{
  "abstract": "Objective\n\nTo analyze adherence to health vulnerability behaviors among men who have sex with men during the mpox public health emergency in Brazil.Method\n\nA cross-sectional, analytical study conducted in a virtual environment between September and December 2022 via an electronic questionnaire, with recruitment via social media/dating apps. The outcome of interest comprised four variables related to health vulnerability behaviors, and a multivariable analysis was conducted using a generalized linear model.Results\n\nA total of 1,449 men who reported having sex with men participated in the study, with a prevalence of health vulnerability behaviors of 13.9% (n=202), mainly due to not being vaccinated against mpox (50.4%), not adopting preventive care measures (30.6%), not undergoing testing (26.2%), and not following health treatment (9.9%). The multivariable model indicated a higher prevalence of the outcome independently associated with intimate contact with a person with mpox (adjusted prevalence ratio [APR]: 1.82; 95% confidence interval [95%CI] 1.33; 2.48), non-disclosure of serological status (APR 1.40; 95%CI 1.05; 1.87), and disbelief in mpox-related homophobia (APR 1.39; 95%CI 1.01; 1.90). The use of glory holes was associated with a lower prevalence (APR 0.43; 95%CI 0.20; 0.92).Conclusion\n\nGreater health vulnerability was identified among participants who exhibited behaviors associated with a higher risk of mpox exposure, highlighting the need to plan targeted, population-based actions.",
  "abstract_shown": true,
  "affiliations": [
    "Universidade Federal de Sergipe Departamento de Enfermagem LagartoSE Brazil Universidade Federal de Sergipe, Departamento de Enfermagem, Lagarto, SE, Brazil.",
    "Universidade Federal da Bahia Escola de Enfermagem SalvadorBA Brazil Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brazil.",
    "Universidade do Estado da Bahia Departamento de Ciências da Vida SalvadorBA Brazil Universidade do Estado da Bahia, Departamento de Ciências da Vida, Salvador, BA, Brazil.",
    "Universidade de São Paulo Escola de Enfermagem de Ribeirão Preto São PauloSP Brazil Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, São Paulo, SP, Brazil."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 9,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Guilherme Reis de Santana Santos",
      "orcid": "0000-0002-6416-0455"
    },
    {
      "affs": [
        0
      ],
      "name": "Caíque Jordan Nunes Ribeiro",
      "orcid": "0000-0001-9767-3938"
    },
    {
      "affs": [
        1
      ],
      "name": "Thamyres Vaz de Jesus Bittencourt",
      "orcid": "0009-0008-4348-2907"
    },
    {
      "affs": [
        1
      ],
      "name": "Nilo Manoel Pereira Vieira Barreto",
      "orcid": "0000-0002-1397-1362"
    },
    {
      "affs": [
        1
      ],
      "name": "Lilian Conceição Guimarães Almeida",
      "orcid": "0000-0001-6940-9187"
    },
    {
      "affs": [
        2
      ],
      "name": "Tânia Christiane Ferreira Bispo",
      "orcid": "0000-0002-8862-4058"
    },
    {
      "affs": [
        1
      ],
      "name": "Virginia Ramos Santos Souza",
      "orcid": "0000-0003-4246-4332"
    },
    {
      "affs": [
        3
      ],
      "name": "Ana Paula Morais Fernandes",
      "orcid": "0000-0002-6916-4025"
    },
    {
      "affs": [
        1
      ],
      "name": "Anderson Reis de Sousa",
      "orcid": "0000-0001-8534-1960"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0c8894y4w35w7.bib",
  "cited_by": 0,
  "doi": "10.1590/s2237-96222026v35e20250393.en",
  "fulltext_url": "https://europepmc.org/articles/PMC13686301",
  "id": "0c8894y4w35w7",
  "issns": [
    "1679-4974",
    "2237-9622"
  ],
  "landing_url": "https://europepmc.org/article/MED/42922753",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2725|HIV/AIDS Research and Interventions"
    ]
  ],
  "openalex": "W7169812616",
  "pdf_url": "https://europepmc.org/articles/PMC13686301?pdf=render",
  "pmcid": "PMC13686301",
  "pmid": "42922753",
  "published": "2026-07-20",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0c8894y4w35w7.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42922753",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42922753"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|HIV/AIDS Research and Interventions",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Health vulnerability behaviors among men who have sex with men in the context of mpox: a cross-sectional study, Brazil, 2022.",
  "title_text": "Health vulnerability behaviors among men who have sex with men in the context of mpox: a cross-sectional study, Brazil, 2022.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/0c8894y4w35w7",
  "venue": "Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil",
  "versions": []
}