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[PMID]:28402223
[Au] Autor:Schmitz RM; Tyler KA
[Ad] Endereço:a Department of Sociology and Anthropology , University of Texas Rio Grande Valley , Edinburg , Texas , USA.
[Ti] Título:LGBTQ+ Young Adults on the Street and on Campus: Identity as a Product of Social Context.
[So] Source:J Homosex;65(2):197-223, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults' capacities for "doing" their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social environments to seek out resources and support. Most college students described their educational contexts as conducive to helping them develop their identities, or "undo" rigid norms of gender and sexuality. Homeless young adults' social environments, meanwhile, imposed complex barriers to self-expression that reinforced more normative expectations of "doing" gender and sexual identities.
[Mh] Termos MeSH primário: Minorias Sexuais e de Gênero/psicologia
Meio Social
Estudantes/psicologia
Universidades
[Mh] Termos MeSH secundário: Adulto
Bissexualidade
Feminino
Homossexualidade Feminina
Seres Humanos
Masculino
Comportamento Sexual
Sexualidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170413
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1314162


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Texto completo SciELO Colômbia
Texto completo SciELO Saúde Pública
[PMID]:28453150
[Au] Autor:Restrepo-Pineda JE
[Ad] Endereço:Corporación Universitaria Minuto de Dios (UNIMINUTO), Antioquia, Colombia, jair.restrepo@uniminuto.edu.
[Ti] Título:[Comparative analysis of the perceptions of HIV/AIDS by gay and bisexual Colombian men with and without migratory experience].
[Ti] Título:Análisis comparativo de las percepciones sobre el VIH/SIDA de varones homosexuales y bisexuales colombianos, con experiencia migratoria o sin la misma..
[So] Source:Rev Salud Publica (Bogota);18(1):13-25, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To compare the perceptions about HIV/AIDS of homosexual and bisexual Colombian males who live in the Colombian "Eje Cafetero" (Coffee Zone) and of those who migrated to Spain, in order to investigate whether those perceptions have an influence on the social vulnerability of the groups involved, which is determined by aspects such as inequalities that may emerge from ignorance about cultural and sexual diversity of the people who are undergoing a migratory process. Methods This research has a transnational character and was carried out by way of in-depth interviews of adult males living in the autonomous communities of Madrid, Valencia, Cataluña and Andalucía in Spain, and in the departments of Caldas, Quindío, Risaralda and Valle del Cauca in Colombia between 2011 and 2013. In total, 87 interviews were performed in both countries. Conclusion The relationship between migration and sexuality must be contemplated from a comprehensive viewpoint that enriches understanding both of the society of origin as well as of the welcoming country through a consideration of social and cultural aspects. Any health promotion and prevention program expecting to have an influence on social aspects must take into account people's particularities in order to avoid generalizations and their exploitation, recognizing them and making them visible as individuals with full rights who express opinions, speak and participatevisible as whole right individuals, who express opinions, speak and participate.
[Mh] Termos MeSH primário: Bissexualidade/fisiologia
Emigrantes e Imigrantes/psicologia
Infecções por HIV/psicologia
Homossexualidade Masculina/psicologia
Percepção
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Colômbia/etnologia
Seres Humanos
Masculino
Pesquisa Qualitativa
Espanha
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29245022
[Au] Autor:Zhang SX; Shoptaw S; Reback CJ; Yadav K; Nyamathi AM
[Ad] Endereço:San Diego State University, Department of Sociology, San Diego, CA, USA. Electronic address: szhang@mail.sdsu.edu.
[Ti] Título:Cost-effective way to reduce stimulant-abuse among gay/bisexual men and transgender women: a randomized clinical trial with a cost comparison.
[So] Source:Public Health;154:151-160, 2018 Jan.
[Is] ISSN:1476-5616
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: A randomized controlled study was conducted with 422 homeless, stimulant-using gay/bisexual (G/B) men and 29 transgender women (n = 451) to assess two community-based interventions to reduce substance abuse and improve health: (a) a nurse case-managed program combined with contingency management (NCM + CM) versus (b) standard education plus contingency management (SE + CM). STUDY DESIGN: Hypotheses tested included: a) completion of hepatitis A/B vaccination series; b) reduction in stimulant use; and c) reduction in number of sexual partners. METHODS: A deconstructive cost analysis approach was utilized to capture direct costs associated with the delivery of both interventions. Based on an analysis of activity logs and staff interviews, specific activities and the time required to complete each were analyzed as follows: a) NCM + CM only; b) SE + CM only; c) time to administer/record vaccines; and d) time to receive and record CM visits. Cost comparison of the interventions included only staffing costs and direct cash expenditures. RESULTS: The study outcomes showed significant over time reductions in all measures of drug use and multiple sex partners, compared to baseline, although no significant between-group differences were detected. Cost analysis favored the simpler SE + CM intervention over the more labor-intensive NCM + CM approach. Because of the high levels of staffing required for the NCM relative to SE, costs associated with it were significantly higher. CONCLUSIONS: Findings suggest that while both intervention strategies were equally effective in achieving desired health outcomes, the brief SE + CM appeared less expensive to deliver.
