TY - JOUR
T1 - Factores determinantes de la exposición sexual al VIH en adolescentes luso-brasileños
T2 - un análisis de rutas
AU - Teixeira, Jules Ramon Brito
AU - Lima, Shirley Veronica Melo Almeida
AU - de Sousa, Anderson Reis
AU - Queiroz, Artur Acelino Francisco Luz Nunes
AU - Barreto, Nilo Manoel Pereira Vieira
AU - Mendes, Isabel Amélia Costa
AU - Fronteira, Inês
AU - de Sousa, Álvaro Francisco Lopes
N1 - Funding Information:
* This article refers to the call “Adolescent health and the role of nurses”. Edited by Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. Publication of this supplement was supported by the Pan American Health Organization (PAHO/WHO). Articles have undergone the journal’s standard peer-review process for supplements. The views expressed in this supplement are those of the authors alone and do not represent the views of PAHO/WHO. 1 Universidade Estadual de Feira de Santana, Departamento de Saúde Coletiva, Feira de Santana, BA, Brazil. 2Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil. 3Universidade Federal de Sergipe, Departamento de Enfermagem, Lagarto, SE, Brazil. 4Universidade Federal da Bahia, Departamento de Enfermagem, Feira de Santana, BA, Brazil. 5 Northwestern University, Institute for Sexual and Gender Minority Health and Well-being, Chicago, IL, United Steates of America. 6 Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. 7 Universidade Nova de Lisboa, Instituto de Higiene e Medicina Tropical, Lisboa, LX, Portugal. 8 Centro Universitário UNINOVAFAPI, Teresina, PI, Brazil.
Publisher Copyright:
© 2022 Revista Latino-Americana de Enfermagem.
PY - 2022
Y1 - 2022
N2 - Objective: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. Method: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. Results: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. Conclusion: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus.
AB - Objective: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. Method: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. Results: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. Conclusion: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus.
KW - Adolescent
KW - HIV
KW - Nursing
KW - Public Health Nursing
KW - Sexual and Gender Minorities
KW - Sexual Behavior
UR - http://www.scopus.com/inward/record.url?scp=85140109140&partnerID=8YFLogxK
U2 - 10.1590/1518-8345.6222.3714
DO - 10.1590/1518-8345.6222.3714
M3 - Article
AN - SCOPUS:85140109140
SN - 0104-1169
VL - 30
JO - Revista Latino-Americana De Enfermagem
JF - Revista Latino-Americana De Enfermagem
IS - Special Issue
M1 - e3714
ER -
