Banca de DEFESA: RIJONE ADRIANO DO ROSÁRIO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RIJONE ADRIANO DO ROSÁRIO
DATE: 31/03/2023
TIME: 10:00
LOCAL: https://us02web.zoom.us/j/84972927603?pwd=NC9hUVkyUXJyTk9ra2lIL0ZhYU1rQT09
TITLE:

Condomless anal sex and associated factors among adolescent men who have sex with men, transvestites and transgender women in three Brazilian capitals.

KEY WORDS:

Risky sexual behavior. Sex without a condom. Adolescent. Men who have sex with men. Trans women. Brazil

PAGES: 71
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Introduction. In Brazil, the incidence of the human immunodeficiency virus (HIV) is increasing among adolescents from sexual minorities, and anal sex without a condom constitutes a risky sexual practice for the infection of this virus in this population. Objectives: To estimate the prevalence of condomless anal sex (CAS) among adolescent men who have sex with men (AMSM), transvestites and transgender women (ATGW) and their associated factors in three Brazilian capitals. Methodology: PrEP1519 is a prospective, multicentre of pre-exposure prophylaxis (PrEP) demonstration cohort study of AMSM and ATGW aged 15 to 19 years in three Brazilian capitals, enrolled in the cohort from 2019 to 2021. The outcome studied was CAS in the last six months and the predictors were sociodemographic, behavioral variables, those related to health care, violence and discrimination based on gender and sexual orientation. Descriptive and bivariate analyzes were performed. Multivariate analysis was performed to estimate adjusted odds ratio (aOR) and 95% confidence interval (95% CI). Results: A total of 1418 participants were included, most participants were AMSM (91.5%), aged 18 to 19 years (75.9%), high school and higher education in progress (92.7%) and CAS report in the first sexual intercourse (54.2%). In addition, a high proportion of the population declared themselves to be black (40.5%), having a steady partner aged five years or more (17.9%), starting their sexual life before the age of 14 (43.4%), with a history of group sex (24.6%) and transactional sex (14.6%). The prevalence of CAS in the last six months was 80.6% (95%CI: 78.5%–82.6%). Multivariate analysis showed that adolescents with SASP at first sexual intercourse (aOR:2.28; 95%CI:1.68-3.11), consumption of psychoactive substances (aOR:1.60; 95%CI: 1.17-2.20) and transactional gender (aOR:1.99; 95%CI:1.14-3.46) were more likely to have CAS. Conclusion: The prevalence of CAS and other risk behaviors was high among AMSM and ATGW. We recommend strengthening sex education programs in schools and youth social settings, addressing sexuality and sexually transmitted infections and providing access to PrEP, condoms and other preventive methods.

COMMITTEE MEMBERS:
Externa à Instituição - LORENZA NOGUEIRA CAMPOS DEZANET
Presidente - ***.958.265-** - LAIO MAGNO SANTOS DE SOUSA - UNEB
Interno - 1217741 - MARCOS PEREIRA SANTOS
Interna - ***.340.735-** - MARIA INES COSTA DOURADO - UFBA