Search

Introduction : This research article aims to understand the meanings of affectionate-sexual practices among users of pre-exposure prophylaxis (PrEP) for the human immunodeficiency virus (HIV) in the context of risks related to other sexually transmitted infections (STIs). Methodology : We adopted a perspective from social psychology, discursive practices, and the production of meaning as a theoretical-methodological framework, along with the concept of public health vulnerability. We employed the snowball sampling technique and conducted interviews with 10 gay, bisexual, and other men who have sex with men (MSM) in Barcelona, Spain. Results : The threat of STIs does not concern them; they believe these infections are treatable, and they perceive that moral perspectives and biomedical approaches to such infections will not shield them from new stigmas and prejudices, already present in other phases of the HIV pandemic. Conclusions : We conclude that affectionate-sexual life did not change with the use of PrEP, but it dissipated feelings such as fear, anxiety, and guilt that the interviewees experienced while living their sexualities under homophobic culture. [ABSTRACT FROM AUTHOR]

Objective. To describe the design, implementation and profile of participants in the Sex Between Men Survey (ES entre Hombres). Materials and methods. ES entre Hombres is an online non-probabilistic survey applied at a national level to men 18 years of age or older, who have sex with men (MSM) and who use the internet. The target population was recruited through advertising on various online meeting sites and the questionnaires were self-administered using SurveyGizmo. Results. During 11 weeks a total of 15 875 eligible participants completed a self-applied questionnaire in 32 Mexican states. Most of the participants were young people (<29 years old; 65.7%) and people who access the internet daily (94.3%). Conclusion. Internet surveys for populations such as MSM represent a cost-effective method for population-based studies, since they have the potential to save resources and reach large samples sizes, providing geographic coverage at a low cost. [ABSTRACT FROM AUTHOR]

Background: Sexually transmitted diseases (STDs) are a public health problem and the programs to reduce their transmission are mostly addressed from the risk approach and not from a comprehensive intervention. Objective: To evaluate the efficacy of a biographical-professional intervention program with cognitive behavioral techniques to reduce sexual risk behaviors in men who have sex with men (MSM). Method: A two-group pretest-posttest quasiexperimental design was used in the research. The first group consisted of MSM with an STD, nine of whom were in the experimental group and eight in the control group, whereas the second group consisted of MSM with no STD distributed into two groups of 11 men each. The participants answered the questions of an ad hoc scale, whose validity and reliability were previously evaluated. Results: Differences between the experimental and control groups' pretests and posttests were found, with the experimental group showing a large effect size. Conclusions: The program reduces sexual risk behaviors in MSM; however, in those who suffer from any STD, such behaviors decreased but did not disappear. [ABSTRACT FROM AUTHOR]

Objective: To describe the prevalence of Treponema pallidum infection in individuals treated in a specialized medical center in Medellín, Colombia in 2019. Methodology: A cross-sectional study was conducted, including 776 subjects of the general population (apparently healthy-asymptomatic and without risk factors for syphilis), 126 men who have sex with men (msm) and 190 vulnerable young people (low socioeconomic strata, unemployed and low educational level) which were identified within and beyond spaces of concentration of msm and nongovernmental organizations. A survey and a detection test for IgG, IgM and IgA for T. pallidum specific antibodies were used as the primary information source. Results: Prevalence of T. pallidum infection was 0.53 % in vulnerable young participants, 2.19% in the general population and 16.67 % in msm. The odds ratio of infection in subjects aged between 51 and 60 years was 13.8 (95% ci = 3.5-51.5) compared to that found in young people aged between 21 and 30 years; 12.0 (95% ci = 1.8-79.2) comparing those with low educational level to university students; 3.3 (95% ci = 1.1-9.9) for people without health insurance compared to those belonging to the contributory health insurance regime; and 8.1 (ci 95 % = 2.8-23.0) in those who have sex with key groups versus those who do not report these practices. Conclusion: A low prevalence of T. pallidum infection was found in young participants, followed by subjects belonging to the general population and was higher in msm. Groups with the highest risk were identified (among the three subgroups studied), including subjects excluded from prevention programs, with a confluence of sexual risk factors and socioeconomic deprivation. [ABSTRACT FROM AUTHOR]

