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Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries
Strengthening 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 f...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049571/ https://www.ncbi.nlm.nih.gov/pubmed/36981792 http://dx.doi.org/10.3390/ijerph20064881 |
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author | de Sousa, Alvaro Francisco Lopes Lima, Shirley Veronica Melo Almeida Ribeiro, Caíque Jordan Nunes de Sousa, Anderson Reis Barreto, Nilo Manoel Pereira Vieira Camargo, Emerson Lucas Silva Araújo, Agostinho Antônio Cruz dos Santos, Allan Dantas Bezerra-Santos, Márcio Fortunato, Mariana dos Reis Possani, Matheus Arantes dos Santos, Adriano José de Lima, João Lucas Tavares Gir, Elucir Fronteira, Inês Mendes, Isabel Amélia Costa |
author_facet | de Sousa, Alvaro Francisco Lopes Lima, Shirley Veronica Melo Almeida Ribeiro, Caíque Jordan Nunes de Sousa, Anderson Reis Barreto, Nilo Manoel Pereira Vieira Camargo, Emerson Lucas Silva Araújo, Agostinho Antônio Cruz dos Santos, Allan Dantas Bezerra-Santos, Márcio Fortunato, Mariana dos Reis Possani, Matheus Arantes dos Santos, Adriano José de Lima, João Lucas Tavares Gir, Elucir Fronteira, Inês Mendes, Isabel Amélia Costa |
author_sort | de Sousa, Alvaro Francisco Lopes |
collection | PubMed |
description | Strengthening 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. |
format | Online Article Text |
id | pubmed-10049571 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100495712023-03-29 Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries de Sousa, Alvaro Francisco Lopes Lima, Shirley Veronica Melo Almeida Ribeiro, Caíque Jordan Nunes de Sousa, Anderson Reis Barreto, Nilo Manoel Pereira Vieira Camargo, Emerson Lucas Silva Araújo, Agostinho Antônio Cruz dos Santos, Allan Dantas Bezerra-Santos, Márcio Fortunato, Mariana dos Reis Possani, Matheus Arantes dos Santos, Adriano José de Lima, João Lucas Tavares Gir, Elucir Fronteira, Inês Mendes, Isabel Amélia Costa Int J Environ Res Public Health Article Strengthening 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. MDPI 2023-03-10 /pmc/articles/PMC10049571/ /pubmed/36981792 http://dx.doi.org/10.3390/ijerph20064881 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article de Sousa, Alvaro Francisco Lopes Lima, Shirley Veronica Melo Almeida Ribeiro, Caíque Jordan Nunes de Sousa, Anderson Reis Barreto, Nilo Manoel Pereira Vieira Camargo, Emerson Lucas Silva Araújo, Agostinho Antônio Cruz dos Santos, Allan Dantas Bezerra-Santos, Márcio Fortunato, Mariana dos Reis Possani, Matheus Arantes dos Santos, Adriano José de Lima, João Lucas Tavares Gir, Elucir Fronteira, Inês Mendes, Isabel Amélia Costa Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title | Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title_full | Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title_fullStr | Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title_full_unstemmed | Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title_short | Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries |
title_sort | adherence to pre-exposure prophylaxis (prep) among men who have sex with men (msm) in portuguese-speaking countries |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10049571/ https://www.ncbi.nlm.nih.gov/pubmed/36981792 http://dx.doi.org/10.3390/ijerph20064881 |
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