5fd1f905a37fa6e44ad3be626dc85d2b ijerph-19-15269-v3.pdf bd2e81970539d3316f918ed68d86f576c2992ee7 ijerph-19-15269-v3.pdf c76bf66c2634c07d1afdfe8f89f090d25133f58736ff1059b1879a8d69e41434 ijerph-19-15269-v3.pdf Title: Assessing the Underestimation of HIV Risk Infection among Young Men Who Have Sex with Men in Argentina Subject: 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. Keywords: HIV risk perception; HIV risk infection; men who have sex with men; adolescents; young adults Author: Maria Feijoo-Cid, María Isabel Fernández-Cano, Virginia Zalazar, David Moriña Soler, Rosa García-Sierra, Antonia Arreciado Marañón and Omar Sued Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Nov 23 14:38:50 2022 CET ModDate: Wed Nov 23 15:45:30 2022 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 390140 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- EIFDAO+VnURWPalladioL Type 1 Custom yes yes no 10 0 DJUNEX+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 XBYXLJ+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 TAXBXP+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 PRJKGQ+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 UUHHNQ+CMSY10 Type 1 Builtin yes yes no 74 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 81 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-06-24 02:38:32 CEST RepresentationInformation: ijerph-19-15269-v3.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-06-22 15:44:44 CEST Size: 390140 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 293 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Children: Item: Title: Participant Characteristics and Sexual Health and Behaviors Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Discordance of Self-Perceived Risk and Actual HIV Risk, and Associated Factors Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Info: Title: Assessing the Underestimation of HIV Risk Infection among Young Men Who Have Sex with Men in Argentina Author: Maria Feijoo-Cid, María Isabel Fernández-Cano, Virginia Zalazar, David Moriña Soler, Rosa García-Sierra, Antonia Arreciado Marañón and Omar Sued Subject: 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. 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