Since ChemSex (deliberate sex under influence of drugs among gay, bisexuals and other men who have sex with men) became known at the media level, special attention has received from many sectors. Recently, the occurrence of "sexual assaults" has been mentioned from outside this community in contexts where it is practiced, but many men don't understand as such the "sexual acts without consent (verbal)" that can occur. This essay seeks to understand, from a cultural perspective, why many men don't recognize themselves as "victims" or "offenders" of "sexual assaults" in the ChemSex scene. As ChemSex is a practice that occurs within the gay sex culture, which has its own codes, norms, values, language, etc. that are different from those of the dominant culture (heterosexual), the meanings and understandings around physical contact and sex are different. Furthermore, since the intention is to have sex and due to the forms of dating (e.g. virtual) and meeting (e.g. sex venues), they understand that consents can be given differently than verbally or that are already tacitly given within the dynamics of the sexual and social relationship that are formed in these spaces, so they don't recognize themselves as "victims" neither "offenders" of sexual assaults. [ABSTRACT FROM AUTHOR]

Men who have sex with men and women (MSMW) make up a subgroup of men who have sex with men, they are a key population with a higher risk of exposure to the human immunodeficiency virus. In this regard, an effective method of prevention is the condom use, however, this population is affected by contextual and social factors such as hypermasculinity, which could be limiting safe sexual behavior. Objective. Determine the influence of hypermasculinity on condom use in men who have sex with men and women. Methodology. A descriptive-correlational design was used in 106 MSMW. Virtual snowball sampling, two instruments and a sociodemographic data and sexual history card were used. Results. It was found that hypermasculinity has a negative influence on condom use (ß = -.318, p = .001). Conclusions. Hypermasculine ideas are associated with less condom use in MSMW, the findings suggest that there is a need to design specific interventions in the context of this subgroup of men focused on increasing condom use and considering the components of masculine ideology. [ABSTRACT FROM AUTHOR]

Copyright of Alternativas: Cuadernos de Trabajo Social is the property of Alternativas: Cuadernos de Trabajo Social and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Metodología de las Ciencias Sociales is the property of Universidad Nacional de La Plata and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The term chemsex is used to talk about the sexualized use of drugs among men who have se with men (MSM) who feel the need to increase their arousal, pleasure and their duration in sexual intercourse. Objective. The objective of this work is to systematically analyze the available evidence on chemsex and risky sexual behaviors in MSM. Method. For the elaboration of this systematic review, the formulation of a question was followed, establishment of inclusion and exclusion criteria, development of search strategies, selection of articles to be included in the review, data extraction and data synthesis. Results. About chemsex, 25% of the studies describe how recreational drug use before or during the sexual encounter and 12.5% report that chemsex implies potential risks to the physical and mental health of its practitioner. 62.5% of studies associate this practice group sex parties. 62.5% of the studies found that homosexuals practice chemsex to a greater extent compared to bisexuals. Conclusions. This systematic review contributes to a greater understanding of chemsex and sexual risk behaviors among MSM. [ABSTRACT FROM AUTHOR]

The stigma and discrimination associated with HIV/AIDS are negative aspects, since its origins it has been linked to groups related to HIV transmission: men who have sex with men, injecting drug users, prisoners, transsexuals, sex workers and their clients, generalizing causes and effects. The management and treatment of HIV/AIDS have made great advances that have allowed it to be placed as a chronic condition. The social perception of the condition has not achieved the same evolution, because they continue rejection behaviors related to stigma in people diagnosed. Addressing this phenomenon of stigma and discrimination, allow us to explore and analyze how it is represented by a person living with HIV/AIDS. This is a qualitative phenomenological study since its main characteristic is understanding and interpreting the experience of the individual diagnosed with HIV / AIDS. In-depth interviews were conducted and for the analysis and interpretation the content analysis of the most relevant aspects for the study was used. Analysis topics identified were: Discrimination and experienced stigma but not fulfilled; Modification in the experience of death; a way out of discrimination and Coping strategies. More than one perceived stigma was found; however, the associated feelings allow us to feel the experience as possible more not lived and from there make decisions. From that experience, it is sought to discover the stigma and discrimination associated with people diagnosed with HIV / AIDS, therefore it was chosen by a phenomenological approach. [ABSTRACT FROM AUTHOR]

