Health vulnerability behaviors among men who have sex with men in the context of mpox: a cross-sectional study, Brazil, 2022.
4 affiliations
- 1Universidade Federal de Sergipe Departamento de Enfermagem LagartoSE Brazil Universidade Federal de Sergipe, Departamento de Enfermagem, Lagarto, SE, Brazil.
- 2Universidade Federal da Bahia Escola de Enfermagem SalvadorBA Brazil Universidade Federal da Bahia, Escola de Enfermagem, Salvador, BA, Brazil.
- 3Universidade do Estado da Bahia Departamento de Ciências da Vida SalvadorBA Brazil Universidade do Estado da Bahia, Departamento de Ciências da Vida, Salvador, BA, Brazil.
- 4Universidade 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.
Abstract
Objective
To analyze adherence to health vulnerability behaviors among men who have sex with men during the mpox public health emergency in Brazil.Method
A 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
A 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
Greater 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.
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BibTeX
@article{santos2026health,
title = {{Health vulnerability behaviors among men who have sex with men in the context of mpox: a cross-sectional study, Brazil, 2022.}},
author = {Guilherme Reis de Santana Santos and Caíque Jordan Nunes Ribeiro and Thamyres Vaz de Jesus Bittencourt and Nilo Manoel Pereira Vieira Barreto and Lilian Conceição Guimarães Almeida and Tânia Christiane Ferreira Bispo and Virginia Ramos Santos Souza and Ana Paula Morais Fernandes and Anderson Reis de Sousa},
journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
year = {2026},
month = jul,
doi = {10.1590/s2237-96222026v35e20250393.en},
url = {https://europepmc.org/article/MED/42922753},
note = {CC BY},
}
RIS
TY - JOUR
TI - Health vulnerability behaviors among men who have sex with men in the context of mpox: a cross-sectional study, Brazil, 2022.
AU - Guilherme Reis de Santana Santos
AU - Caíque Jordan Nunes Ribeiro
AU - Thamyres Vaz de Jesus Bittencourt
AU - Nilo Manoel Pereira Vieira Barreto
AU - Lilian Conceição Guimarães Almeida
AU - Tânia Christiane Ferreira Bispo
AU - Virginia Ramos Santos Souza
AU - Ana Paula Morais Fernandes
AU - Anderson Reis de Sousa
PY - 2026
DA - 2026/07/20
JO - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
DO - 10.1590/s2237-96222026v35e20250393.en
UR - https://europepmc.org/article/MED/42922753
AB - Objective To analyze adherence to health vulnerability behaviors among men who have sex with men during the mpox public health emergency in Brazil.Method A 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 A 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 Greater 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.
SN - 1679-4974
SN - 2237-9622
ER -