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Are men who have sex with men at higher risk for HIV in Latin America more aware of PrEP?

dc.creatorAssaf, Ryan D.es_ES
dc.creatorKonda, Kelika A.es_ES
dc.creatorTorres, Thiago S.es_ES
dc.creatorVega-Ramirez, E. Hamides_ES
dc.creatorElorreaga, Oliver A.es_ES
dc.creatorDiaz-Sosa, Dulcees_ES
dc.creatorDiaz, Steven D.es_ES
dc.creatorPimenta, Cristinaes_ES
dc.creatorRobles, Rebecaes_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.creatorGrinsztejn, Beatrizes_ES
dc.creatorCaceres, Carloses_ES
dc.creatorVeloso, Valdilea G.es_ES
dc.date2021
dc.date.accessioned2024-01-26T20:48:16Z
dc.date.available2024-01-26T20:48:16Z
dc.date.issued2021
dc.identifierJC28DIEP21es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7895
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0255557
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362965/
dc.descriptionIntroduction: PrEP awareness in Latin America has been poorly characterized, with studies in Brazil, Mexico, and Peru highlighting awareness of 65% among gay, bisexual and other men who have sex with men (MSM). We assessed the association between higher risk of HIV infection, indicative of PrEP eligibility, and PrEP awareness among MSM from these countries. Methods: This was a secondary analysis of a web-based survey advertised on social media platforms from March-June 2018 in Brazil, Mexico and Peru. Eligible individuals were cisgender MSM, ≥18 years old, HIV negative or of unknown status, who lived in these countries, and provided informed consent. Higher risk of HIV infection was defined as having 10 or more points in the HIV Risk Index for MSM (HIRI-MSM). We used multivariable Poisson regression models to calculate adjusted prevalence ratios (aPR) testing the association between higher risk for HIV and PrEP awareness. Results: After exclusions, 19,457 MSM were included in this analysis. In Brazil, 53.8% were classified as higher risk for HIV, 51.9% in Mexico, and 54.2% in Peru. Higher risk for HIV was minimally associated with PrEP awareness among those in Brazil (aPR 1.04, 95% CI 1.01, 1.06), but no such association was observed in Mexico or Peru. Having more than a high school education, high income, daily use of geosocial networking (GSN) applications, and substance use were associated with PrEP awareness. Conclusion: Higher risk of HIV infection was associated with increased PrEP awareness in Brazil. However, this association was weak indicating that PrEP awareness could be strengthened with further prevention efforts. In the remaining countries, results were non-conclusive between risk and awareness. Interventions to increase PrEP awareness are paramount to increase PrEP willingness and uptake and in turn prevent new HIV infections. Social media platforms could play an important role to achieve this goal.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherPublic Library of Sciencees_ES
dc.relation16(8):e0255557
dc.rightsAcceso Cerradoes_ES
dc.titleAre men who have sex with men at higher risk for HIV in Latin America more aware of PrEP?es_ES
dc.typeArtículoes_ES
dc.contributor.affiliationUniversity of California Los Angeles, Los Angeles, CA, United States of America
dc.contributor.emailrassaf@ucla.edu
dc.relation.jnabreviadoPLOS ONE
dc.relation.journalPloS One
dc.identifier.placeEstados Unidos
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1932-6203
dc.identifier.doi10.1371/journal.pone.0255557


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