Copyright of Palobra is the property of Universidad de Cartagena and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: men who have sex with other men (MSM) suffer discrimination, which leads to HIV/AIDS risky sexual behavior. Objective: To examine the evidence available on the relationship between social discrimination and risky sexual behavior of adult Latin American MSM with and without a diagnosis of HIV/AIDS. Methodology: a systematic review was carried out following the PRISMA guidelines. The inclusion criteria were complete text research articles written in English and Spanish, with no restriction on the date of publication. Search chains were constructed. The articles were analyzed with what established in the HCPRDU assessment tool for quantitative studies. Results: twelve studies published between 2000 and 2014 were included. The evidence suggests that the participants with and without a diagnosis of HIV/AIDS suffer some type of discrimination related to unprotected anal intercourse. Conclusions: the results evidence the lack of explanatory models that may improve the course of professional care practice. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) represent a key population of greater affectation for to human immunodeficiency virus infection. Until now, the main form of prevention is to have safer sexual practices; however there are factors that can affect the implementation of these practices. Objective. To determine the influence of body image and the sexual sensation seeking in the safe sexual practices in MSM in Nuevo León, México. Methods. A descriptive-correlational design was used, with a sample of 257 MSM. The respondent driven sampling was used. For the measurement, three scales and a sociodemographic and sexuality data questionnaire were used. Results. The sexual sensation seeking had an effect on the safe sexual practices (F= 26.679, p= <.001), not so with body image. MSM with more willingness to engage in novel sexual experiences less made use of condom and less avoidance of risk practices. Conclusions. MSM who perform more sexual sensation seeking have less safe sexual practices. The results suggest the need for multidisciplinary interventions aimed at reducing the sexual sensation seeking in this population. [ABSTRACT FROM AUTHOR]

Copyright of Medicina (Buenos Aires) is the property of Medicina (Buenos Aires) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Medicina is the property of Revista Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Following an ongoing qualitative research about geo-located apps for men who have sex with men (MSM), the article reflects on the relevance of continuing with the distinction made among online / offline reality. Analyzing some testimonies of informants and observations, it appears that this division is artificial, concluding that it would be necessary to rethink reality as one, which is constantly overlapping online and offline elements. [ABSTRACT FROM AUTHOR]

Objective. To estimate the incidence of HIV in the adult population of Paraguay for 2014 and analyze its distribution and associated uncertainty according to risk behavior. Methods. The UNAIDS model was applied according to modes of transmission (MoT). Data were obtained from a detailed review of documents prepared between 1996 and 2013. Uncertainty of the estimated values was analyzed. Results. The estimated incidence for 2014 was 0.091% (3,081 new infections). Both the percentage of new infections (74.75%, CI95%: 64.19%-81.47%) and the incidence rate per 10,000 population (9,518) were greater in the group of men who have sex with men (MSM). The second most affected group was made up of those who have stable heterosexual sex (9.9%). Heterosexual transmission accounted for 23% of new cases and 8% corresponded to couples (men and women) who engaged in high-risk behavior for HIV transmission. Female sex workers and intravenous drug users accounted for 1%. Conclusions. The resulting estimate of the incidence of HIV and its distribution among groups at risk is consistent with national-level reports and with the characteristics of the MSM population, which accounts for the greatest number of cases in the epidemic. Preventive actions should be aimed at this group in order to have a significant impact on the course of the epidemic in the country. Furthermore, it is recommended that preventive activities aimed at stable couples in at-risk groups and the general population be expanded and strengthened. [ABSTRACT FROM AUTHOR]

