Características relacionadas em homens que fazem sexo VIH+ em Cali-Colômbia 2012-2015
DOI:
https://doi.org/10.17533/udea.rfnsp.v35n2a05Palavras-chave:
VIH/Sida, Colômbia, conduta de risco, vulnerabilidade, homens que tem sexo com homens (HSM)Resumo
Na Colômbia a toma voluntária de provas para vih em populações de major risco varía entre 20% e 50%. O conhecimento de características em pessoas recém diagnosticadas poderia direcionar estratégias para tamisado e educação. Objetivo: determiar a frequência de vih+ e a sua relação com fatores sócio demográficos, conhecimentos e comportamentos em homens que praticam sexo com outros homens (hsh). Metodologia: Entre 2012 e 2015 se realizou em Cali-Colômbia um estudo descritivo mediante tamisado para vih com participação voluntaria de 503 hsh majores de 18 anos. Prévio consentimento informado se usou questionário estruturado e prova rápida para vih. Se fizeram análises descritivos, de comparação de grupos segundo diagnose de vih e regressão logística multivariada. Resultados: Idade termo médio 27.3 ± 8.9 anos. O 63% teve prova prévia de vih; frequência de vih+ 13.9% (I.C95% 10.9 - 17.0). Se observou major frequência de diagnose VIH+ em >25 anos (OR 3.1; IC95% 1.5 - 6.6), com escolaridade media (OR 2.8; IC95% 1.3 - 6.0), consumo de sustâncias psicoativas (OR 2.0; IC95% 1.0 - 4.1), tatuagens/piercing (OR 2.4; IC95% 1.1 - 5.0), antecedente de infecções de transmissão sexual (its) (OR 2.6; IC95% 1.3 - 5.4) e daqueles que se creiam em risco (OR 3.2; IC95% 1.5 - 6.9). Conclusão: Os resultados sugerem características que podem direcionar a busca de vih em pessoas com fatores de risco adicionais a sua vulnerabilidade por práticas sexuais.
Downloads
Referências
Arrivillaga M, Hoyos P, Tovar L, Varela M, Correa D, Zapata H. HIV testing and counselling in Colombia: evidence from a national health survey and recommendations for health-care services. International journal of STD & AIDS. 2012; 23(11): 815-821.
Cuenta de Alto Costo.org. Situación del VIH/SIDA en Colombia, 2014 [Internet] Fondo Colombia Enfermedades de Alto Costo; 2014. Disponible en: https://cuentadealtocosto.org/site/images/Publicaciones/CAC.CO_20150814_LIBROVIH2014_V-0.0.VERSIÓN%20FINAL---.pdf
Zea MC, Reisen CA, María del Río-González A, Bianchi FT, Ramirez-Valles J, Poppen PJ. HIV prevalence and awareness of positive serostatus among men who have sex with men and transgender women in Bogotá, Colombia. Am J Public Health. 2015; 105(8): 1588-1595.
Mendoza MLR, Jacobson JO, Morales-Miranda S, Alarcón CÁS, Núñez RL. High HIV Burden in men who have sex with men across Colombia’s largest cities: Findings from an integrated biological and behavioral surveillance study. PloS one. 2015; 10(8): e0131040.
Branson B, Handsfield H, Lampe M, Janssen R, Taylor A, Lyss S, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR. Recommendations and reports: Morbidity and mortality weekly report. Recommendations and reports/Centers for Disease Control. 2006; 55(RR-14): 1.
Proyecto VIH Fondo Mundial. Mecanismo de coordinación de País-MCP Colombia Fondo Mundial de lucha contra el Sida, la Tuberculosis y Malaria 2013. Resultados del estudio comportamiento sexual y prevalencia de la infección por VIH en mujeres trans en cuatro ciudades de Colombia,2012.: MCP Colombia; 2013.
Aral S. Determinants of STD epidemics: implications for phase appropriate intervention strategies. Sexually Transmitted Infections. 2002; 78(suppl 1): i3--i13.
Shaw SY, Shah L, Jolly AM, Wylie JL. Determinants of injection drug user (IDU) syringe sharing: the relationship between availability of syringes and risk network member characteristics in Winnipeg, Canada. Addiction. 2007; 102(10): 1626-1635.
Kippax SC, Holt M, Friedman SR. Bridging the social and the biomedical: engaging the social and political sciences in HIV research. Journal of International AIDS Society. 2011; 14(Suppl 2): S1.
Galindo J, Tello IC, Mueses HF, Duque JE, Shor-Posner G, Moreno G. HIV and vulnerability: a comparison of three groups in Cali, Colombia. Rev. Fac. Nac. Salud Pública. 2011; 29(1):25-33.
Galindo-Quintero J, Mueses-Marin HF, Montaño-Agudelo D, Pinzón-Fernández MV, Tello-Bolívar IC, Alvarado-Llano BE, et al. HIV Testing and Counselling in Colombia: Local Experience on Two Different Recruitment Strategies to Better Reach Low Socioeconomic Status Communities. AIDS Research and Treatment. 2014; 2014.
Escobar G. Cali en Cifras 2014. Departamento de Planeación Municipal, Alcaldía de Cali. 2015. Available from: http://www.cali.gov.co/publicaciones/107143/cali_en_cifras_planeacion/. Tech. rep.
