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

AUTOR(ES)

Magno, Laio, Dourado, Inês, da Silva, Luís Augusto V, Brignol, Sandra, Brito, Ana Maria de, Guimarães, Mark Drew Crosland, Benzaken, Adele, Pinho, Adriana de A, Kendall, Carl, Kerr, Ligia Regina Franco Sansigolo

FONTE

Rev. Saúde Pública

DATA DE PUBLICAÇÃO

17/11/2017

RESUMO

ABSTRACT 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.

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