2932/5065) of individuals had heard about this prevention strategy. Efforts to increase awareness of new prevention strategies are needed, and mobile health tools are a promising strategy to reach MSM.</description><identifier>ISSN: 2369-2960</identifier><identifier>EISSN: 2369-2960</identifier><identifier>DOI: 10.2196/publichealth.8997</identifier><identifier>PMID: 29358160</identifier><language>eng</language><publisher>Canada: JMIR Publications</publisher><subject>Condoms ; Cross-sectional studies ; Disease prevention ; Drug use ; Gays & lesbians ; Health surveillance ; HIV ; Human immunodeficiency virus ; Infections ; Internet access ; Medical tests ; Mens health ; Original Paper ; Population ; Prevention ; Prophylaxis ; Public health ; Questionnaires ; Sexual behavior ; Sexual orientation ; Sexually transmitted diseases ; STD ; Variables</subject><ispartof>JMIR public health and surveillance, 2018-01, Vol.4 (1), p.e11-e11</ispartof><rights>2018. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Thiago Silva Torres, Raquel Brandini De Boni, Mauricio T L de Vasconcellos, Paula Mendes Luz, Brenda Hoagland, Ronaldo Ismerio Moreira, Valdilea Gonçalves Veloso, Beatriz Grinsztejn. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 22.01.2018. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-f8df272a2effd7060bfb563591dcd13324eb720e6e65b5ac66f171ac2a496b3e3</citedby><cites>FETCH-LOGICAL-c427t-f8df272a2effd7060bfb563591dcd13324eb720e6e65b5ac66f171ac2a496b3e3</cites><orcidid>0000-0001-9746-719X ; 0000-0003-3692-5155 ; 0000-0003-1658-2589 ; 0000-0003-2680-4317 ; 0000-0002-2455-5997 ; 0000-0002-2557-601X ; 0000-0001-8210-3748 ; 0000-0002-6622-3165</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799718/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799718/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29358160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Torres, Thiago Silva</creatorcontrib><creatorcontrib>De Boni, Raquel Brandini</creatorcontrib><creatorcontrib>de Vasconcellos, Mauricio Tl</creatorcontrib><creatorcontrib>Luz, Paula Mendes</creatorcontrib><creatorcontrib>Hoagland, Brenda</creatorcontrib><creatorcontrib>Moreira, Ronaldo Ismerio</creatorcontrib><creatorcontrib>Veloso, Valdilea Gonçalves</creatorcontrib><creatorcontrib>Grinsztejn, Beatriz</creatorcontrib><title>Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study</title><title>JMIR public health and surveillance</title><addtitle>JMIR Public Health Surveill</addtitle><description>Geosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in the context of combined HIV prevention.
This study aimed to describe the characteristics of MSM using GSN apps for sexual encounters, their awareness of prevention strategies, and willingness to use PrEP.
This study was an online cross-sectional study conducted in 10 Brazilian state capitals from July 1 to July 31, 2016. The questionnaire was programmed on SurveyGizmo and advertised in two GSN apps used by MSM to find sexual partners (Hornet and Grindr). Inclusion criteria were >18 years of age, cisgender men, with an HIV-negative status. Eligible individuals answered questions on: demographics; behavior; and knowledge, preferences, and willingness to use PrEP, nonoccupational postexposure prophylaxis (nPEP), HIV self-testing (HIVST), and condoms. Logistic regression modeling was performed to assess the factors associated with daily oral PrEP willingness.
