UNASSIGNED: Conectad@s was a respondent-driven sampling-based study to recruit and engage YMSM in HIV prevention and treatment services in Rio de Janeiro, Brazil (November 2021-October 2022). Eligibility criteria were age 18-24 years and self-identification as MSM (cis/trans) or non-binary person who have sex with men. Participants underwent HIV/STI testing and completed a socio-behavioural questionnaire. We described baseline characteristics by HIV status and used logistic regression models to identify correlates of new HIV diagnoses. Trial ID: DERR1-10.2196/34885.
UNASSIGNED: Among 409 participants, 370 (90.5%) self-identified as cisgender men, nine (2.2%) transgender men, and 30 (7.3%) non-binary. Median age was 21 years (IQR: 20-23), with 80 (19.6%) aged 18-19 years. Most self-identified as Black or Pardo (70.6%); 109 (26.7%) never tested for HIV. HIV prevalence was 9.8%; 50% (n = 20/40) were newly diagnosed with HIV. Only nine participants ever used PrEP and three were currently using it. Overall, 133 (32.5%) reported sexual violence in their lifetime and 102 (24.9%) reported a suicide attempt. Prevalence of active syphilis, chlamydia, and gonorrhoea were 14.4%, 15.9%, and 14.7%, respectively. New HIV diagnoses were positively associated with engaging in high-risk behaviour (aOR 4.88 [95% CI: 1.88-13.40]) and anxiety (aOR 2.67 [95% CI: 1.01-7.70]), and negatively associated with ever disclosing sexual orientation (aOR 0.19 [95% CI: 0.04-0.92]) and HIV knowledge (aOR 0.77 [95% CI: 0.59-1.01]).
UNASSIGNED: High prevalence of HIV coupled with a high proportion of new HIV diagnoses underscore a potentially growing HIV epidemic among YMSM in Brazil.
UNASSIGNED: National Institutes of Health (NIH), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Ministry of Health of Brazil.
■Conectad@s是一项由受访者驱动的基于抽样的研究,目的是在里约热内卢招募和聘用YMSM参与艾滋病毒预防和治疗服务,巴西(2021年11月-2022年10月)。资格标准为18-24岁,自我认同为MSM(顺式/反式)或非二元性男性。参与者接受了艾滋病毒/性传播感染检测,并完成了社会行为问卷。我们通过HIV状况描述了基线特征,并使用逻辑回归模型来确定新HIV诊断的相关性。试验编号:DERR1-10.2196/34885。
■在409名参与者中,370人(90.5%)自我认定为顺性男性,九名(2.2%)变性人,和30(7.3%)非二进制。年龄中位数为21岁(IQR:20-23),80岁(19.6%),年龄在18-19岁。大多数人自称是黑人或帕尔多(70.6%);109人(26.7%)从未检测过艾滋病毒。HIV患病率为9.8%;新诊断为HIV的50%(n=20/40)。只有9名参与者曾经使用过PrEP,目前有3名参与者正在使用它。总的来说,133(32.5%)报告了一生中的性暴力,102(24.9%)报告了自杀未遂。活动性梅毒的患病率,衣原体,淋病占14.4%,15.9%,和14.7%,分别。新的HIV诊断与从事高风险行为(aOR4.88[95%CI:1.88-13.40])和焦虑(aOR2.67[95%CI:1.01-7.70])呈正相关,与曾经披露的性取向(aOR0.19[95%CI:0.04-0.92])和HIV知识(aOR0.77[95%CI:0.59-1.01])呈负相关。
■艾滋病毒的高流行率以及新的艾滋病毒诊断的高比例突显了巴西YMSM中艾滋病毒流行的潜在增长。
■美国国立卫生研究院(NIH),巴西国家卫生部。