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  1. Article ; Online: Determinants of Late HIV Presentation at Ndlavela Health Center in Mozambique.

    Chone, Jeremias Salomão / Abecasis, Ana Barroso / Varandas, Luís

    International journal of environmental research and public health

    2022  Volume 19, Issue 8

    Abstract: Background: There has been tremendous progress in the fight against HIV worldwide; however, challenges persist in the control of HIV infection. These challenges include the high prevalence of late presenters. There are many disadvantages of late ... ...

    Abstract Background: There has been tremendous progress in the fight against HIV worldwide; however, challenges persist in the control of HIV infection. These challenges include the high prevalence of late presenters. There are many disadvantages of late presentation-from reduced survival of the infected person to the risk of transmitting the infection. This research aims to analyze the factors that influence the late presentation in patients attending Ndlavela Health Center in Mozambique.
    Methodology: A retrospective cross-sectional study was carried out at Ndlavela Health Center including patients diagnosed with HIV between 2015 and 2020. The European Late Presenter Consensus working group definitions were used, and univariate and multivariate logistic regression were used to identify factors associated with late presentation.
    Results: In total, 519 participants were included in the study, of which nearly 47% were classified as late presenters. The male gender (AOR = 2.41), clinical suspicious test (AOR = 4.03), initiated by the health professional (AOR = 2.1,9), and fear of stigma (AOR = 2.80) were the main risk factors for late HIV presentation.
    Conclusion: Factors that are potentially determinant for late HIV presentation were identified. Actions are needed to focus on risk factors that are most likely to delay presentation.
    MeSH term(s) CD4 Lymphocyte Count ; Cross-Sectional Studies ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; Humans ; Male ; Mozambique/epidemiology ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2022-04-11
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19084568
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Factors associated with chemsex in Portugal during the COVID-19 pandemic.

    Chone, Jeremias Salomão / Lima, Shirley Verônica Melo Almeida / Fronteira, Inês / Mendes, Isabel Amélia Costa / Shaaban, Ahmed Nabil / Martins, Maria do Rosário Oliveira / Sousa, Álvaro Francisco Lopes

    Revista latino-americana de enfermagem

    2021  Volume 29, Page(s) e3474

    Abstract: Objective: to investigate the factors associated with the practice of sex under the influence of drugs (chemsex) among Portuguese men who have sex with men during the period of social distancing to prevent the COVID-19.: Method: online survey applied ...

    Abstract Objective: to investigate the factors associated with the practice of sex under the influence of drugs (chemsex) among Portuguese men who have sex with men during the period of social distancing to prevent the COVID-19.
    Method: online survey applied in May 2020 to a sample of 1,301 participants living in Portugal, recruited according to Respondent Driven Sampling and via social media Facebook®. Descriptive and bivariate analyses were performed along with logistic regression to calculate adjusted Odds Ratio (ORa).
    Results: the prevalence of chemsex was 20.2%. The likelihood of practicing chemsex increased with group sex (ORa: 28.4, 95%CI 16.93-47.49); unprotected sex (ORa: 7.1 95%CI 4.57-10.99); the use of pre-exposure prophylaxis (PrEP) to prevent COVID-19 (ORa: 4.2, 95%CI 2.71-6.39) and COVID-19 testing (ORa: 1.9, 95%CI 1.15-3.10).
    Conclusion: the practice of chemsex among men who have sex with men during the COVID-19 pandemic in Portugal was very frequent and may support greater understanding of the role and impact of sexual behavior on the COVID-19 transmission rates and the current pandemic situation in Portugal.
    MeSH term(s) COVID-19 ; COVID-19 Testing ; Cross-Sectional Studies ; HIV Infections/epidemiology ; Homosexuality, Male ; Humans ; Male ; Pandemics ; Portugal/epidemiology ; SARS-CoV-2 ; Sexual Behavior ; Sexual and Gender Minorities
    Language Spanish
    Publishing date 2021-08-30
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2105698-5
    ISSN 1518-8345 ; 0104-1169
    ISSN (online) 1518-8345
    ISSN 0104-1169
    DOI 10.1590/1518-8345.4975.3474
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The authors reply.

    Sousa, Álvaro Francisco Lopes de / Queiroz, Artur Acelino Francisco Luz Nunes / Lima, Shirley Verônica Melo Almeida / Almeida, Priscilla Dantas / Oliveira, Layze Braz de / Chone, Jeremias Salomão / Araújo, Telma Maria Evangelista / Brignol, Sandra Mara Silva / Sousa, Anderson Reis de / Mendes, Isabel Amélia Costa / Dias, Sónia / Fronteira, Inês

    Cadernos de saude publica

    2021  Volume 37, Issue 3, Page(s) e00029921

    MeSH term(s) Brazil ; COVID-19 ; Homosexuality, Male ; Humans ; Male ; SARS-CoV-2 ; Sexual and Gender Minorities ; Social Isolation
    Language English
    Publishing date 2021-04-30
    Publishing country Brazil
    Document type Letter ; Comment
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311X00029921
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The authors reply

    Álvaro Francisco Lopes de Sousa / Artur Acelino Francisco Luz Nunes Queiroz / Shirley Verônica Melo Almeida Lima / Priscilla Dantas Almeida / Layze Braz de Oliveira / Jeremias Salomão Chone / Telma Maria Evangelista Araújo / Sandra Mara Silva Brignol / Anderson Reis de Sousa / Isabel Amélia Costa Mendes / Sónia Dias / Inês Fronteira

    Cadernos de Saúde Pública, Vol 37, Iss

    2021  Volume 3

    Keywords Medicine ; R ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Chemsex practice among men who have sex with men (MSM) during social isolation from COVID-19: multicentric online survey.

