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Assessing the Underestimation of HIV Risk Infection among Young Men Who Have Sex with Men in Argentina

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  • Maria Feijoo-Cid

    (Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain)

  • María Isabel Fernández-Cano

    (Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain)

  • Virginia Zalazar

    (Dirección de Investigaciones, Fundación Huésped, Buenos Aires C1202ABB, Argentina)

  • David Moriña-Soler

    (Department of Econometrics, Statistics and Applied Economics, Universitat de Barcelona, Riskcenter-IREA, 08035 Barcelona, Spain)

  • Rosa García-Sierra

    (Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain
    Research Support Unit Metropolitana Nord, Primary Care Research Institut Jordi Gol (IDIAPJGol), 08303 Barcelona, Spain)

  • Antonia Arreciado Marañón

    (Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, 08193 Bellaterra, Spain
    Grup de REcerca Multidisciplinar en SAlut i Societat (GREMSAS), (2017 SGR 917), 08007 Barcelona, Spain)

  • Omar Sued

    (Dirección de Investigaciones, Fundación Huésped, Buenos Aires C1202ABB, Argentina)

Abstract

The aim of this study is to describe the discordance between the self-perceived risk and actual risk of HIV among young men who have sex with men (YMSM) and its associated factors. An online, cross-sectional study was conducted with 405 men recruited from an Argentinian NGO in 2017. Risk discordance (RD) was defined as the expression of the underestimation of risk, that is, as a lower self-perception of HIV risk, as measured with the Perceived Risk of HIV Scale, than the current risk of HIV infection, as measured by the HIV Incidence Risk Index. Multivariate logistic regression models were used to analyze the associations between the RD and the explanatory variables. High HIV risk was detected in 251 (62%), while 106 (26.2%) showed high self-perceived risk. RD was found in 230 (56.8%) YMSM. The predictors that increased RD were consistent condom use with casual partners (aOR = 3.8 [CI 95:1.5–11.0]), the use of Growler to meet partners (aOR = 10.38 [CI 95:161–121.94]), frequenting gay bars (aOR = 1.9 [95% CI:1.1–3.5]) and using LSD (aOR = 5.44 [CI 95:1.32–30.29]). Underestimation of HIV risk in YMSM is associated with standard HIV risk behavior and modulated by psychosocial aspects. Thus, prevention campaigns aimed at YMSM should include these factors, even though clinical practice does not. Health professionals should reconsider adapting their instruments to measure the risk of HIV in YMSM. It is unknown what score should be used for targeting high-risk YMSM, so more research is needed to fill this gap. Further research is needed to assess what score should be used for targeting high-risk in YMSM.

Suggested Citation

  • Maria Feijoo-Cid & María Isabel Fernández-Cano & Virginia Zalazar & David Moriña-Soler & Rosa García-Sierra & Antonia Arreciado Marañón & Omar Sued, 2022. "Assessing the Underestimation of HIV Risk Infection among Young Men Who Have Sex with Men in Argentina," IJERPH, MDPI, vol. 19(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15269-:d:977167
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    References listed on IDEAS

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    1. Fields, E.L. & Bogart, L.M. & Smith, K.C. & Malebranche, D.J. & Ellen, J. & Schuster, M.A., 2015. ""I always felt I had to prove my manhood": Homosexuality, masculinity, gender role strain, and HIV risk among young Black men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 105(1), pages 122-131.
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