Factors associated with self-reported discrimination against men who have sex with men in Brazil

Autores

  • Laio Magno Universidade do Estado da Bahia. Departamento de Ciências da Vida Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Inês Dourado Universidade Federal da Bahia. Instituto de Saúde Coletiva
  • Luís Augusto V da Silva Universidade Federal da Bahia. Instituto de Saúde Coletiva Universidade Federal da Bahia. Instituto de Humanidades, Artes & Ciências Professor Milton Santos
  • Sandra Brignol Universidade Federal Fluminense. Instituto de Saúde Coletiva
  • Ana Maria de Brito Fundação Oswaldo Cruz. Instituto Aggeu Magalhães
  • Mark Drew Crosland Guimarães Universidade Federal de Minas Gerais. Faculdade de Medicina. Departamento de Medicina Preventiva e Social
  • Adele Benzaken Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de IST, Aids e Hepatites Virais
  • Adriana de A Pinho Fundação Oswaldo Cruz. Instituto Oswaldo Cruz
  • Carl Kendall Center for Global Health Equit. Tulane School of Public Health and Tropical Medicine
  • Ligia Regina Franco Sansigolo Kerr Universidade Federal do Ceará. Departamento de Saúde Comunitária

DOI:

https://doi.org/10.11606/S1518-8787.2017051000016

Palavras-chave:

Homosexuality, Male. Sexism. Risk Factors. Socioeconomic Factors. Gender and Health. Health Inequalities.

Resumo

OBJECTIVE: To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors. METHODS: A cross-sectional study of 3,859 MSM recruited in 2008–2009 with respondent driven sampling. Data collection conducted in health centers in 10 Brazilian cities. A face-to-face questionnaire was used and rapid HIV and syphilis tests conducted. Aggregated data were weighted and adjusted odds ratio estimated to measure the association between selected factors and self-reported discrimination due to sexual orientation. RESULTS: The sample was predominantly young, eight plus years of schooling, pardo (brown), single, low-income, and identified themselves as gay or homosexual. The prevalence of self-reported discrimination due to sexual orientation was 27.7% (95%CI 26.2–29.1). Discrimination was independently associated with: age < 30 years, more years of schooling,community involvement and support, history of sexual and physical violence, suicidal thoughts, and unprotected receptive anal intercourse. CONCLUSIONS: The prevalence of self-reported discrimination among MSM in Brazil is high. These results challenge the assumptions that MSM-specific prevention and support programs are not required or that health professionals do not need special training to address MSM needs.

Publicado

2017-11-24

Edição

Seção

Artigos Originais

Como Citar

Magno, L., Dourado, I., Silva, L. A. V. da, Brignol, S., Brito, A. M. de, Guimarães, M. D. C., Benzaken, A., Pinho, A. de A., Kendall, C., & Kerr, L. R. F. S. (2017). Factors associated with self-reported discrimination against men who have sex with men in Brazil. Revista De Saúde Pública, 51, 102. https://doi.org/10.11606/S1518-8787.2017051000016