caa a22 4500 606232796 CHVBK 20210128101229.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0357-4 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0357-4 Unprotected Sexual Practices Among Men Who Have Sex with Women and Men Who Have Sex with Men Living with HIV/AIDS in Rio de Janeiro [Elektronische Daten] [Renata Julio, Ruth Friedman, Cynthia Cunha, Raquel De Boni, Sandra Cardoso, Thiago Torres, Carla Alves, Cristiane Castro, Nilo Fernandes, Valdilea Veloso, Beatriz Grinsztejn] Combined antiretroviral therapy is now acknowledged for preventing new HIV infections, besides decreasing mortality and morbidity. However, in many Latin America countries the epidemic is still driven by unprotected sexual intercourse. This study aims to describe sexual practices related to HIV/STD and to evaluate factors associated to unprotected sex among men who have sex with women (MSW) and men who have sex with men (MSM) under care at a reference center for HIV in Rio de Janeiro, Brazil. A cross-sectional study, nested in a Brazilian clinical cohort, evaluated the sexual practices of 404 sexually active HIV-positive MSW and men who have MSM. Approximately 30% of them reported unprotected sexual practices during the 6months prior to the interview. Most frequent risky practices reported were unprotected vaginal sex among MSW and unprotected receptive anal sex among MSM. Factors increasing the chance of unprotected sexual practices among MSW were the partner's desire of becoming pregnant (OR 2.81; CI 95%: 1.36-5.95). To have received comments about excessive consumption of alcohol (OR 2.43; CI 95%: 1.01-5.83), illicit drug use (OR 4.41; CI 95%: 1.75-11.60) and lived in marital situation (OR 2.10; CI 95%: 1.09-4.08) were significantly associated with unsafe sexual practices among MSM. The results highlight that health care of men living with HIV, as well as the prevention strategies, must consider the particularities of sexual behavior practiced by people who differ in sexual orientation. Springer Science+Business Media New York, 2014 HIV/AIDS nationallicence Unprotected sexual behavior nationallicence MSM nationallicence MSW nationallicence Julio Renata Superintendência Regional de Saúde de Varginha/Centro Universitário do Sul de Minas, Varginha, Minas Gerais, Brazil aut Friedman Ruth Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Cunha Cynthia Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut De Boni Raquel Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Cardoso Sandra Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Torres Thiago Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Alves Carla Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Castro Cristiane Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Fernandes Nilo Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Veloso Valdilea Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Grinsztejn Beatriz Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 357-365 0004-0002 44:2<357 2015 44 10508 https://doi.org/10.1007/s10508-014-0357-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0357-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Julio Renata Superintendência Regional de Saúde de Varginha/Centro Universitário do Sul de Minas, Varginha, Minas Gerais, Brazil aut NATIONALLICENCE 700 1- Friedman Ruth Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Cunha Cynthia Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- De Boni Raquel Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Cardoso Sandra Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Torres Thiago Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Alves Carla Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Castro Cristiane Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Fernandes Nilo Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Veloso Valdilea Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 700 1- Grinsztejn Beatriz Instituto de Pesquisa Clínica Evandro Chagas/FIOCRUZ, Avenida Brasil 4365, 21040-360, Rio de Janeiro, Brazil aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 357-365 0004-0002 44:2<357 2015 44 10508