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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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