[Mh] Termos MeSH primário: Estimulantes do Sistema Nervoso Central/administração & dosagem
Análise Custo-Benefício
Promoção da Saúde/economia
Minorias Sexuais e de Gênero/psicologia
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Bissexualidade/psicologia
Bissexualidade/estatística & dados numéricos
Feminino
Promoção da Saúde/métodos
Pessoas em Situação de Rua/psicologia
Pessoas em Situação de Rua/estatística & dados numéricos
Homossexualidade Masculina/psicologia
Homossexualidade Masculina/estatística & dados numéricos
Seres Humanos
Masculino
Minorias Sexuais e de Gênero/estatística & dados numéricos
Pessoas Transgênero/psicologia
Pessoas Transgênero/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Central Nervous System Stimulants)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


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[PMID]:27770819
[Au] Autor:Willging CE; Green AE; Ramos MM
[Ad] Endereço:Behavioral Health Research Center of the Southwest, Pacific Institute for Research and Evaluation, 612 Encino Place NE, Albuquerque, NM, USA. cwillging@pire.org.
[Ti] Título:Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol.
[So] Source:Implement Sci;11(1):145, 2016 10 22.
[Is] ISSN:1748-5908
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U.S. high schools. The DAP accounts for the multilevel context of school settings and uses Implementation Resource Teams (IRTs) to facilitate appropriate expertise, advise on acceptable adaptations, and provide data feedback to make schools implementation ready and prepared to sustain changes. METHODS/DESIGN: Mixed methods will be used to examine individual, school, and community factors influencing both implementation process and youth outcomes. A cluster randomized controlled trial will assess whether LGBTQ students and their peers in RLAS intervention schools (n = 20) report reductions in suicidality, depression, substance use, bullying, and truancy related to safety concerns compared to those in usual care schools (n = 20). Implementation progress and fidelity for each EB strategy in RLAS intervention schools will be examined using a modified version of the Stages of Implementation Completion checklist. During the implementation and sustainment phases, annual focus groups will be conducted with the 20 IRTs to document their experiences identifying and advancing adaptation supports to facilitate use of EB strategies and their perceptions of the DAP. DISCUSSION: The DAP represents a data-informed, collaborative, multiple stakeholder approach to progress from exploration to sustainment and obtain fidelity during the implementation of EB strategies in school settings. This study is designed to address the real-world implications of enabling the use of EB strategies by school nurses with the goal of decreasing suicide and youth risk behaviors among LGBTQ youth. Through its participatory processes to refine and sustain EB strategies in high schools, the RLAS represents a novel contribution to implementation science. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02875535.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Bullying/prevenção & controle
Serviços de Enfermagem Escolar/métodos
Minorias Sexuais e de Gênero/psicologia
Sexualidade/psicologia
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Bissexualidade/psicologia
Análise por Conglomerados
Feminino
Homossexualidade/psicologia
Seres Humanos
Masculino
New Mexico
Projetos de Pesquisa
Suicídio/psicologia
Transexualismo/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171210
[Lr] Data última revisão:
171210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:29088226
[Au] Autor:Whittles LK; White PJ; Didelot X
[Ad] Endereço:Department of Infectious Disease Epidemiology, School of Public Health, Imperial College London, London, United Kingdom.
[Ti] Título:Estimating the fitness cost and benefit of cefixime resistance in Neisseria gonorrhoeae to inform prescription policy: A modelling study.
[So] Source:PLoS Med;14(10):e1002416, 2017 Oct.