    Sousa, Álvaro Francisco Lopes de / Queiroz, Artur Acelino Francisco Luz Nunes / Lima, Shirley Verônica Melo Almeida / Almeida, Priscilla Dantas / Oliveira, Layze Braz de / Chone, Jeremias Salomão / Araújo, Telma Maria Evangelista / Brignol, Sandra Mara Silva / Sousa, Anderson Reis de / Mendes, Isabel Amélia Costa / Dias, Sónia / Fronteira, Inês

    Cadernos de saude publica

    2020  Volume 36, Issue 12, Page(s) e00202420

    Abstract: The aim of this study was to investigate factors associated with sex practice under the effect of drugs (chemsex) among men who have sex with men (MSM) during the period of social isolation in the context of the COVID-19 pandemic. A multicenter online ... ...

    Title translation Prática de chemsex entre homens que fazem sexo com homens (HSH) durante período de isolamento social por COVID-19: pesquisa online multicêntrica.
    Abstract The aim of this study was to investigate factors associated with sex practice under the effect of drugs (chemsex) among men who have sex with men (MSM) during the period of social isolation in the context of the COVID-19 pandemic. A multicenter online survey was applied to Brazil and Portugal in April 2020 when the two countries were under restrictive health measures due to the pandemic. Participants were recruited with an adaptation of the respondent driven sampling (RDS) method in the online environment. Data were collected using social networks and dating apps for MSM. We used bivariate and multivariate logistic regression to produce crude (OR) and adjusted odds ratios (aOR). In a universe of 2,361 subjects, 920 (38.9%) reported engaging in chemsex practice, which involved casual partners in 95% of the cases. Higher OR of engaging in chemsex were associated with Brazil (aOR = 15.4; 95%CI: 10.7-22.1), not being in social isolation (aOR = 4.9; 95%CI: 2.2-10.9), engaging in casual sex during social distancing (aOR = 52.4; 95%CI: 33.8-81.4), group sex (aOR = 2.9; 95%CI: 2.0-4.4), not presenting any symptom of COVID-19 (aOR = 1.3; 95%CI: 1.1-1.8), not living with the sex partner (aOR = 1.8; 95%CI: 1.2-2.6), and using pre-exposure prophylaxis (aOR = 2.6; 95%CI: 1.8-3.7). The occurrence of chemsex was high, especially in Brazil, where the proposed social distancing did not gain adherence by MSM.
    MeSH term(s) Brazil ; COVID-19 ; Cross-Sectional Studies ; HIV Infections/epidemiology ; Homosexuality, Male ; Humans ; Male ; Pandemics ; Portugal ; SARS-CoV-2 ; Sexual Behavior ; Sexual and Gender Minorities ; Social Isolation ; Surveys and Questionnaires
    Language Portuguese
    Publishing date 2020-11-20
    Publishing country Brazil
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1115730-6
    ISSN 1678-4464 ; 0102-311X
    ISSN (online) 1678-4464
    ISSN 0102-311X
    DOI 10.1590/0102-311X00202420
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Prática de chemsex entre homens que fazem sexo com homens (HSH) durante período de isolamento social por COVID-19

    Álvaro Francisco Lopes de Sousa / Artur Acelino Francisco Luz Nunes Queiroz / Shirley Verônica Melo Almeida Lima / Priscilla Dantas Almeida / Layze Braz de Oliveira / Jeremias Salomão Chone / Telma Maria Evangelista Araújo / Sandra Mara Silva Brignol / Anderson Reis de Sousa / Isabel Amélia Costa Mendes / Sónia Dias / Inês Fronteira

    Cadernos de Saúde Pública, Vol 36, Iss

    pesquisa online multicêntrica

    2020  Volume 12

    Abstract: Investigar os fatores associados à prática do sexo sob o efeito de drogas (chemsex) entre homens que fazem sexo com homens (HSH) durante período de isolamento social, no contexto da pandemia da COVID-19. Inquérito multicêntrico online, aplicado aos ... ...

    Abstract Investigar os fatores associados à prática do sexo sob o efeito de drogas (chemsex) entre homens que fazem sexo com homens (HSH) durante período de isolamento social, no contexto da pandemia da COVID-19. Inquérito multicêntrico online, aplicado aos territórios de Brasil e Portugal em abril de 2020, enquanto os dois países vivenciavam medidas sanitárias restritivas para a doença. Os participantes foram recrutados valendo-se de uma adaptação do método respondent driven sampling (RDS) ao ambiente virtual. Os dados foram coletados usando redes sociais e aplicativos de encontro voltados a HSH. Utilizamos regressão logística bivariada e multivariada para a produção das odds bruto (OR) e ajustado (ORa). Em um universo de 2.361 sujeitos, 920 (38,9%) realizaram a prática do chemsex, que, em 95% dos casos, foi realizada com parceiro casual. Aumentaram as chances de se envolver em chemsex: morar no Brasil (ORa = 15,4; IC95%: 10,7-22,1); não estar em isolamento social (ORa = 4,9; IC95%: 2,2-10,9); fazer sexo casual durante o distanciamento social (ORa = 52,4; IC95%: 33,8-81,4); fazer sexo grupal (ORa = 2,9; IC95%: 2,0-4,4); não apresentar nenhum tipo de sintoma para a COVID-19 (ORa = 1,3; IC95%: 1,1-1,8); não residir com o parceiro (ORa = 1,8; IC95%: 1,2-2,6) e estar em uso da profilaxia pré-exposição (ORa = 2,6; IC95%: 1,8-3,7). A ocorrência de chemsex foi elevada, sobretudo no Brasil, onde o isolamento social proposto não sensibilizou os HSH à adesão.
    Keywords COVID-19 ; Comportamento Sexual ; Homens que Fazem Sexo com Homens ; HIV ; AIDS ; Medicine ; R ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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