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Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil

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Abstract

The aim of this study was to assess factors associated with unprotected receptive anal intercourse (URAI) in a sample of MSM recruited by respondent driven sampling in Brazil. Among 3,449 participants, 36.5 % reported URAI. Final logistic model indicated that living with a male partner, illicit drug use, having stable partnership, having sex with men only, having few friends encouraging condom use, and high self-perceived risk for HIV infection were characteristics independently associated with URAI. Intervention strategies should focus on the role of anal sex practices on HIV transmission, address illicit drug use, stigma and expansion of HIV testing and care.

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Acknowledgments

This study was coordinated by the Federal University of Ceará with technical and financial support of Brazilian Ministry of Health/Secretariat of Health Surveillance/Department of STD, Aids and Viral Hepatitis through the Project of International Technical Cooperation AD/BRA/03/H34 between the Brazilian Government and the United Nations Office on Drugs and Crime–UNODC, and the collaboration of involved institutions. Dr Kerr thanks the Institute for Global Health of the University of San Francisco California where the project was conceived, and the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) for supporting her post-doctorate fellowship at UCSF (# BEX 3495/06-0).

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Correspondence to Gustavo Machado Rocha.

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Rocha, G.M., Kerr, L.R.F.S., de Brito, A.M. et al. Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil. AIDS Behav 17, 1288–1295 (2013). https://doi.org/10.1007/s10461-012-0398-4

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