[Is] ISSN:1549-1676
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Gonorrhoea is one of the most common bacterial sexually transmitted infections in England. Over 41,000 cases were recorded in 2015, more than half of which occurred in men who have sex with men (MSM). As the bacterium has developed resistance to each first-line antibiotic in turn, we need an improved understanding of fitness benefits and costs of antibiotic resistance to inform control policy and planning. Cefixime was recommended as a single-dose treatment for gonorrhoea from 2005 to 2010, during which time resistance increased, and subsequently declined. METHODS AND FINDINGS: We developed a stochastic compartmental model representing the natural history and transmission of cefixime-sensitive and cefixime-resistant strains of Neisseria gonorrhoeae in MSM in England, which was applied to data on diagnoses and prescriptions between 2008 and 2015. We estimated that asymptomatic carriers play a crucial role in overall transmission dynamics, with 37% (95% credible interval CrI 24%-52%) of infections remaining asymptomatic and untreated, accounting for 89% (95% CrI 82%-93%) of onward transmission. The fitness cost of cefixime resistance in the absence of cefixime usage was estimated to be such that the number of secondary infections caused by resistant strains is only about half as much as for the susceptible strains, which is insufficient to maintain persistence. However, we estimated that treatment of cefixime-resistant strains with cefixime was unsuccessful in 83% (95% CrI 53%-99%) of cases, representing a fitness benefit of resistance. This benefit was large enough to counterbalance the fitness cost when 31% (95% CrI 26%-36%) of cases were treated with cefixime, and when more than 55% (95% CrI 44%-66%) of cases were treated with cefixime, the resistant strain had a net fitness advantage over the susceptible strain. Limitations include sparse data leading to large intervals on key model parameters and necessary assumptions in the modelling of a complex epidemiological process. CONCLUSIONS: Our study provides, to our knowledge, the first estimates of the fitness cost and benefit associated with resistance of the gonococcus to a clinically relevant antibiotic. Our findings have important implications for antibiotic stewardship and public health policies and, in particular, suggest that a previously abandoned antibiotic could be used again to treat a minority of gonorrhoea cases without raising resistance levels.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Cefixima/uso terapêutico
Resistência às Cefalosporinas
Gonorreia/tratamento farmacológico
Política de Saúde
Neisseria gonorrhoeae/fisiologia
[Mh] Termos MeSH secundário: Infecções Assintomáticas
Bissexualidade
Análise Custo-Benefício
Inglaterra
Gonorreia/transmissão
Homossexualidade Masculina
Seres Humanos
Masculino
Modelos Biológicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 97I1C92E55 (Cefixime)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171101
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pmed.1002416


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[PMID]:28950022
[Au] Autor:Vaccher SJ; Grulich AE; Haire BG; Conway DP; Poynten IM; Ooi C; Foster R; Templeton DJ; Zablotska IB; PRELUDE Study Team
[Ad] Endereço:Kirby Institute, UNSW Sydney, Kensington, New South Wales, Australia.
[Ti] Título:Validation of participant eligibility for pre-exposure prophylaxis: Baseline data from the PRELUDE demonstration project.
[So] Source:PLoS One;12(9):e0185398, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Australia, pre-exposure prophylaxis (PrEP) is targeted to individuals at high risk for HIV infection. We describe the HIV risk profile and characteristics of PRELUDE participants, and evaluate the population validity of the sample in representing high-risk gay and bisexual men (GBM) eligible for PrEP. METHODS: PRELUDE is an on-going, open-label, single-arm observational study. Participants were identified in clinics and screened for eligibility using a paper-based risk assessment tool which followed the New South Wales (NSW) PrEP guidelines. Selection was validated using an independent online behavioural survey, completed by study participants upon enrolment. Demographic information was analysed using descriptive statistics, and kappa tests were used to determine agreement between reporting of high-risk practices in the risk assessment and behavioural survey. RESULTS: During 2014-15, 471 individuals were targeted for enrolment; 341 were assessed for PrEP eligibility and 313 were enrolled. Of these, 303 (97%) identified as GBM. Overall, 85% of GBM met at least one high-risk criterion; 68% reported receptive intercourse with an HIV-positive or unknown status casual male partner, and 37% reported methamphetamine use in the three months preceding enrolment. The remaining 15% were enrolled based on medium-risk behaviours, or at the clinicians' discretion. We found an 82% total agreement between self-reported high-risk behaviour and clinicians' categorisation of GBM as being at high risk for HIV based on PrEP eligibility criteria. CONCLUSIONS: Behavioural eligibility criteria used by clinicians successfully identified individuals at high risk for HIV infection. This targeted approach ensures that the greatest public health and HIV prevention benefits can be derived in a setting without universal access to PrEP.