Objective. To estimate the HIV seroprevalence among Mexicans aged l5 to 49 years old and living in households, and to describe the profile of serorreactive individuals. Materials and methods. Cross-sectional study with a national probabilistic sample of individuals aged l5 to 49 years with behavioral data from direct interview (face-to-face) at households and HIV screening using capillary blood collected from the same individuals. Results. A seroprevalence of 0.15% (95%CI 0.09-0.21) was estimated for Mexicans aged 15 to 49; seroprevalence among women was 0.07% (95%CI 0.03-0.11) and 0.24% (95%CI 0.11-0.36) for men. HIV serorreactive population is composed of younger men, with a higher socioeconomic level compared to the general population, and with a higher insurance coverage-social protection on health in general and social security in particular. Only 50% of the serorreactive individuals may be aware of their status as living with HIV. Conclusions. The estimated HIV seroprevalence in the NHNS 2012 suggests a stable pattern since 2000. The estimated prevalence among individuals 15 to 49 years was adjusted both for selection bias correction and to include MSM estimations (under the assumption that MSM is a population hard to reach in a household survey), resulting in a total seroprevalence of 0.23% and an estimated number of people with HIV of 140 000. [ABSTRACT FROM AUTHOR]

This paper begins whit the evidence about the re-emergence, worldwide, of HIV infection in MSM. According to unaids, Latin America contributed the largest number of new HIV infections in MSM, after the United States of America. Also, 35 % of people living with HIV in Latin America are MSM. In addition, to reflect on the behaviours front the unprotected sex, built on beliefs or personal assumptions based on: intuition, trust and emotions. The unprotected sex in MSM could become, unconsciously, in a symbolic act of rebellion and transgression pleasurable. It concludes that nonsexual needs of MSM, that lead them to have unprotected sex, comprise several situations, sensations and feelings. The prevention programs must include and emphasize in the multiple processes involved in decision making, and accepting the vulnerabilities of MSM. [ABSTRACT FROM AUTHOR]

Copyright of Maguaré is the property of Universidad Nacional de Colombia, Departamento de Antropologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objectives. To estimate HIV incidence in the adult population of Peru, 2010, and analyze its distribution based on risk behavior. Materials and methods. The UNAIDS model was applied based on the modes of transmission (MoT). The information was obtained from the review detailed in 59 documents (1984 - 2008). National databases were also analyzed to obtain specific data. Final selection of data was validated by the technical group and a group of experts. After consultation with experts, values were corrected and an uncertainty analysis was conducted. The model was adjusted to 2009 national prevalence (0.45%). Results. Incidence estimated for 2010 was 0.03%, (4346 new infections). 84% of new infections concentrate on higher risk groups: men who have sex with men (55%) and people who have casual sex with heterosexuals (6.2%). The remaining 16% corresponds to low-risk heterosexual population. Heterosexual transmission accounts for 43% of new cases, 18% of which corresponds to female partners of high risk individuals. Only 2.2% of cases is related to female sexual work and 1.0% to injection drug users. Conclusions. The model provides an estimation of the incidence and its distribution among risk groups according to the mode of transmission, consistent with the HIV case reporting. The model creates scenarios to help decision making and policy formulation, as well as surveillance and planning of prevention and control. [ABSTRACT FROM AUTHOR]

Objective. Explore the appropriateness of the theory of planned behavior (TPB) model for analyzing risky sexual behavior in men who have sex with other men (MSM), with the object of proposing an alternative model that improves understanding. Methods. Qualitative analysis of semi-structured individual and nominal group interviews conducted with 45 MSM who engaged in risky sexual behavior (insertive or receptive anal penetration without use of a condom) during the past 12 months. In order to manage the data, a discourse analysis using the constant comparative method was performed in two phases: a) identification of TPB variables and incongruities between this theory and the statements made by the informants, and b) proposal of an alternative psychosocial model that is consistent with the results. Results. The overall appropriateness of the TPB was confirmed, with changes in specific aspects and the introduction of new variables that could be included in subsequent research in order to quantitatively verify the potential increase in the predictive and/or explanatory capacity of the model for risky sexual behavior in MSM. Conclusions. The results obtained appear to indicate the importance of testing the mathematical assumptions of the TPB model. A stable balance was established between validation of the TPB and suggesting possible changes in specific aspects that could be included in subsequent research to confirm the potential increase in the explanatory capacity of the model for risky sexual behavior in MSM. [ABSTRACT FROM AUTHOR]