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Revista de Saúde Pública

versão On-line ISSN 1518-8787


MAGNO, Laio et al. Factors associated with self-reported discrimination against men who have sex with men in Brazil. Rev. Saúde Pública [online]. 2017, vol.51, 102.  Epub 17-Nov-2017. ISSN 1518-8787.


To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors.


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.


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.


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.

Palavras-chave : Homosexuality, Male; Sexism; Risk Factors; Socioeconomic Factors; Gender and Health; Health Inequalities.

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