[Mh] Termos MeSH primário: Bissexualidade
Infecções por HIV/prevenção & controle
Homossexualidade Masculina
Profilaxia Pré-Exposição
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/transmissão
Seres Humanos
Masculino
Meia-Idade
New South Wales
Assunção de Riscos
Parceiros Sexuais
Transexualismo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; VALIDATION STUDIES
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170927
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185398


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[PMID]:28886173
[Au] Autor:Petoumenos K; Huang R; Hoy J; Bloch M; Templeton DJ; Baker D; Giles M; Law MG; Cooper DA
[Ad] Endereço:Kirby Institute, UNSW Sydney, Sydney, New South Wales, Australia.
[Ti] Título:Prevalence of self-reported comorbidities in HIV positive and HIV negative men who have sex with men over 55 years-The Australian Positive & Peers Longevity Evaluation Study (APPLES).
[So] Source:PLoS One;12(9):e0184583, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In Australia, almost half of HIV-positive people are now aged over 50 and are predominately gay and bisexual men (GBM). Compared to the general HIV-negative population, GBM engage more in behaviours that may increase the risk of age-related comorbidities, including smoking, high alcohol consumption and recreational drug use. The objective of APPLES was to compare comorbidities and risk factors in HIV-positive older GBM with an appropriate control group of HIV-negative GBM. We undertook a prospectively recruited cross-sectional sample of HIV-positive and HIV-negative GBM ≥ 55 years. Detailed data collection included clinic data, a health and lifestyle survey, and blood sample collection. We report key demographic, laboratory markers and self-reported comorbidities by HIV status. For selected comorbidities we also adjust HIV status a priori for age, smoking and body mass index. Over 16 months 228 HIV-positive and 218 HIV-negative men were recruited. Median age was 63 years (IQR: 59-67). Although more HIV-positive men reported having ever smoked, smoking status was not statistically different between HIV positive and HIV negative men (p = 0.081). Greater alcohol use was reported by HIV-negative men (p = 0.002), and recreational drug use reported more often by HIV-positive men (p<0.001). After adjustment, HIV-positive men had significantly increased odds of diabetes (adjusted Odds ratio (aOR): 1.97, p = 0.038), thrombosis (aOR: 3.08, p = 0.007), neuropathy (aOR: 34.6, P<0.001), and non-significantly increased odds for heart-disease (aOR: 1.71, p = 0.077). In conclusion, HIV-positive GBM have significantly increased odds for key self-reported comorbidities. This study underscores the importance of an appropriate HIV-negative control group for more accurate evaluation of the risk and attribution of age-related comorbidities in HIV-positive people.
[Mh] Termos MeSH primário: Homossexualidade Masculina/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Antropometria
Austrália
Bissexualidade
Comorbidade
Estudos Transversais
Soropositividade para HIV
Seres Humanos
Longevidade/fisiologia
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0184583


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[PMID]:28763487
[Au] Autor:Hoover KW; Tao KL; Peters PJ
[Ad] Endereço:Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.
[Ti] Título:Nationally representative prevalence estimates of gay, bisexual, and other men who have sex with men who have served in the U.S. military.
[So] Source:PLoS One;12(8):e0182222, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To estimate the number of men in the U.S. military who are gay, bisexual, or other men who have sex with men (MSM) to inform the development of military and other federal policies. STUDY DESIGN: We analyzed data from the National Surveys of Family Growth to estimate the number of U.S. men who were gay, bisexual, or MSM, and who had served in the military, compared to those who did not serve. We stratified using hierarchical categories of gay, bisexual, and other MSM to compare proportions in the military and general population. RESULTS: We found that 4.23% of men self-reported as gay, bisexual, or other MSM among men who served in the military, compared to 4.14% among men who had not served (p = 0.93). When stratified, we found that 0.78% self-reported as gay among men who served in the military, compared to 2.12% among men who had not served (p<0.001). CONCLUSIONS: The proportion of men who identified as a gay was lower in the military than in the general population. This finding might have been influenced by historical military policies related to sexual orientation.
[Mh] Termos MeSH primário: Bissexualidade/estatística & dados numéricos
Homossexualidade Masculina/estatística & dados numéricos
Militares/estatística & dados numéricos
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Coleta de Dados
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Prevalência
Parceiros Sexuais
Minorias Sexuais e de Gênero
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170802
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182222


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[PMID]:28704207
[Au] Autor:Casali MB; Palazzo E; Blandino A; Battistini A; Motta F; Kustermann A; Cattaneo C
[Ad] Endereço:From the *Institute of Legal Medicine, Università degli Studi di Milano, Milan; and †SVSeD, Clinica Luigi Mangiagalli, Ospedale Policlinico di Milano, Milan, Italy.
