HIV testing and post-exposure prophylaxis among men who have/ do not have sex with men

Francisco, Márcio Tadeu Ribeiro; Fonte, Vinícius Rodrigues Fernandes da; Spindola, Thelma; Pinheiro, Carina D’Onofrio Prince; Costa, Cristiane Maria Amorim; Rocha, Fabiana Cristina Silva da

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RESEARCH • Esc. Anna. Nery 25 (3) • 2021 • https://doi.org/10.1590/2177-9465-EAN-2020-0236 copy

HIV testing and post-exposure prophylaxis among men who have/ do not have sex with men^a a The study comes from the activities of the extension project “Só a alegria vai contagiar: o samba da prevenção vai pegar nesse carnaval”, carried out by the Universities of the State of Rio de Janeiro in partnership with the Veiga de Almeida University, under the coordination of Márcio Tadeu Ribeiro Francisco.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives

identify HIV testing and knowledge about post-exposure prophylaxis (PEP) among men; and compare data among men who have (or do not have) sex with men.

Method

A cross-sectional study was conducted with 271 men participating in Carnival in Rio de Janeiro, selected through convenience sampling. The data were collected in the Sambadrome, with the help of a questionnaire in February 2017. The analysis was performed through the SPSS software.

Results

There were disparities in HIV testing and knowledge about PEP among men who have (or do not have) sex with men. Men who have sex with men have better behaviors and knowledge of coping with HIV.

Conclusion and implications for practice

HIV policies have managed to reach one of the key populations of the epidemic, men who have sex with men, yet men who do not have sex with men remain vulnerable.

Keywords:
Knowledge; HIV; Post-exposure Prophylaxis; Sexual Behavior; Men’s health

Variables	MSM		Men who do not have sex with men		P-value ^* * Tested Pearson chi-square.
Variables	n	%	n	%	P-value ^* * Tested Pearson chi-square.
Age group
18 to 29 years old (young)	26	30.23	62	33.51	0.6
30 years or more (not young)	60	69.77	123	66.49	0.6

Education time
Up to 11 years of education	27	31.4	96	52.17	0.001
12 years or more of education	59	68.6	88	47.83	0.001

Sexual orientation
Bisexual	10	11.63	1	0.54
Heterosexual	5	5.81	179	96.76	<0.00001
Homosexual	70	81.40	5	2.70
Other	1	1.16	0	0

Studies
Yes	34	40	64	35.36	0.4
No	51	60	117	64.64	0.4

Works
Yes	71	82.56	154	83.24	0.8
No	15	17.44	31	16.76	0.8

Registered in a basic health unit
Yes	38	45.78	66	36.26	0.1
No	45	54.22	116	63.74	0.1

Fixed partner
Yes	66	77.65	142	77.17	0.9
No	19	22.35	42	22.83	0.9
Total	86^ Only valid answers were considered, as some questions were not answered by the participants. Source: prepared by the authors, 2020.	100	185**	100

Variables	MSM		Men who do not have sex with men		P-value ^* * Tests Pearson chi-square.
Variables	n	%	n	%	P-value ^* * Tests Pearson chi-square.
Had an HIV test
Yes	68	79.07	70	37.84	<0.00001
No	18	20.93	115	62.16	<0.00001
Had a quick HIV test
Yes	37	44.05	18	9.78	<0.00001
No	47	55.95	166	90.22	<0.00001
Sought care in health unit after sex without use or with failure to use the condom
Yes	22	26.5	13	7.14	<0.00001
No	61	73.5	169	92.86	<0.00001
Do you know of any health service where HIV testing is performed for free?
Yes	67	77.91	97	53.01	<0.00001
No	19	22.09	86	46.99	<0.00001
Have you heard about Post Exposure Prophylaxis (PEP)?
Yes	45	52.33	44	24.18	<0.00001
No	41	47.67	138	75.82	<0.00001
Do you know where you can acquire Post Exposure Prophylaxis (PEP)?
Yes	49	57.65	63	34.62	<0.0004
No	36	42.35	119	65.38	<0.0004
Knows that regular use of antiretroviral therapy reduces the chance of HIV transmission even after condom use failure?
Yes	65	76.47	115	63.19	<0.03
No	20	23.53	67	36.81	<0.03
Total	86^ Only valid answers were considered, because some questions were not answered by the participants. Source: prepared by the authors, 2020.	100	185**	100

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

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[1] Corresponding author:
Vinícius Rodrigues Fernandes da Fonte. Email: vinicius-fonte@hotmail.com