During the study period, 8885 individuals provided consent and started the questionnaire. Of these, 23.05% (2048/8885) were ineligible, 6837 (6837/8885, 76.94%) initiated, and 5065 (5065/8885, 57.00%) completed the entire questionnaire and were included in the present analysis. Median age was 30 years (interquartile range: 25-36), most self-declared as MSM (4991/5065, 98.54%), white (3194/5065, 63.06%), middle income (2148/5065, 42.41%), and had 12 or more years of schooling (3106/5062, 61.36%). The majority of MSM (3363/5064, 66.41%) scored >10 points (high risk) on The HIV Incidence Risk for MSM Scale, but only 21.39% (1083/5064) had a low perceived likelihood of getting HIV in the next year. Daily use of apps for sex was reported by 35.58% (1798/5054). Most MSM (4327/5065, 85.43%) reported testing for HIV at least once in their lifetime and 9.16% (464/5065) used nPEP in the previous year. PrEP, nPEP, and HIVST awareness was reported by 57.89% (2932/5065), 57.39% (2907/5065), and 26.57% (1346/5065) of participants, respectively. Half of all respondents (2653/5065, 52.38%) were willing to use daily oral PrEP, and this finding was associated with higher numbers of male sexual partners (adjusted odds ratio [AOR] 1.26, 95% CI 1.09-1.47), condomless receptive anal intercourse (AOR 1.27, 95% CI 1.12-1.44), sex with HIV-positive partner versus no HIV-positive partner (one HIV-positive partner: AOR 1.36, 95% CI 1.11-1.67), daily use of apps for sexual encounters (AOR 1.48, 95% CI 1.17-1.87), high and unknown perceived likelihood of getting HIV in the next year (AOR 1.72, 95% CI 1.47-2.02 and AOR 1.39, 95% CI 1.13-1.70), sexually transmitted infection diagnosis (AOR 1.25, 95% CI 1.03-1.51), stimulant use (AOR 1.24, 95% CI 1.07-1.43), PrEP awareness (AOR 1.48, 95% CI 1.30-1.70), and unwillingness to use condoms (AOR 1.16, 95% CI 1.00-1.33).
Our results evidenced high-risk scores in the studied population, suggesting the importance of PrEP use. Those individuals presenting risky sexual behaviors were more willing to use PrEP. Nonetheless, only 58% (2932/5065) of individuals had heard about this prevention strategy. Efforts to increase awareness of new prevention strategies are needed, and mobile health tools are a promising strategy to reach MSM.</description><subject>Condoms</subject><subject>Cross-sectional studies</subject><subject>Disease prevention</subject><subject>Drug use</subject><subject>Gays & lesbians</subject><subject>Health surveillance</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infections</subject><subject>Internet access</subject><subject>Medical tests</subject><subject>Mens health</subject><subject>Original Paper</subject><subject>Population</subject><subject>Prevention</subject><subject>Prophylaxis</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Sexual behavior</subject><subject>Sexual orientation</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Variables</subject><issn>2369-2960</issn><issn>2369-2960</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkstu1DAUhiMEolXpA7BBltiwSfFl4sQskKaj0iIVFWkYdWk5ycnElccOtjPM8GK8Xp22VAMrH_l8_n0uf5a9JfiMEsE_DmNtdNODMrE_q4QoX2THlHGRU8Hxy4P4KDsN4Q5jTHjFWCVeZ0dUsKIiHB9nf-a_lAcLISDXoe8etmCjdhYto1cR1hoCUrZFt9oYbdcPYHRoFWCCYTe4MPopdkO_N2qnA9IWnXv1WxutLPoGFt32Dl2pLaAl7JJQ7B9uVyHpofkwBNQ5P-VGZdCFbdxoI_jwCd3Y9CWghXch5EtoproSsoxju3-TveqUCXD6dJ5kqy8XPxZX-fXN5dfF_DpvZrSMeVe1HS2potB1bYk5rru64KwQpG1awhidQV1SDBx4UReq4bwjJVENVTPBawbsJPv8qJvGvYG2SdPxysjB643ye-mUlv9mrO7l2m1lUaaVkCoJfHgS8O7nCCHKjQ4NGKMsuDFIIgSeCUwZTuj7_9A7N_rUcpC0wGmTvKQsUeSRaqa5eOieiyFYTs6Qh86QkzPSm3eHXTy_-OsDdg-zULyh</recordid><startdate>20180122</startdate><enddate>20180122</enddate><creator>Torres, Thiago Silva</creator><creator>De Boni, Raquel Brandini</creator><creator>de Vasconcellos, Mauricio Tl</creator><creator>Luz, Paula