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Revista de saude publica
2017;51 102.

Factors associated with self-reported discrimination against men who have sex with men in Brazil.

Laio Magno, Inês Dourado, Luís Augusto V da Silva, Sandra Brignol, Ana Maria de Brito, Mark Drew Crosland Guimarães, Adele Benzaken, Adriana de A Pinho, Carl Kendall, Ligia Regina Franco Sansigolo Kerr
Author Information
  1. Laio Magno: Universidade do Estado da Bahia. Departamento de Ciências da Vida. Salvador, BA, Brasil.
  2. Inês Dourado: Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
  3. Luís Augusto V da Silva: Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.
  4. Sandra Brignol: Universidade Federal Fluminense. Instituto de Saúde Coletiva. Niterói, RJ, Brasil.
  5. Ana Maria de Brito: Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
  6. Mark Drew Crosland Guimarães: Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brasil.
  7. Adele Benzaken: Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de IST, Aids e Hepatites Virais. Brasília, DF, Brasil.
  8. Adriana de A Pinho: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil.
  9. Carl Kendall: Center for Global Health Equit. Tulane School of Public Health and Tropical Medicine. New Orleans, Louisiana, USA.
  10. Ligia Regina Franco Sansigolo Kerr: Universidade Federal do Ceará. Departamento de Saúde Comunitária. Fortaleza, CE, Brasil.
PMID: 29166436 DOI: 10.11606/S1518-8787.2017051000016

Abstract

OBJECTIVE: To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors.
METHODS: A cross-sectional study of 3,859 MSM recruited in 2008-2009 with respondent driven sampling. Data collection conducted in health centers in 10 Brazilian cities. A face-to-face questionnaire was used and rapid HIV and syphilis tests conducted. Aggregated data were weighted and adjusted odds ratio estimated to measure the association between selected factors and self-reported discrimination due to sexual orientation.
RESULTS: The sample was predominantly young, eight plus years of schooling, pardo (brown), single, low-income, and identified themselves as gay or homosexual. The prevalence of self-reported discrimination due to sexual orientation was 27.7% (95%CI 26.2-29.1). Discrimination was independently associated with: age < 30 years, more years of schooling, community involvement and support, history of sexual and physical violence, suicidal thoughts, and unprotected receptive anal intercourse.
CONCLUSIONS: The prevalence of self-reported discrimination among MSM in Brazil is high. These results challenge the assumptions that MSM-specific prevention and support programs are not required or that health professionals do not need special training to address MSM needs.

References

  1. Int J STD AIDS. 1996;7 Suppl 2:62-5 [PMID: 8799798]
  2. AIDS Behav. 2015 Aug;19(8):1460-9 [PMID: 25969182]
  3. PLoS Med. 2014 Mar 04;11(3):e1001609 [PMID: 24594975]
  4. J Int AIDS Soc. 2013 Nov 12;16:18817 [PMID: 24225350]
  5. J Acquir Immune Defic Syndr. 2013 Aug 15;63(5):e167-70 [PMID: 24135782]
  6. Lancet. 2012 Jul 28;380(9839):367-77 [PMID: 22819660]
  7. J Sex Res. 2010 Jan;47(1):12-23 [PMID: 19568976]
  8. AIDS Behav. 2008 Jul;12(4 Suppl):S97-104 [PMID: 18389357]
  9. AIDS Behav. 2012 Apr;16(3):724-35 [PMID: 21630014]
  10. AIDS Behav. 2015 Sep;19(9):1630-41 [PMID: 25666270]
  11. AIDS Behav. 2011 Aug;15(6):1088-97 [PMID: 21153432]
  12. AIDS Care. 2015;27(1):63-70 [PMID: 25162483]
  13. Am J Public Health. 2012 May;102 Suppl 2:S242-9 [PMID: 22401516]
  14. AIDS. 2013 Jan 28;27(3):427-35 [PMID: 23291540]
  15. PLoS One. 2014 Jun 24;9(6):e99591 [PMID: 24959923]
  16. Am J Public Health. 2004 Jul;94(7):1200-3 [PMID: 15226143]
  17. Int J STD AIDS. 2011 Dec;22(12):709-13 [PMID: 22174050]
  18. J Acquir Immune Defic Syndr. 2011 Aug;57 Suppl 3:S129-35 [PMID: 21857308]
  19. AIDS Behav. 2013 May;17(4):1288-95 [PMID: 23325375]
  20. Curr Opin HIV AIDS. 2014 Mar;9(2):156-67 [PMID: 24445371]
  21. Health Psychol. 2008 Jul;27(4):455-62 [PMID: 18643003]
  22. AIDS Care. 2016;28(1):57-62 [PMID: 26291264]
  23. AIDS Educ Prev. 2015 Feb;27(1):58-71 [PMID: 25646730]

MeSH Term

Adolescent
Adult
Brazil
Discrimination, Psychological
HIV Infections
Homosexuality, Male
Humans
Interviews as Topic
Male
Prevalence
Risk Factors
Self Report
Socioeconomic Factors
Surveys and Questionnaires
Young Adult
Journal Article Multicenter Study

Word Cloud

Created with Highcharts 10.0.0self-reporteddiscriminationsexualmenMSMdueorientationBrazilassociatedyearsamongsexfactorsconductedhealthschoolingprevalencesupportOBJECTIVE:estimateanalyzeMETHODS:cross-sectionalstudy3859recruited2008-2009respondentdrivensamplingDatacollectioncenters10Braziliancitiesface-to-facequestionnaireusedrapidHIVsyphilistestsAggregateddataweightedadjustedoddsratioestimatedmeasureassociationselectedRESULTS:samplepredominantlyyoungeightpluspardobrownsinglelow-incomeidentifiedgayhomosexual277%95%CI262-291Discriminationindependentlywith:age<30communityinvolvementhistoryphysicalviolencesuicidalthoughtsunprotectedreceptiveanalintercourseCONCLUSIONS:highresultschallengeassumptionsMSM-specificpreventionprogramsrequiredprofessionalsneedspecialtrainingaddressneedsFactors

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