Adherence to Pre-Exposure Prophylaxis (PrEP) among Men Who Have Sex with Men (MSM) in Portuguese-Speaking Countries

Datos Bibliográficos

ID15459150
AutoresÁlvaro Francisco Lopes De Sousa (0000-0003-2710-2122, Universidade Federal da Bahia, autor de correspondencia), Shirley Verônica Melo Almeida Lima (0000-0002-9062-0742, Universidade Federal de Sergipe), Caíque Jordan Nunes Ribeiro (0000-0001-9767-3938, Universidade Federal da Bahia), Anderson Reis De Sousa (0000-0001-8534-1960, Universidade Federal da Bahia, autor de correspondencia), Nilo Manoel Pereira Vieira Barreto (0000-0002-1397-1362, Universidade Federal da Bahia), Emerson Lucas Silva Camargo (0000-0002-6119-5193, Universidade de Ribeirão Preto), Agostinho Antônio Cruz Araújo (0000-0003-0996-0385, Universidade de Ribeirão Preto), Marcio Bezerra-Santos (Medical and Nursing Science Center, Universidade Federal de Alagoas, Arapiraca 57309-005, Alagoas, Brazil), Aldaci Dadá Dos Santos (0000-0002-6529-1887, Universidade Federal de Sergipe), Márcio Bezerra‐Santos (0000-0001-9962-6537, Universidade Federal do Triângulo Mineiro), Mariana dos Reis Fortunato (0009-0009-6767-3561, Universidade Federal de Sergipe), Matheus Arantes Possani (0000-0002-7775-4260, Universidade Federal de Sergipe), Adriano José dos Santos (0000-0002-4619-5232, Universidade de Ribeirão Preto), João Lucas Tavares de Lima (0000-0001-9908-1776, Universidade Federal de Sergipe), Elucir Gir (0000-0002-3757-4900, Universidade de Ribeirão Preto), Inês Fronteira (0000-0003-1406-4585, Universidade Nova de Lisboa), Isabel Amélia Costa Mendes (0000-0002-0704-4319, Universidade de Ribeirão Preto)
Año2023
Volumen20
Número6
Páginas4881-4881
Fecha de publicación2023-03-10
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20064881
PMID36981792
OpenAlexW4323846858
IdiomaEN
Citas recibidas2
Referencias citadas39

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

Developing country · Economic growth · Environmental health · Family medicine · Female sex · Geography · Human immunodeficiency virus (HIV · Immigration · Men who have sex with men · Poisson regression · Population · Portuguese · Pre-exposure prophylaxis · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Internal Medicine