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Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru
BACKGROUND: Despite efforts to stop HIV epidemic in Latin America, new HIV cases continue to increase in the region especially among young MSM (YMSM). This study aims to assess if sociodemographic characteristics are associated with self-reported HIV positive status among YMSM from three Latin Ameri...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325787/ https://www.ncbi.nlm.nih.gov/pubmed/34332552 http://dx.doi.org/10.1186/s12879-021-06455-3 |
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author | Torres, Thiago S. Coelho, Lara E. Konda, Kelika A. Vega-Ramirez, E. Hamid Elorreaga, Oliver A. Diaz-Sosa, Dulce Hoagland, Brenda Pimenta, Cristina Benedetti, Marcos Grinsztejn, Beatriz Caceres, Carlos F. Veloso, Valdilea G. |
author_facet | Torres, Thiago S. Coelho, Lara E. Konda, Kelika A. Vega-Ramirez, E. Hamid Elorreaga, Oliver A. Diaz-Sosa, Dulce Hoagland, Brenda Pimenta, Cristina Benedetti, Marcos Grinsztejn, Beatriz Caceres, Carlos F. Veloso, Valdilea G. |
author_sort | Torres, Thiago S. |
collection | PubMed |
description | BACKGROUND: Despite efforts to stop HIV epidemic in Latin America, new HIV cases continue to increase in the region especially among young MSM (YMSM). This study aims to assess if sociodemographic characteristics are associated with self-reported HIV positive status among YMSM from three Latin American countries. METHODS: Cross-sectional web-based survey advertised on dating apps (Grindr and Hornet) and Facebook in Brazil, Mexico and Peru. For this analysis, we included YMSM aged 18–24 years who self-reported their HIV status. We used multivariable logistic regression models for each country separately to verify if sociodemographic characteristics (race, education and income) were associated with HIV self-reported status after adjusting for behavior characteristics (sexual attraction and steady partner). RESULTS: Among 43,687 MSM who initiated the questionnaire, 27,318 (62.5%) reported their HIV status; 7001 (25.6%) of whom were YMSM. Most YMSM (83.4%) reported an HIV test in the past year, and 15.7% reported an HIV positive status in Peru, 8.4% in Mexico and 7.7% in Brazil. In adjusted models, low-income was associated with higher odds of self-reported HIV positive status in Brazil (aOR = 1.33, 95%CI: 1.01–1.75) and Peru (aOR = 1.56, 95%CI: 1.02–2.40), but not in Mexico. Lower education was associated with higher odds of self-reported HIV positive status only in Brazil (aOR = 1.35, 95%CI: 1.05–1.75). CONCLUSIONS: In this large, cross-country study, self-reported HIV positive status among YMSM was high. Lower socioeconomic status was associated with higher odds of self-reported HIV positive status in Brazil and Peru. There is an urgent need for HIV prevention interventions targeting YMSM, and efforts to address low-income YMSM are especially needed in Peru and Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12879-021-06455-3. |
format | Online Article Text |
id | pubmed-8325787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83257872021-08-02 Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru Torres, Thiago S. Coelho, Lara E. Konda, Kelika A. Vega-Ramirez, E. Hamid Elorreaga, Oliver A. Diaz-Sosa, Dulce Hoagland, Brenda Pimenta, Cristina Benedetti, Marcos Grinsztejn, Beatriz Caceres, Carlos F. Veloso, Valdilea G. BMC Infect Dis Research Article BACKGROUND: Despite efforts to stop HIV epidemic in Latin America, new HIV cases continue to increase in the region especially among young MSM (YMSM). This study aims to assess if sociodemographic characteristics are associated with self-reported HIV positive status among YMSM from three Latin American countries. METHODS: Cross-sectional web-based survey advertised on dating apps (Grindr and Hornet) and Facebook in Brazil, Mexico and Peru. For this analysis, we included YMSM aged 18–24 years who self-reported their HIV status. We used multivariable logistic regression models for each country separately to verify if sociodemographic characteristics (race, education and income) were associated with HIV self-reported status after adjusting for behavior characteristics (sexual attraction and steady partner). RESULTS: Among 43,687 MSM who initiated the questionnaire, 27,318 (62.5%) reported their HIV status; 7001 (25.6%) of whom were YMSM. Most YMSM (83.4%) reported an HIV test in the past year, and 15.7% reported an HIV positive status in Peru, 8.4% in Mexico and 7.7% in Brazil. In adjusted models, low-income was associated with higher odds of self-reported HIV positive status in Brazil (aOR = 1.33, 95%CI: 1.01–1.75) and Peru (aOR = 1.56, 95%CI: 1.02–2.40), but not in Mexico. Lower education was associated with higher odds of self-reported HIV positive status only in Brazil (aOR = 1.35, 95%CI: 1.05–1.75). CONCLUSIONS: In this large, cross-country study, self-reported HIV positive status among YMSM was high. Lower socioeconomic status was associated with higher odds of self-reported HIV positive status in Brazil and Peru. There is an urgent need for HIV prevention interventions targeting YMSM, and efforts to address low-income YMSM are especially needed in Peru and Brazil. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12879-021-06455-3. BioMed Central 2021-07-31 /pmc/articles/PMC8325787/ /pubmed/34332552 http://dx.doi.org/10.1186/s12879-021-06455-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Torres, Thiago S. Coelho, Lara E. Konda, Kelika A. Vega-Ramirez, E. Hamid Elorreaga, Oliver A. Diaz-Sosa, Dulce Hoagland, Brenda Pimenta, Cristina Benedetti, Marcos Grinsztejn, Beatriz Caceres, Carlos F. Veloso, Valdilea G. Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title | Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title_full | Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title_fullStr | Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title_full_unstemmed | Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title_short | Low socioeconomic status is associated with self-reported HIV positive status among young MSM in Brazil and Peru |
title_sort | low socioeconomic status is associated with self-reported hiv positive status among young msm in brazil and peru |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325787/ https://www.ncbi.nlm.nih.gov/pubmed/34332552 http://dx.doi.org/10.1186/s12879-021-06455-3 |
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