[Ti] Título:The Adult Male Rape Victim: Forensic Description of a Series of 57 Cases.
[So] Source:Am J Forensic Med Pathol;38(3):175-179, 2017 Sep.
[Is] ISSN:1533-404X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A retrospective analysis on 57 adult male victims of sexual violence has been performed. Age, nationality and anamnesis of the victims, location of the assault, type of violence, number and identity of the assailants, presence of physical injuries, lapse of time between the assault and the request of medical assistance, and toxicological and semen detection tests were analyzed. Victims were mostly in the 31- to 40-year age group. Ten victims referred themselves as either active homosexuals or bisexuals. Forced oral and/or anal penetration was registered in 86.8% of cases, mostly performed by a single assailant. Anogenital injuries were recorded in 61.4% of cases, whereas extragenital injuries in 35.1%: abrasions and perianal reddening were the most frequent acute anogenital marks, whereas the head and lower limbs were the body parts most commonly affected by blunt trauma. No clinically severe injuries were found. Anal and perianal swabs for semen detection tested positive in less than 20% cases, whereas oral swabs always tested negative. When performed, nearly 50% of cases tested positive in drug tests, above all for psychoactive substances. No definite forensic diagnosis in terms of confirmation of rape was possible on the basis of type and topography of injuries.
[Mh] Termos MeSH primário: Vítimas de Crime/estatística & dados numéricos
Estupro/estatística & dados numéricos
Delitos Sexuais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Amnésia/epidemiologia
Canal Anal/lesões
Bissexualidade/estatística & dados numéricos
Homossexualidade Masculina/estatística & dados numéricos
Seres Humanos
Itália/epidemiologia
Masculino
Estudos Retrospectivos
Detecção do Abuso de Substâncias/estatística & dados numéricos
Ferimentos e Lesões/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.1097/PAF.0000000000000333


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Carneiro, Mariângela
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28678908
[Au] Autor:Silva AP; Greco M; Fausto MA; Carneiro M
[Ad] Endereço:Programa de Pós-Graduação em Ciências da Saúde: Infectologia e Medicina Tropical. Faculdade de Medicina. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
[Ti] Título:Loss to follow-up in a cohort of HIV-negative men who have sex with men: Project Horizonte.
[So] Source:Rev Saude Publica;51:60, 2017 Jun 26.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The objective of this study is to estimate the attrition rates and evaluate factors associated with loss to follow-up between 1994 and 2011 in an open cohort of HIV-negative men who have sex with men. METHODS: The Project Horizonte is an open cohort study that aimed to assess the incidence of HIV infection, evaluate the impact of educational interventions, and identify potential volunteers for HIV vaccine trials. The rates of losses to follow-up were estimated for three periods (1994-1999, 2000-2005, and 2006-2011). The variables analyzed were collected in a psychosocial questionnaire. Volunteers who dropped out were compared with the ones who remained in the study using a Cox regression model. RESULTS: A total of 1,197 volunteers were recruited. The median follow-up time in the study (n = 626) was 4.2 years. The median follow-up time for the volunteers who dropped out of the study (n = 571) was 1.46 years. The overall rate of loss to follow-up was 11.6/100 person-years. Attrition rates by period were: 12.60 (1994-1999), 11.80 (2000-2005), and 9.00 (2006-2011) per 100 person-years. Factors associated with losses to follow-up were: age group of 21-30 years old, monthly per capita income of more than six or less than one Brazilian minimum wage, having more than two dependents, report of bisexual practice, and inconsistent use of condoms for receptive anal sex. CONCLUSIONS: A slight decrease of the loss to follow-up was observed over time. Higher attrition rates happened in the first three years of follow-up. It is possible that the link of the volunteers were not yet well established. Those who reported inconsistent condom use in receptive anal sex were more likely to leave the study, suggesting an underestimation of the incidence of HIV infection in a cohort population. For greater effectiveness, retention strategies must be reassessed considering the connection between the characteristics of homosexual and bisexual behavior and the motivations to engage in health research.
[Mh] Termos MeSH primário: Infecções por HIV
Soronegatividade para HIV
Homossexualidade Masculina/estatística & dados numéricos
Perda de Seguimento
[Mh] Termos MeSH secundário: Adulto
Bissexualidade
Brasil/epidemiologia
Preservativos/utilização
Seguimentos
Seres Humanos
Incidência
Masculino
Fatores de Risco
Assunção de Riscos
Comportamento Sexual
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170706
[St] Status:MEDLINE



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