Mueses HF, Pinzón MV, Tello IC, Rincón-Hoyos HG, Galindo J. HIV and risk behaviors of persons of low socio-economic status, Popayan-Colombia (2008-2009). Colombia Médica. 2013; 44(1): 7-12.
Pautas para la realización de Asesoría y Prueba Voluntaria para VIH (APV): Dirección General de Salud Pública. Ministerio de la Protección Social. Fondo de Población de las Naciones Unidas (UNFPA).Convenio 168 – Componente VIH; 2011.
Melo J, Nilsson C, Mondlane J, Osman N, Biberfeld G, Folgosa E, et al. Comparison of the performance of rapid HIV tests using samples collected for surveillance in Mozambique. J Med Virol. 2009; 81(12): 1991-1998.
WHO. HIV assays: operational characteristics. Report 16, Rapid assays. 2009.
Cherutich P, Kaiser R, Galbraith J, Williamson J, Shiraishi RW, Ngare C, et al. Lack of knowledge of HIV status a major barrier to HIV prevention, care and treatment efforts in Kenya: results from a nationally representative study. PLoS One. 2012; 7(5): e36797.
Desenclos JC, Papaevangelou G. Knowledge of HIV serostatus and preventive behaviour among European injecting drug users. AIDS. 1993; 7(10): 1371-1378.
Crepaz N, Lyles CM, Wolitski RJ, Passin WF, Rama SM, Herbst JH, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. Aids. 2006; 20(2): 143-157.
Bunnell R, Opio A, Musinguzi J, Kirungi W, Ekwaru P, Mishra V, et al. HIV transmission risk behavior among HIV-infected adults in Uganda: results of a nationally representative survey. Aids. 2008; 22(5): 617-624.
Van Griensven GJ, De Vroome E, AP Tielman R, Goudsmit J, De Wolf F, Van Der NOORDAA J, et al. Effect of human immunodeficiency virus (HIV) antibody knowledge on high-risk sexual behavior with steady and nonsteady sexual partners among homosexual men. Am. J. Epidemiol. 1989; 129(3): 596-603.
Poteat T, Reisner SL, Radix A. HIV epidemics among transgender women. Current Opinion in HIV and AIDS. 2014; 9(2): 168-173.
Altman D, Aggleton P, Williams M, Kong T, Reddy V, Harrad D, et al. Men who have sex with men: stigma and discrimination. The Lancet. 2012; 380(9839): 439-445.
Millett GA, Peterson JL, Flores SA, Hart TA, Jeffries WL, Wilson PA, et al. Comparisons of disparities and risks of HIV infection in black and other men who have sex with men in Canada, UK, and USA: a meta-analysis. The Lancet. 2012; 380(9839): 341-348.
Ostrow DG, Plankey MW, Cox C, Li X, Shoptaw S, Jacobson LP, et al. Specific sex-drug combinations contribute to the majority of recent HIV seroconversions among MSM in the MACS. J Acquir Immune Defic Syndr. 2009; 51(3): 349.
Li Y, Baker JJ, Korostyshevskiy VR, Slack RS, Plankey MW. The association of intimate partner violence, recreational drug use with HIV seroprevalence among MSM. AIDS and Behavior. 2012; 16(3): 491-498.
Garland SM, Ung L, Vujovic OV, Said JM. Cosmetic tattooing: A potential transmission route for HIV?. The Australian and New Zealand Journal of Obstetrics and Gynaecology. 2006; 46(5): 458-459.
Grimm S, Cronin A. Health Risks Associated with Tattoos and Body Piercing. J Clin Outcomes Manag. 2014; 21(7): 315-320.
Messahel A, Musgrove B. Infective complications of tattooing and skin piercing. Journal of Infection and Public Health. 2009; 2(1): 7-13.
Nishioka SdA, Gyorkos TW. Tattoos as risk factors for transfusion-transmitted diseases. International Journal of Infectious Diseases. 2001; 5(1): 27-34.
Fox J, Fidler S. Sexual transmission of HIV-1. Antiviral research. 2010; 85(1): 276-285.
Centers for Disease Control. Rapid HIV testing in emergency departments--three US sites, January 2005-March 2006. MMWR. Morbidity and mortality weekly report. 2007; 56(24): 597.
Koh KC, Yong LS. HIV risk perception, sexual behavior, and HIV prevalence among men-who-have-sex-with-men at a community-based voluntary counseling and testing center in Kuala Lumpur, Malaysia. Interdisciplinary perspectives on infectious diseases. 2014; 2014: 1-6.
Yi S, Tuot S, Chhoun P, Brody C, Pal K, Oum S. Factors associated with recent HIV testing among high-risk men who have sex with men: a cross-sectional study in Cambodia. BMC Public Health. 2015; 15(1): 1.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
El autor o los autores conserva(n) los derechos morales y cede(n) los derechos patrimoniales que corresponderán a la Universidad de Antioquia, para publicarlo, distribuir copias electrónicas, incluirlas en servicios de indización, directorios o bases de datos nacionales e internacionales en Acceso Abierto, bajo la licencia Creative Commons Atribución-No Comercial-Compartir Igual 4.0 Internacional Comercial (CC BY-NC-SA) la cual permite a otros distribuir, remezclar, retocar y crear a partir de la obra de modo no comercial, siempre y cuando se dé crédito respectivo y licencien las nuevas creaciones bajo las mismas condiciones.
--
--
--
