TY - JOUR
T1 - Sexual Practices and Predisposition to PrEP Use Among Men Ages 50 Years and Older Who Have Sex With Men
T2 - A Cross-Sectional Study
AU - Nunes, Rômulo Veloso
AU - De Araújo, Telma Maria Evangelista
AU - De Oliveira, Layze Braz
AU - Almeida, Priscilla Dantas
AU - Lima, Shirley Veronica Melo Almeida
AU - Magalhães, Rosilane De Lima Brito
AU - Valle, Andréia Rodrigues Moura Da Costa
AU - Fronteira, Inês
AU - Mendes, Isabel Amélia Costa
AU - De Sousa, Álvaro Francisco Lopes
N1 - Funding Information:
This study was funded by the National Brazilian Research Council—CNPq. grant number: 159908/2019-1; PI: A.F.L. Sousa. Key Considerations
Publisher Copyright:
© 2023 Elsevier USA. All rights reserved.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - This study aimed to evaluate the sexual practices of men ages 50 years or older who have sex with men (MSM) and factors influencing their predisposition to use preexposure prophylaxis (PrEP). An analytical cross-sectional study was conducted in Brazil and Portugal with 718 MSM. Of these, 278 (38.7%) were categorized as being at high risk for HIV based on the HIV Incidence Risk Index (HIRI), and 418 (58.2%) expressed a predisposition to use PrEP. Overall, sociodemographic factors and specific sexual practices increased the likelihood of being classified as high risk for HIV, particularly sexual position and sexual activity. However, factors that influenced the predisposition to use PrEP included age group, receptive anal sex, knowledge of postexposure prophylaxis, high HIRI score, and a history of syphilis. These findings underscore the urgent need for health services to provide comprehensive and adequate attention to the realities of this population, considering its complexities and specificities.
AB - This study aimed to evaluate the sexual practices of men ages 50 years or older who have sex with men (MSM) and factors influencing their predisposition to use preexposure prophylaxis (PrEP). An analytical cross-sectional study was conducted in Brazil and Portugal with 718 MSM. Of these, 278 (38.7%) were categorized as being at high risk for HIV based on the HIV Incidence Risk Index (HIRI), and 418 (58.2%) expressed a predisposition to use PrEP. Overall, sociodemographic factors and specific sexual practices increased the likelihood of being classified as high risk for HIV, particularly sexual position and sexual activity. However, factors that influenced the predisposition to use PrEP included age group, receptive anal sex, knowledge of postexposure prophylaxis, high HIRI score, and a history of syphilis. These findings underscore the urgent need for health services to provide comprehensive and adequate attention to the realities of this population, considering its complexities and specificities.
KW - chemsex
KW - HIV
KW - men who have sex with men
KW - preexposure prophylaxis
KW - sexual behavior
KW - sexually transmitted infections
UR - http://www.scopus.com/inward/record.url?scp=85173612104&partnerID=8YFLogxK
U2 - 10.1097/JNC.0000000000000433
DO - 10.1097/JNC.0000000000000433
M3 - Article
C2 - 37815844
AN - SCOPUS:85173612104
SN - 1055-3290
VL - 34
SP - 548
EP - 565
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 6
ER -