Mendes</creator><creator>Hoagland, Brenda</creator><creator>Moreira, Ronaldo Ismerio</creator><creator>Veloso, Valdilea Gonçalves</creator><creator>Grinsztejn, Beatriz</creator><general>JMIR Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9746-719X</orcidid><orcidid>https://orcid.org/0000-0003-3692-5155</orcidid><orcidid>https://orcid.org/0000-0003-1658-2589</orcidid><orcidid>https://orcid.org/0000-0003-2680-4317</orcidid><orcidid>https://orcid.org/0000-0002-2455-5997</orcidid><orcidid>https://orcid.org/0000-0002-2557-601X</orcidid><orcidid>https://orcid.org/0000-0001-8210-3748</orcidid><orcidid>https://orcid.org/0000-0002-6622-3165</orcidid></search><sort><creationdate>20180122</creationdate><title>Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study</title><author>Torres, Thiago Silva ; De Boni, Raquel Brandini ; de Vasconcellos, Mauricio Tl ; Luz, Paula Mendes ; Hoagland, Brenda ; Moreira, Ronaldo Ismerio ; Veloso, Valdilea Gonçalves ; Grinsztejn, Beatriz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-f8df272a2effd7060bfb563591dcd13324eb720e6e65b5ac66f171ac2a496b3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Condoms</topic><topic>Cross-sectional studies</topic><topic>Disease prevention</topic><topic>Drug use</topic><topic>Gays & lesbians</topic><topic>Health surveillance</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Infections</topic><topic>Internet access</topic><topic>Medical tests</topic><topic>Mens health</topic><topic>Original Paper</topic><topic>Population</topic><topic>Prevention</topic><topic>Prophylaxis</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Sexual behavior</topic><topic>Sexual orientation</topic><topic>Sexually transmitted diseases</topic><topic>STD</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torres, Thiago Silva</creatorcontrib><creatorcontrib>De Boni, Raquel Brandini</creatorcontrib><creatorcontrib>de Vasconcellos, Mauricio Tl</creatorcontrib><creatorcontrib>Luz, Paula Mendes</creatorcontrib><creatorcontrib>Hoagland, Brenda</creatorcontrib><creatorcontrib>Moreira, Ronaldo Ismerio</creatorcontrib><creatorcontrib>Veloso, Valdilea Gonçalves</creatorcontrib><creatorcontrib>Grinsztejn, Beatriz</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JMIR public health and surveillance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Torres, Thiago Silva</au><au>De Boni, Raquel Brandini</au><au>de Vasconcellos, Mauricio Tl</au><au>Luz, Paula Mendes</au><au>Hoagland, Brenda</au><au>Moreira, Ronaldo Ismerio</au><au>Veloso, Valdilea Gonçalves</au><au>Grinsztejn, Beatriz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study</atitle><jtitle>JMIR public health and surveillance</jtitle><addtitle>JMIR Public Health Surveill</addtitle><date>2018-01-22</date><risdate>2018</risdate><volume>4</volume><issue>1</issue><spage>e11</spage><epage>e11</epage><pages>e11-e11</pages><issn>2369-2960</issn><eissn>2369-2960</eissn><abstract>Geosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in the context of combined HIV prevention.
This study aimed to describe the characteristics of MSM using GSN apps for sexual encounters, their awareness of prevention strategies, and willingness to use PrEP.
This study was an online cross-sectional study conducted in 10 Brazilian state capitals from July 1 to July 31, 2016. The questionnaire was programmed on SurveyGizmo and advertised in two GSN apps used by MSM to find sexual partners (Hornet and Grindr). Inclusion criteria were >18 years of age, cisgender men, with an HIV-negative status. Eligible individuals answered questions on: demographics; behavior; and knowledge, preferences, and willingness to use PrEP, nonoccupational postexposure prophylaxis (nPEP), HIV self-testing (HIVST), and condoms. Logistic regression modeling was performed to assess the factors associated with daily oral PrEP willingness.
