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Peer-reviewedCC BYCadernos de saude publica

[Inconsistent condom use with regular and casual partners among men who have sex with men in Brazil: a respondent-driven sampling study].

6 affiliations
  1. 1Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
  2. 2Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
  3. 3Universidade do Estado da Bahia, Salvador, Brasil.
  4. 4Universidade Federal da Bahia, Salvador, Brasil.
  5. 5Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil.
  6. 6Universidade Federal do Ceará, Fortaleza, Brasil.

Abstract

We aimed to analyze the factors associated with inconsistent condom use among men who have sex with men (MSM) in Brazil. This cross-sectional study was carried out with adult MSM, recruited via respondent-driven sampling in 12 Brazilian capitals in 2016. Inconsistent condom use was measured by insertive and receptive anal intercourse in the previous six months and in the last sexual intercourse. The association between the independent variables and inconsistent condom use was measured using Poisson regression with robust variance and the estimation of adjusted prevalence ratios and 95% confidence intervals. Almost 75% of participants showed inconsistent condom use (46.2% with regular and casual partners, 23.1% only with regular partners, and 8.8% only with casual partners). In all analyses, inconsistent condom use prevalence was higher in younger MSM (< 25 years), in those who accept to have sex without condoms and who trusted their partners, and in those that used no condoms in their first sexual relation. Health actions to promote condom use in MSM should consider generational and behavioral aspects. Condom use should be encouraged in younger MSM and in relationships with trusting partners as these relationships also carry infection risk. The use of condoms must be fostered with other strategies, promoting combined HIV prevention.

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BibTeX
@article{silva2026inconsistent,
  title = {{[Inconsistent condom use with regular and casual partners among men who have sex with men in Brazil: a respondent-driven sampling study].}},
  author = {Jonatan da Rosa Pereira da Silva and Flávia Bulegon Pilecco and Andréa Fachel Leal and Laio Magno and Ines Dourado and Maria Amélia Sousa Mascena Veras and Ligia Regina Sansigolo Kerr and Daniela Riva Knauth},
  journal = {Cadernos de saude publica},
  year = {2026},
  month = oct,
  doi = {10.1590/0102-311xpt113825},
  url = {https://europepmc.org/article/MED/42912041},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - [Inconsistent condom use with regular and casual partners among men who have sex with men in Brazil: a respondent-driven sampling study].
AU  - Jonatan da Rosa Pereira da Silva
AU  - Flávia Bulegon Pilecco
AU  - Andréa Fachel Leal
AU  - Laio Magno
AU  - Ines Dourado
AU  - Maria Amélia Sousa Mascena Veras
AU  - Ligia Regina Sansigolo Kerr
AU  - Daniela Riva Knauth
PY  - 2026
DA  - 2026/10/12
JO  - Cadernos de saude publica
DO  - 10.1590/0102-311xpt113825
UR  - https://europepmc.org/article/MED/42912041
AB  - We aimed to analyze the factors associated with inconsistent condom use among men who have sex with men (MSM) in Brazil. This cross-sectional study was carried out with adult MSM, recruited via respondent-driven sampling in 12 Brazilian capitals in 2016. Inconsistent condom use was measured by insertive and receptive anal intercourse in the previous six months and in the last sexual intercourse. The association between the independent variables and inconsistent condom use was measured using Poisson regression with robust variance and the estimation of adjusted prevalence ratios and 95% confidence intervals. Almost 75% of participants showed inconsistent condom use (46.2% with regular and casual partners, 23.1% only with regular partners, and 8.8% only with casual partners). In all analyses, inconsistent condom use prevalence was higher in younger MSM (< 25 years), in those who accept to have sex without condoms and who trusted their partners, and in those that used no condoms in their first sexual relation. Health actions to promote condom use in MSM should consider generational and behavioral aspects. Condom use should be encouraged in younger MSM and in relationships with trusting partners as these relationships also carry infection risk. The use of condoms must be fostered with other strategies, promoting combined HIV prevention.
SN  - 0102-311X
SN  - 1678-4464
ER  -