Cruz AXFD, Neto JC, Araújo AAC, Sousa ARD, Oliveira LBD, Sena IVDO, Sena Sousa L, Santos JD, Batista OMA, Mendes IAC, Fronteira I, Sousa ÁFLD. HIV testing among immigrant men who have sex with men in Brazil.
Public Health Nurs 2023;
40:826-835. [PMID:
37526386 DOI:
10.1111/phn.13236]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 07/15/2023] [Accepted: 07/21/2023] [Indexed: 08/02/2023]
Abstract
OBJECTIVE
To evaluate the prevalence of non-testing for HIV among immigrant men who have sex with men (MSM) residing in Brazil and identify associated factors.
DESIGN
An analytical web-survey study was conducted across all Brazilian states from January 2020 to May 2021.
SAMPLE
The study included 804 MSM immigrants from Portuguese-speaking countries.
MEASUREMENTS
Odds ratio (OR) and adjusted Odds Ratio (AOR) were utilized to determine the strength of the association between non-HIV testing and associated factors.
RESULTS
Among the participants, 63.7% had never undergone HIV testing. Multivariate analysis revealed several factors associated with a higher likelihood of not being tested for HIV: having a steady/monogamus partner (AOR: 1.5; 95%CI: 1.1-2.3) or both casual and steady partners (AOR: 1.8; 95%CI: 1.2-3.4), not engaging in bareback sex (AOR: 1.91; 95%CI: 3-3.5), being an immigrant in the country for less than 12 months (AOR: 3.7; 95%CI: 2.5-9.7), and having a preference for insertive (AOR: 1.5; 95%CI: 1.1-2.5) or receptive (AOR: 2.9; 95%CI: 1.4-5.7) roles. However, practicing chemsex was found to be a protective factor for testing (AOR: 4).
CONCLUSION
To enhance HIV prevention strategies, it is crucial to implement specific measures that ensure accessibility, confidentiality, and a reduction in stigma associated with HIV testing.
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