During the study period, 8885 individuals provided consent and started the questionnaire. Of these, 23.05% (2048/8885) were ineligible, 6837 (6837/8885, 76.94%) initiated, and 5065 (5065/8885, 57.00%) completed the entire questionnaire and were included in the present analysis. Median age was 30 years (interquartile range: 25-36), most self-declared as MSM (4991/5065, 98.54%), white (3194/5065, 63.06%), middle income (2148/5065, 42.41%), and had 12 or more years of schooling (3106/5062, 61.36%). The majority of MSM (3363/5064, 66.41%) scored >10 points (high risk) on The HIV Incidence Risk for MSM Scale, but only 21.39% (1083/5064) had a low perceived likelihood of getting HIV in the next year. Daily use of apps for sex was reported by 35.58% (1798/5054). Most MSM (4327/5065, 85.43%) reported testing for HIV at least once in their lifetime and 9.16% (464/5065) used nPEP in the previous year. PrEP, nPEP, and HIVST awareness was reported by 57.89% (2932/5065), 57.39% (2907/5065), and 26.57% (1346/5065) of participants, respectively. Half of all respondents (2653/5065, 52.38%) were willing to use daily oral PrEP, and this finding was associated with higher numbers of male sexual partners (adjusted odds ratio [AOR] 1.26, 95% CI 1.09-1.47), condomless receptive anal intercourse (AOR 1.27, 95% CI 1.12-1.44), sex with HIV-positive partner versus no HIV-positive partner (one HIV-positive partner: AOR 1.36, 95% CI 1.11-1.67), daily use of apps for sexual encounters (AOR 1.48, 95% CI 1.17-1.87), high and unknown perceived likelihood of getting HIV in the next year (AOR 1.72, 95% CI 1.47-2.02 and AOR 1.39, 95% CI 1.13-1.70), sexually transmitted infection diagnosis (AOR 1.25, 95% CI 1.03-1.51), stimulant use (AOR 1.24, 95% CI 1.07-1.43), PrEP awareness (AOR 1.48, 95% CI 1.30-1.70), and unwillingness to use condoms (AOR 1.16, 95% CI 1.00-1.33).
Our results evidenced high-risk scores in the studied population, suggesting the importance of PrEP use. Those individuals presenting risky sexual behaviors were more willing to use PrEP. Nonetheless, only 58% (2932/5065) of individuals had heard about this prevention strategy. Efforts to increase awareness of new prevention strategies are needed, and mobile health tools are a promising strategy to reach MSM.</abstract><cop>Canada</cop><pub>JMIR Publications</pub><pmid>29358160</pmid><doi>10.2196/publichealth.8997</doi><orcidid>https://orcid.org/0000-0001-9746-719X</orcidid><orcidid>https://orcid.org/0000-0003-3692-5155</orcidid><orcidid>https://orcid.org/0000-0003-1658-2589</orcidid><orcidid>https://orcid.org/0000-0003-2680-4317</orcidid><orcidid>https://orcid.org/0000-0002-2455-5997</orcidid><orcidid>https://orcid.org/0000-0002-2557-601X</orcidid><orcidid>https://orcid.org/0000-0001-8210-3748</orcidid><orcidid>https://orcid.org/0000-0002-6622-3165</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2369-2960 |
| ispartof | JMIR public health and surveillance, 2018-01, Vol.4 (1), p.e11-e11 |
| issn | 2369-2960 2369-2960 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5799718 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central |
| subjects | Condoms Cross-sectional studies Disease prevention Drug use Gays & lesbians Health surveillance HIV Human immunodeficiency virus Infections Internet access Medical tests Mens health Original Paper Population Prevention Prophylaxis Public health Questionnaires Sexual behavior Sexual orientation Sexually transmitted diseases STD Variables |
| title | Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study |
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